Treatment use and barriers among adolescents with prescription opioid use disorders

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• 作者：Li-Tzy Wu^a ;   ; ^{litzy.wu@duke.edu} ;   ; ^{litzywu@yahoo.com} ; Dan G. Blazer^a ; Ting-Kai Li^a ; George E. Woody^b
• 关键词：Opioid use disorders ; Misuse of prescription opioids ; Self-help groups ; Substance abuse treatment
• 刊名：Addictive Behaviors
• 出版年：2011
• 出版时间：December 2011
• 年：2011
• 卷：36
• 期：12
• 页码：1233-1239
• 全文大小：212 K

文摘

Background

This study examined national trends, patterns, correlates, and barriers to substance abuse treatment use by adolescents aged 12?7 years who met at least one of the past-year criteria for prescription opioid abuse or dependence (N = 1788).

Methods

Data were from the 2005?008 National Surveys of Drug Use and Health (NSDUH). Past-year substance use disorders, major depression, and treatment use were assessed by audio computer-assisted self-interviewing.

Results

About 17 % of adolescents with opioid dependence (n = 434) and 16 % of those with opioid abuse (n = 355) used any substance abuse treatment in the past year compared with 9 % of subthreshold users, i.e., adolescents who reported 1? prescription opioid dependence criteria but no abuse criteria (n = 999). Only 4.2 % of adolescents with opioid dependence, 0.5 % of those with abuse, and 0.6 % of subthreshold users reported a perceived need for treatment of nonmedical opioid use. Self-help groups and outpatient rehabilitation were the most commonly used sources of treatment. Few black adolescents used treatment (medical settings, 3.3 % ; self-help groups, 1.7 % ) or reported a need for treatment (1.8 % ). Talking to parents/guardians about dangers of substance use increased the odds of treatment use. Barriers to treatment use included ¡°wasn't ready to stop substance use,?¡°didn't want others to find out,?and ¡°could handle the problem without treatment.?h4 class=""h4"">Conclusions

Adolescents with prescription opioid use disorders markedly underutilize treatment. Non-financial barriers are pervasive, including stigma and a lack of perceived treatment need.