Nonmedical prescription stimulant use among youth in the emergency department: prevalence, severity and correlates.
This study examined the prevalence, severity and correlates of nonmedical prescription stimulant use (NPSU) among youth in the emergency department (ED). Participants 14-20 years old presenting to the ED completed a survey. A multinomial logistic regression was used to compare those without NPSU, with mild NPSU and with moderate/severe NPSU on demographics, risk factors and ED utilization. There were 4389 participants; 8.3% reported past-year NPSU and 44% of those with past 3-month NPSU reported at least monthly use. After controlling for demographics, participants with mild NPSU or moderate/severe NPSU had higher odds of all substance use risk factors compared to those with no NPSU. Also, those with moderate/severe NPSU were more likely to report dating violence and nonmedical use of opioids or sedatives and less likely to use marijuana compared to those with mild NPSU. Healthcare setting screening and intervention efforts should consider NPSU concomitant with other substance use and explore the association of dating violence with NPSU.
['Whiteside|Lauren K|LK|', 'Cunningham|Rebecca M|RM|', 'Bonar|Erin E|EE|', 'Blow|Frederic|F|', 'Ehrlich|Peter|P|', 'Walton|Maureen A|MA|']
D000293:Adolescent D000328:Adult D000697:Central Nervous System Stimulants D004636:Emergency Service, Hospital D005260:Female D006801:Humans D008297:Male D063487:Prescription Drug Misuse D015995:Prevalence D012306:Risk D012720:Severity of Illness Index D019966:Substance-Related Disorders D014754:Violence D055815:Young Adult
Nonmedical prescription stimulant use Violence Emergency medicine Substance abuse Young adults