关键词: alcohol use college marijuana use nicotine use prescription drug misuse

来  源:   DOI:10.1080/16066359.2023.2234289   PDF(Pubmed)

Abstract:
UNASSIGNED: Limited prior research to examine co-occurrence of prescription drug misuse with other substances among young adults has documented outcomes that are more problematic for those with higher rates of co-ingesting alcohol. There is a need to understand how college students in this period of heightened risk use other salient substances in moments of their prescription misuse in daily life.
UNASSIGNED: Young-adult college students who engaged in recent prescription misuse (N = 297) completed ecological momentary assessment (EMA) over a 28-day period, resulting in 23,578 reports. Multilevel modeling examined within-person associations between other momentary substance use (including alcohol, nicotine, energy drinks, and marijuana) and prescription misuse in daily life. Analyses accounted for between-person characteristics, having a current focal prescription, and effects of reporting over time. Participant sex was also explored as a moderator.
UNASSIGNED: In adjusted multilevel models, college students\' momentary nicotine use and energy drink use each were associated with their greater likelihood of prescription misuse in daily life. In contrast, momentary marijuana use was linked with lower likelihood of misuse. Moderation results indicated that males (but not females) were less likely to engage in prescription misuse in moments of their alcohol use.
UNASSIGNED: Drawing from data obtained using EMA, findings provide novel insights about the real-world associations between prescription drug misuse and other salient substance behaviors during a developmental period that is important for establishing later substance use and health.
摘要:
有限的先前研究,以检查年轻人中处方药滥用与其他物质的共同发生,已经记录了结果,这对于那些共同饮酒率较高的人来说是更成问题的。有必要了解在这个高风险时期的大学生如何在日常生活中滥用处方时使用其他重要物质。
从事近期处方误用(N=297)的青年大学生在28天的时间内完成了生态瞬时评估(EMA),产生23,578份报告。多层次建模检查了其他瞬时物质使用(包括酒精,尼古丁,能量饮料,和大麻)和日常生活中的处方滥用。分析考虑了人与人之间的特征,有一个当前的焦点处方,以及随着时间的推移报告的影响。参与者性行为也作为主持人进行了探索。
在调整后的多级模型中,大学生短期使用尼古丁和能量饮料的使用都与他们在日常生活中滥用处方的可能性更大有关。相比之下,暂时使用大麻与误用的可能性较低有关。适度结果表明,男性(而不是女性)在饮酒时不太可能滥用处方。
根据使用EMA获得的数据绘制,研究结果提供了有关发育期处方药滥用与其他显著物质行为之间现实世界关联的新见解,这对于确定以后的物质使用和健康非常重要.
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