Prescription Drugs Part 1 Trends

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  • Illicit – could be using someone else’s prescription for a medical reason or your own prescription not as prescribed, both are illegal no matter the motive Non-medical use – distinguishes people using for recreational purposes from those using illegally but for a legitimate reason Recreational use seems to be more related to negative consequences and addiction than self-medication Disclaimer for statistics : lots of variation in the research, important to look at your own campus data These statistics come from published research, Monitoring the Future, National Survey of Drug Use & Health, and other sources listed in the notes.
  • Data from National Survey of Drug Use & Health 2003, 2004, 2006 Prescription Medications. National Institute on Drug Abuse. Retrieved July 30, 2009 from www.drugabuse.gov/drugpages/prescription.html McCabe, S. E., Teter, C. J., Boyd, C. J. (2006). Medical Use, Illicit Use, and Diversion of Abusable Prescription Drugs. Journal of American College Health. 54(5) 269-278.
  • Direct to consumer advertising began in 1997 University of Georgia (2008, January 4). Most TV Prescription Drug Ads Minimize Risk Information, Study Finds. ScienceDaily . Retrieved July 28, 2009, from http://www.sciencedaily.com­ /releases/2008/01/080103161527.htm For more on the connection between alcohol marketing and use by youth, see http://www.camy.org/factsheets/index.php?FactsheetID=1
  • 2003 NSDUH, 2007 Monitoring the Future National Institute on Drug Abuse (2009). NIDA InfoFacts: Prescription and Over-the-Counter Medications. Retrieved July 30, 2009 from www.drugabuse.gov/infofacts/PainMed.html . National Institute on Drug Abuse (2005). Research Report Series: Prescription Drugs: Abuse and Addiction. Retrieved July 30, 2009 from www.drugabuse.gov/ResearchReports/Prescription/prescription5.html#Trends
  • Students bring these beliefs about prescriptions to college. Partnership for a Drug Free America survey of 7-12 th graders (n=7314) Partnership for a Drug Free America (2005). Generation Rx: National Study Reveals New Category of Substance Abuse Emerging: Teens Abusing Rx and OTC Medications Intentionally to Get High. Retrieved July 30, 2009 from www.drugfree.org/Portal/DrugIssue/Research/PATS%20Teens%202004%20Report/Teens_Abusing_Rx_and_OTC_Medications
  • 2001 CAS, national sample of college students McCabe, S. E., Teter, C. J., Boyd, C. J. (2006). Medical Use, Illicit Use, and Diversion of Abusable Prescription Drugs. Journal of American College Health . 54(5) 269-278. Ford, J.A. (2008). Nonmedical Prescription Drug Use Among College Students: A Comparison Between Athletes and Nonathletes. Journal of American College Health . 57(2) 211-219.
  • McCabe, S. E., Teter, C. J., Boyd, C. J. (2006). Medical Use, Illicit Use, and Diversion of Abusable Prescription Drugs. Journal of American College Health . 54(5) 269-278.
  • Prescription Drugs Part 1 Trends

