Historique
Article de Périodique
Multiple determinants of specific modes of prescription opioid diversion (2011)
Auteur(s) :
CICERO, T. J. ;
KURTZ, S. P. ;
SURRATT, H. L. ;
IBANEZ, G. E. ;
ELLIS, M. S. ;
LEVI-MINZI, M. A. ;
INCIARDI, J. A.
Année
2011
Page(s) :
283-304
Langue(s) :
Anglais
Domaine :
Autres substances / Other substances
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
OPIOIDES
;
PSYCHOTROPES
;
DIFFUSION DES PRODUITS
;
ABUS
;
ENQUETE
;
REVENDEUR
;
VOIE D'ADMINISTRATION
;
PRESCRIPTION MEDICALE
Résumé :
Numerous national surveys and surveillance programs have shown a substantial rise in the abuse of prescription opioids over the past 15 years. Accessibility of these drugs to non-patients is the result of their unlawful channeling from legal sources to the illicit marketplace (diversion). Empirical data on diversion remain absent from the literature. This paper examines abusers’ sources of diverted drugs from two large studies: 1) a national sample of opioid treatment clients (N=1983), and 2) a South Florida study targeting diverse populations of opioid abusers (N=782). The most common sources of diverted medications were dealers, sharing/trading, legitimate medical practice (e.g., unknowing medical providers), illegitimate medical practice (e.g., pill mills), and theft, in that order. Sources varied by users’ age, gender, ethnicity, risk-aversiveness, primary opioid of abuse, injection drug use, physical health, drug dependence, and either access to health insurance or relative fi nancial wealth. Implications for prescription drug control policy are discussed.
Affiliation :
Washington University School of Medicine, USA