Prescription Tranquilizer/Sedative Misuse Prevalence and Correlates Across Age Cohorts in the US
|dc.contributor.author||Schepis, Ty S. ( 0000-0003-3655-0496 )|
|dc.contributor.author||Teter, Christian J. ( 0000-0001-8524-5872 )|
|dc.contributor.author||Simoni-Wastila, Linda ( 0000-0001-5363-1816 )|
|dc.contributor.author||McCabe, Sean Esteban ( 0000-0002-9622-4652 )|
|dc.identifier.citation||Schepis, 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.medium||1 file (.pdf)|
|dc.source||Addictive Behaviors, 2018, Vol. 87, pp. 24-32.|
|dc.title||Prescription Tranquilizer/Sedative Misuse Prevalence and Correlates Across Age Cohorts in the US||en_US|
|dc.description.version||This is the accepted manuscript version of an article published in Addictive Behaviors.|