    1. 1. PRESCRIPTION DRUG ABUSE AMONG COLLEGE STUDENTS Prevalence, Trends, and Motives Rebecca Caldwell & Aimee Hourigan University of North Carolina Wilmington
    2. 2. PREVALENCE, TRENDS, AND MOTIVES <ul><li>Section 1 </li></ul>
    3. 3. <ul><li>Identify trends and motives for illicit use of prescription drugs among college students </li></ul><ul><li>Describe categories of prescription drugs and their effects when used with alcohol or other drugs </li></ul><ul><li>Identify resources for additional information and research </li></ul>Learning Outcomes
    4. 4. Terms <ul><li>Illicit use: not as prescribed </li></ul><ul><li>Non-medical use: for recreational purposes </li></ul><ul><li>Opioid: includes both synthetic and natural opium derivatives </li></ul><ul><li>Challenges of statistics and research </li></ul>
    5. 5. TRENDS OF USE
    6. 6. National Trends <ul><li>16.2 million Americans age 12 and older reported nonmedical use of a prescription drug at least once in the past year </li></ul><ul><li>6% of adults age 18-25 reported nonmedical use of prescriptions in the past month </li></ul><ul><li>14.8% of adults age 18-25 reported nonmedical use of prescriptions in the past year </li></ul><ul><ul><ul><ul><li>11.9% used opioid analgesics </li></ul></ul></ul></ul><ul><ul><ul><ul><li>5.2% used tranquilizer medication </li></ul></ul></ul></ul><ul><ul><ul><ul><li>3.7% used stimulant medication </li></ul></ul></ul></ul><ul><ul><ul><ul><li>0.5% used sedative medication </li></ul></ul></ul></ul>
    7. 7. The Ritalin Generation <ul><li>First kids to be prescribed Ritalin are now in college </li></ul><ul><li>Impact of direct-to-consumer marketing of prescription drugs </li></ul><ul><ul><li>Clearly established connection between alcohol advertising and use by youth </li></ul></ul><ul><ul><li>Over $1.5 billion spent on direct-to-consumer television ads for prescription drugs during the first half of 2007 </li></ul></ul>
    8. 8. High School Trends <ul><li>Prescription and over the counter medications were the most commonly abused drugs by high school students after marijuana and alcohol </li></ul><ul><li>4% of youth age 12-17 reported nonmedical use of prescriptions in the past month (2003) </li></ul><ul><li>Monitoring the Future 2007: 12 th graders nonmedical use of prescriptions </li></ul><ul><ul><ul><li>21.7% reported lifetime use </li></ul></ul></ul><ul><ul><ul><li>15.4% reported past-year use </li></ul></ul></ul><ul><ul><ul><li>7.6% reported past-month use </li></ul></ul></ul>
    9. 9. Teen Beliefs about Prescriptions <ul><li>Almost 50%: prescription drugs are “much safer” than street drugs. </li></ul><ul><li>Almost 33%: prescription painkillers are not addictive. </li></ul><ul><li>Parents’ medicine cabinets and/or medicine cabinets in the homes of friends make prescription drugs easy to access. </li></ul><ul><li>“ Teens are familiar with brand names of a wide variety of medications and accurately describe their effects.” </li></ul>
    10. 10. College Trends <ul><ul><li>17% of college students reported lifetime nonmedical use of any prescription drug </li></ul></ul><ul><ul><ul><li>6% reported barbiturate use </li></ul></ul></ul><ul><ul><ul><li>7% reported stimulant use </li></ul></ul></ul><ul><ul><ul><li>8% reported tranquilizer use </li></ul></ul></ul><ul><ul><ul><li>2% reported opiate use </li></ul></ul></ul><ul><ul><li>2004 Monitoring The Future: </li></ul></ul><ul><ul><ul><li>10.6% of college men and 6.8% of college women reported past-year opioid use </li></ul></ul></ul><ul><ul><ul><li>6.8% of college men and 3.5% of college women reported past-year Ritalin use </li></ul></ul></ul>
    11. 11. College Trends <ul><li>In the last year, </li></ul><ul><li>65% did not use an abusable prescription </li></ul><ul><li>21% used prescription medication as prescribed by their doctors </li></ul><ul><li>7% used both prescription medication as prescribed by their doctors and an abusable prescription medication that was not prescribed to them </li></ul><ul><li>7% used an abusable prescription medication that was not prescribed to them </li></ul>
    12. 12. <ul><li>NIDA: www.drugabuse.gov </li></ul><ul><li>NIDA Research Report Prescription Drugs: Abuse and Addiction www.drugabuse.gov/ResearchReports/Prescription/Prescription.html </li></ul><ul><li>NIDA Prescription Drugs of Abuse Chart: www.drugabuse.gov/DrugPages/PrescripDrugsChart.html </li></ul><ul><li>Drugs, Brains, and Behavior: The Science of Addiction: www.drugabuse.gov/scienceofaddiction </li></ul><ul><li>Medline Plus: www.nlm.nih.gov/medlineplus/prescriptiondrugabuse.html </li></ul><ul><li>The Network: www.thenetwork.ws </li></ul>Suggested Resources
    13. 13. Thank You! CROSSROADS: UNCW’s Substance Abuse Prevention & Education Program 601 South College Road, Box 5939, Wilmington, NC 28403-5939 http://www.uncw.edu/crossroads

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