PMID- 24167166
OWN - NLM
STAT- MEDLINE
DCOM- 20140114
LR  - 20220321
IS  - 1098-4275 (Electronic)
IS  - 0031-4005 (Print)
IS  - 0031-4005 (Linking)
VI  - 132
IP  - 5
DP  - 2013 Nov
TI  - Nonmedical prescription opioid and sedative use among adolescents in the 
      emergency department.
PG  - 825-32
LID - 10.1542/peds.2013-0721 [doi]
AB  - OBJECTIVES: Nonmedical prescription opiate use (NPOU) and nonmedical prescription 
      sedative use (NPSU) are serious public health concerns. The objectives of this 
      study were to determine the prevalence and emergency department (ED) visit 
      characteristics and other correlates associated with past-year NPOU and NPSU 
      among adolescents and young adults using the ED. METHODS: Participants aged 14 to 
      20 presenting to the ED at the University of Michigan Medical Center between 
      September 2010 and September 2011 were systematically recruited. A computerized 
      self-report screening survey with validated items measuring past-year NPOU, NPSU, 
      substance use, and violence was delivered to participants, and a retrospective 
      chart review was performed. RESULTS: Of the 2135 participants (86.0% response 
      rate), 222 (10.4%) reported either NPOU or NPSU. Among the 185 (8.7%) 
      participants that reported NPOU, 14.6% had a current home prescription for an 
      opioid and among the 115 (5.4%) with NPSU, 12.3% had a current home prescription 
      for a sedative. After controlling for demographics (age, gender, race, public 
      assistance), correlates of NPOU or NPSU included other substance use, and 
      drinking and driving or riding with a drinking driver. Additional correlates of 
      NPOU included receiving an intravenous opioid in the ED and for NPSU, dating 
      violence, presenting to the ED for a noninjury complaint, and previous ED visit 
      in the past year. CONCLUSIONS: Nearly 1 in 10 young people who use the ED for 
      care report NPOU or NPSU, and only 12.3% and 14.6% report having current home 
      prescriptions for sedatives and opioids. The ED represents a key location for 
      screening and intervention efforts.
FAU - Whiteside, Lauren K
AU  - Whiteside LK
AD  - Harborview Medical Center, 325 9th Ave, Box 359702, Seattle, WA 98104-2499. 
      laurenkw@u.washington.edu.
FAU - Walton, Maureen A
AU  - Walton MA
FAU - Bohnert, Amy S B
AU  - Bohnert AS
FAU - Blow, Frederic C
AU  - Blow FC
FAU - Bonar, Erin E
AU  - Bonar EE
FAU - Ehrlich, Peter
AU  - Ehrlich P
FAU - Cunningham, Rebecca M
AU  - Cunningham RM
LA  - eng
GR  - R01 AA018122/AA/NIAAA NIH HHS/United States
GR  - 5 R01 AA018122 04/AA/NIAAA NIH HHS/United States
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, N.I.H., Extramural
DEP - 20131028
PL  - United States
TA  - Pediatrics
JT  - Pediatrics
JID - 0376422
RN  - 0 (Analgesics, Opioid)
RN  - 0 (Hypnotics and Sedatives)
SB  - IM
MH  - Adolescent
MH  - Adolescent Behavior/psychology
MH  - Analgesics, Opioid/*administration & dosage
MH  - Cross-Sectional Studies
MH  - Emergency Service, Hospital/*trends
MH  - Female
MH  - Humans
MH  - Hypnotics and Sedatives/*administration & dosage
MH  - Male
MH  - Pilot Projects
MH  - Prescription Drug Misuse/psychology/*trends
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Self Report
MH  - Substance-Related Disorders/*diagnosis/epidemiology/psychology
MH  - Young Adult
PMC - PMC3813392
OTO - NOTNLM
OT  - adolescent medicine
OT  - emergency medicine
OT  - prescription drug misuse
EDAT- 2013/10/30 06:00
MHDA- 2014/01/15 06:00
PMCR- 2014/11/01
CRDT- 2013/10/30 06:00
PHST- 2013/10/30 06:00 [entrez]
PHST- 2013/10/30 06:00 [pubmed]
PHST- 2014/01/15 06:00 [medline]
PHST- 2014/11/01 00:00 [pmc-release]
AID - peds.2013-0721 [pii]
AID - 10.1542/peds.2013-0721 [doi]
PST - ppublish
SO  - Pediatrics. 2013 Nov;132(5):825-32. doi: 10.1542/peds.2013-0721. Epub 2013 Oct 
      28.