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Thursday, September 19, 2024

Modifications in prescribing practices and parental consciousness contribute to teen drug decline



Researchers in contrast use developments, sources and perceived availability of opioids, stimulants and benzodiazepines from 2009 to 2022. The analysis letter detailing the findings is scheduled to look July 24 in JAMA, the Journal of the American Medical Affiliation.

“To place these findings in context, the discount over the previous decade was like going from 1 in each 9 highschool college students utilizing prescribed drugs nonmedically right down to 1 in each 40 highschool college students,” stated Sean Esteban McCabe, U-M professor of nursing and director of the Middle for the Examine of Medication, Alcohol, Smoking and Well being.

Whereas this lower is encouraging, we have to be vigilant as a result of any quantity of nonmedical use poses dangers, particularly with the hazard posed by counterfeit drugs.”


Sean Esteban McCabe, Professor, Nursing and Director, Middle for the Examine of Medication, Alcohol, Smoking and Well being, College of Michigan

Different findings from 2009 by means of 2022:

  • Lifetime medical use decreased from 24% to 16%.
  • Previous-year misuse declined from 11% to 2%.
  • The share of adolescents who reported being given prescription drugs by buddies or shopping for them from buddies, each fell by greater than half.
  • In 2009, adolescents who reported misusing prescription drugs stated the commonest supply was buddies. Now, it’s one’s personal prescription (37%).
  • Amongst adolescents who reported misuse, these with a number of sources for acquiring prescription drugs dropped from 56% to 29%.
  • Perceived problem of acquiring prescription drugs for misuse declined throughout the three drug courses.
  • The share of adolescents who reported that they thought it might be not possible to get prescribed drugs for misuse elevated from 36% to 49%.

College closures throughout COVID accounted for the biggest modifications as a result of college students had restricted contact with one another, and alternatives to promote or give away prescribed drugs to buddies declined, McCabe stated.

Examine co-author Philip Veliz, analysis affiliate professor of nursing, stated the declines could also be partially on account of modifications in prescribing practices, particularly for opioids. The examine didn’t study particular developments primarily based on drug class.

“Prescribing practices have modified dramatically as a result of we had an opioid epidemic, which was a heroin epidemic, and we’re nonetheless reeling from that, particularly with fentanyl,” Veliz stated. “A variety of this additionally has to do with dad and mom having higher information and oversight of those drugs.”

The steep decline in teenagers who misused prescription drugs up to now yr, from 11% to 2%, stunned researchers.

“That’s a large decline. It was once 1 in 9 children, now it’s an extremely uncommon occasion at this level,” Veliz stated. “The second shock was that … practically half of children say it’s in all probability not possible to get these medicine in the event that they need to use them nonmedically proper now. That’s an enormous chunk of the adolescent inhabitants, and that is simply off the desk.”

One other shock is that the panorama has not returned to what it seemed like earlier than COVID, McCabe stated.

“Adolescents have discovered it tougher to acquire prescription stimulants for nonmedical use lately, which is a constructive signal,” he stated. “There must be extra consideration on stimulant use and diversion, and our group is at the moment engaged on such research to assist inform scientific pointers for ADHD and stimulant use dysfunction.”

This examine was supported by the Nationwide Institute on Drug Abuse, and used knowledge from twelfth grade college students collected in 2009 by means of 2022 from the Monitoring the Future examine, an annual survey at College of Michigan that tracks scholar substance use and different associated developments.

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