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Prescription Psychotherapeutic Drug Use and Nicotine Use among Young People in the United States

Bibliographic Data

ID21645260
AuthorsMaria A Parker (0000-0002-9763-1129, Department of Epidemiology and Biostatistics, School of Public Health, Indiana UniversityBloomington, Indiana, USA, corresponding author), Omayma Alshaarawy (0000-0002-5968-0245, Michigan State University)
Year2023
Volume58
Issue12
Pages1544-1549
Publication date2023-10-15
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2023.2231072
PMID37408461
OpenAlexW4383302447
LanguageEN
References cited22

Background: While prescription psychotherapeutic drug use (PPDU) and nicotine use pose substantial problems in isolation, they pose an increased risk in combination. This study aimed to estimate the prevalence of PPDU for young people, stratified by nicotine use status. A trend analysis was used to examine changes in PPDU and nicotine use over time. Methods: We used a cross-sectional population-based sample of young people aged 16–25 years (n = 10,454) from the National Health and Nutrition Examination Survey (NHANES, 2003–2018). For each data cycle, the prevalence of self-reported PPDU and nicotine including pain relievers, sedatives, stimulants, and tranquilizers was estimated. Using Joinpoint regression, we tested for significant changes in trends using a log-linear model and permutation test approach and produced the average data cycle percentage change (ADCPC). Results: From 2003 to 2018, 6.7% of young people had PPDU and 27.3% used nicotine. The prevalence of cigarette smoking decreased while other nicotine product use increased (p’s < 0.001). Those who used nicotine were more likely to have PPDU (8.2%; 95% CI = 6.5%, 9.8%) vs. non-nicotine use (6.1%; 95% CI = 5.1%, 7.0%; p = 0.01). Results indicated a decreasing trend for nicotine use (ADCPC = −3.8, 95% CI = −7.2, −0.3; p = 0.04), but not for PPDU (ADCPC = 1.3; 95% CI = −4.7, 7.8; p = 0.61). On further examination, opioid use decreased, sedative use remained stable, and stimulant and tranquilizer use increased over time. Conclusions: From 2003 to 2018, young people who used nicotine had a higher prevalence of PPDU than those who did not. Clinicians should communicate the association between nicotine use and prescription drugs when prescribing or managing young patients’ medications

Cross-sectional study · Drug · Environmental health · Medical prescription · National Health and Nutrition Examination Survey · Nicotine · Population · Psychiatry · Tranquilizer · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Demography · Medicine · Nicotinic Acetylcholine Receptors Study · Smoking Behavior and Cessation · Pharmacology

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Citation velocityhistorical
Highly citedNo

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