文章基本信息

标题：Receipt of Prescribed Controlled Substances by Adolescents and Young Adults Prior to Presenting for Opiate Dependence Treatment
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作者：Steven C. Matson ; Cathleen Bentley ; Vicki Hughes Dughman 等
期刊名称：Journal of Addiction
印刷版ISSN：2090-7834
出版年度：2013
卷号：2013
页码：1-6
DOI：10.1155/2013/680705
出版社：Hindawi Publishing Corporation
摘要：Purpose .The objective of this study was to document the number of controlled substance prescriptions filled by adolescents and young adult patients in the 2 years prior to presentation for opiate dependence treatment.Methods .Opiate-dependent youth () presenting to our Medication-Assisted Treatment for Addiction program from January 1, 2008 to June 30, 2010 were identified via electronic medical record.Subjects were further classified based on their opiate use as dependent to heroin-only, prescription (Rx) opiate-only, or combined heroin Rx opiate only.The Ohio Automated Rx Reporting System (OARRS) was used to identify each subject's controlled substance prescription history.Negative binomial regression was used to examine the relationships between patient characteristics and the total number of prescriptions filled.Results .Twenty-five percent of subjects had filled ≥6 prescriptions, and 15% had filled ≥11 prescriptions.The mean number of prescriptions filled was 5 (range: 0–59).Thirteen percent had filled ≥6 opiate/narcotic prescriptions, and 8% had filled ≥11 prescriptions.Conclusions .A subset of opiate-dependent youth had filled multiple opiate/narcotic prescriptions providing some evidence that physician-provided prescriptions may be a source of opiate abuse or diversion for a minority of opiate-dependent adolescents and young adults.