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Perspectives of US Adolescents on Diverted Stimulant Use - 22/07/21

Doi : 10.1016/j.jpeds.2021.04.010 
Nicole Hadler, BS 1, Arianna Strome, BS 1, Marika Waselewski, MPH 2, Kelsey Herbert, BS 1, Chloe Harper 3, Tammy Chang, MD, MPH, MS 4,
1 University of Michigan Medical School, Ann Arbor, MI 
2 Department of Family Medicine, University of Michigan, Ann Arbor, MI 
3 Skyline High School, Ann Arbor, MI 
4 Department of Family Medicine and Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI 

Reprint requests: Tammy Chang, MD, MPH, MS, University of Michigan, Institute for Healthcare Policy and Innovation, Department of Family Medicine, 2800 Plymouth Road, Building 14- Room G128, Ann Arbor, MI 48109-2800.University of MichiganInstitute for Healthcare Policy and InnovationDepartment of Family Medicine2800 Plymouth RoadBuilding 14- Room G128Ann ArborMI48109-2800

Abstract

Objective

To evaluate perspectives of youth regarding diverted stimulant use among a contemporary sample of adolescents and young adults.

Study design

This study used MyVoice, a longitudinal national text message survey of American youth. In February 2019, 1228 MyVoice youth were asked 4 open-ended questions to elicit their perspectives on diverted stimulant use. Responses were assessed using thematic analysis, and quantitative results were summarized using descriptive statistics.

Results

Of 1228 youth, 906 responded to at least one survey question (relative risk, 74%). Respondents’ ages ranged from 14 to 24 years with a mean age of 18.8 ± 2.9 years, 57% were female, and 66% identified as White. Peer pressure and coping were commonly perceived reasons for diversion, and respondents believed that many youth misuse stimulants. Many were aware of health risks of misuse, but few mentioned potential legal consequences. Youth thought stimulants could be obtained from peers, people with a prescription, dealers, and family, and some mentioned access through unnecessary prescriptions.

Conclusions

The perspectives of a national sample of youth suggest that stimulant diversion continues to be a significant problem among American youth, with many noting that diverted stimulants are easy to obtain and are used to self-treat mental health issues. Standardized interventions at schools and in healthcare settings, as well as universal screening for diversion and mental health conditions, may combat this public health concern.

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Keywords : attention deficit hyperactivity disorder (ADHD), stimulants, Adderall, diversion, adolescent health, youth, text message

Abbreviations : ADHD


Plan


 Funded by the Michigan Institute for Clinical & Health Research, the University of Michigan MCubed program, and the University of Michigan Department of Family Medicine. These funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. The authors declare no conflicts of interest.


© 2021  Publié par Elsevier Masson SAS.
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Vol 235

P. 190-195 - août 2021 Retour au numéro
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