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dc.contributor.authorSchepis, Ty S. ( Orcid Icon 0000-0003-3655-0496 )
dc.contributor.authorTeter, Christian J. ( Orcid Icon 0000-0001-8524-5872 )
dc.contributor.authorSimoni-Wastila, Linda ( Orcid Icon 0000-0001-5363-1816 )
dc.contributor.authorMcCabe, Sean Esteban ( Orcid Icon 0000-0002-9622-4652 )
dc.identifier.citationSchepis, T. S., Teter, C. J., Simoni-Wastila, L., McCabe, S. E. (2018). Prescription tranquilizer/sedative misuse prevalence and correlates across age cohorts in the US. Addictive Behaviors, 87, pp. 24-32.en_US

Background: Prescription tranquilizer/sedative (e.g., alprazolam, zolpidem) misuse (i.e., use in ways not intended by the prescriber or without a prescription) is understudied, with little research identifying misuse correlates. Identification of key correlates could identify subgroups more likely to engage in misuse, allowing for targeted treatment. This work examines tranquilizer/sedative use and misuse prevalence rates and misuse correlates across U.S. age cohorts, using nationally representative data.

Methods: Data were from the 2015-16 National Survey on Drug Use and Health (n = 114,043). Analyses used design-based logistic regression for past-year tranquilizer/sedative misuse correlates across participants or those engaged in past-year use; past-month misuse correlates were also examined in those with past-year misuse.

Results: Young adults (18-25 years) had the highest prevalence of past-year and past-month tranquilizer/sedative misuse, with 42.8% of those with past-year use also engaged in misuse. Mental health correlates were associated with past-year misuse, while substance use, particularly opioid misuse, was associated with both past-year and past-month misuse. Substance use correlate strength was most likely to vary by age group, with older adults (65 years and older) having fewer significant correlates overall.

Conclusions: This work highlighted young adults and those with other substance use as most likely to engage in tranquilizer/sedative misuse. In particular, those endorsing suicidality and reporting opioid misuse are a subgroup of concern, given their especially elevated rates of misuse and the increased risk for overdose imparted by tranquilizer/sedative medication. Workplace-based interventions for young adults and school-based universal prevention may be warranted to limit tranquilizer/sedative misuse in these groups.

dc.format.extent20 pages
dc.format.medium1 file (.pdf)
dc.sourceAddictive Behaviors, 2018, Vol. 87, pp. 24-32.
dc.subjectAge cohortsen_US
dc.titlePrescription Tranquilizer/Sedative Misuse Prevalence and Correlates Across Age Cohorts in the USen_US
dc.description.versionThis is the accepted manuscript version of an article published in Addictive Behaviors.



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