Nonmedical prescription drug use of analgesics and sedatives/hypnotics in Taiwan: Results from the 2014 National Survey of Substance Use

Lian Yu Chen, Yi Lung Chen, Wen Ing Tsay, Shang Chi Wu, Yen Tyng Chen, Po Chang Hsiao, Ya Hui Yu, Te Tien Ting, Chuan Yu Chen, Yu Kang Tu, Jiun Hau Huang, Hao Jan Yang, Chung-Yi Li, Carol Strong, Cheng Fang Yen, Chia Feng Yen, Jui Hsu, Wei J. Chen

Research output: Contribution to journalArticle

Abstract

Nonmedical prescription drug use (NMPDU)has become a major public health issue but little is known in Asian populations. This study aimed to investigate the prevalence and correlates of NMPDU in Taiwan. Participants from the 2014 national survey of 17,837 individuals, aged 12 to 64 year, completed anonymously a computer-assisted self-interview. Past-year prescription drug use was divided into medical use only (MUO)and nonmedical use (NMU), defined as using the drug without a prescription, or more frequently, or in larger doses than prescribed. Problematic alcohol use was measured using the Alcohol Use Disorders Identification Test (AUDIT), problematic drug use using the 20-item Drug Abuse Screening Test (DAST), and depressive symptoms using the Center for Epidemiological Study-Depression (CES-D). The prevalence of past-year NMU was 3.02% for analgesics, 0.71% for sedatives/hypnotics, and 3.66% for either drug, with a very small overlap of NMU between analgesics and sedatives/hypnotics (0.07%). When individuals with NMU were compared to those without NMU (Non-NMU)and those with MUO, respectively, some correlates consistently identified, including young adulthood, tobacco smoking, alcohol drinking, and greater AUDIT's scores for analgesics, as well as hard drug use and greater DAST's scores for sedatives/hypnotics. NMU was associated with greater CES-D's scores for both analgesics and sedatives/hypnotics when compared to Non-NMU but not to MUO. Robust correlates of NMPDU could offer implications for development of prevention strategies of NMPDU.

Original languageEnglish
Article number100900
JournalPreventive Medicine Reports
Volume15
DOIs
Publication statusPublished - 2019 Sep 1

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Prescription Drugs
Hypnotics and Sedatives
Taiwan
Analgesics
Pharmaceutical Preparations
Substance Abuse Detection
Alcohols
Depression
Alcohol Drinking
Prescriptions
Epidemiologic Studies
Public Health
Smoking
Surveys and Questionnaires
Interviews
Population

All Science Journal Classification (ASJC) codes

  • Health Informatics
  • Public Health, Environmental and Occupational Health

Cite this

Chen, Lian Yu ; Chen, Yi Lung ; Tsay, Wen Ing ; Wu, Shang Chi ; Chen, Yen Tyng ; Hsiao, Po Chang ; Yu, Ya Hui ; Ting, Te Tien ; Chen, Chuan Yu ; Tu, Yu Kang ; Huang, Jiun Hau ; Yang, Hao Jan ; Li, Chung-Yi ; Strong, Carol ; Yen, Cheng Fang ; Yen, Chia Feng ; Hsu, Jui ; Chen, Wei J. / Nonmedical prescription drug use of analgesics and sedatives/hypnotics in Taiwan : Results from the 2014 National Survey of Substance Use. In: Preventive Medicine Reports. 2019 ; Vol. 15.
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title = "Nonmedical prescription drug use of analgesics and sedatives/hypnotics in Taiwan: Results from the 2014 National Survey of Substance Use",
abstract = "Nonmedical prescription drug use (NMPDU)has become a major public health issue but little is known in Asian populations. This study aimed to investigate the prevalence and correlates of NMPDU in Taiwan. Participants from the 2014 national survey of 17,837 individuals, aged 12 to 64 year, completed anonymously a computer-assisted self-interview. Past-year prescription drug use was divided into medical use only (MUO)and nonmedical use (NMU), defined as using the drug without a prescription, or more frequently, or in larger doses than prescribed. Problematic alcohol use was measured using the Alcohol Use Disorders Identification Test (AUDIT), problematic drug use using the 20-item Drug Abuse Screening Test (DAST), and depressive symptoms using the Center for Epidemiological Study-Depression (CES-D). The prevalence of past-year NMU was 3.02{\%} for analgesics, 0.71{\%} for sedatives/hypnotics, and 3.66{\%} for either drug, with a very small overlap of NMU between analgesics and sedatives/hypnotics (0.07{\%}). When individuals with NMU were compared to those without NMU (Non-NMU)and those with MUO, respectively, some correlates consistently identified, including young adulthood, tobacco smoking, alcohol drinking, and greater AUDIT's scores for analgesics, as well as hard drug use and greater DAST's scores for sedatives/hypnotics. NMU was associated with greater CES-D's scores for both analgesics and sedatives/hypnotics when compared to Non-NMU but not to MUO. Robust correlates of NMPDU could offer implications for development of prevention strategies of NMPDU.",
author = "Chen, {Lian Yu} and Chen, {Yi Lung} and Tsay, {Wen Ing} and Wu, {Shang Chi} and Chen, {Yen Tyng} and Hsiao, {Po Chang} and Yu, {Ya Hui} and Ting, {Te Tien} and Chen, {Chuan Yu} and Tu, {Yu Kang} and Huang, {Jiun Hau} and Yang, {Hao Jan} and Chung-Yi Li and Carol Strong and Yen, {Cheng Fang} and Yen, {Chia Feng} and Jui Hsu and Chen, {Wei J.}",
year = "2019",
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Chen, LY, Chen, YL, Tsay, WI, Wu, SC, Chen, YT, Hsiao, PC, Yu, YH, Ting, TT, Chen, CY, Tu, YK, Huang, JH, Yang, HJ, Li, C-Y, Strong, C, Yen, CF, Yen, CF, Hsu, J & Chen, WJ 2019, 'Nonmedical prescription drug use of analgesics and sedatives/hypnotics in Taiwan: Results from the 2014 National Survey of Substance Use', Preventive Medicine Reports, vol. 15, 100900. https://doi.org/10.1016/j.pmedr.2019.100900

Nonmedical prescription drug use of analgesics and sedatives/hypnotics in Taiwan : Results from the 2014 National Survey of Substance Use. / Chen, Lian Yu; Chen, Yi Lung; Tsay, Wen Ing; Wu, Shang Chi; Chen, Yen Tyng; Hsiao, Po Chang; Yu, Ya Hui; Ting, Te Tien; Chen, Chuan Yu; Tu, Yu Kang; Huang, Jiun Hau; Yang, Hao Jan; Li, Chung-Yi; Strong, Carol; Yen, Cheng Fang; Yen, Chia Feng; Hsu, Jui; Chen, Wei J.

In: Preventive Medicine Reports, Vol. 15, 100900, 01.09.2019.

Research output: Contribution to journalArticle

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T1 - Nonmedical prescription drug use of analgesics and sedatives/hypnotics in Taiwan

T2 - Results from the 2014 National Survey of Substance Use

AU - Chen, Lian Yu

AU - Chen, Yi Lung

AU - Tsay, Wen Ing

AU - Wu, Shang Chi

AU - Chen, Yen Tyng

AU - Hsiao, Po Chang

AU - Yu, Ya Hui

AU - Ting, Te Tien

AU - Chen, Chuan Yu

AU - Tu, Yu Kang

AU - Huang, Jiun Hau

AU - Yang, Hao Jan

AU - Li, Chung-Yi

AU - Strong, Carol

AU - Yen, Cheng Fang

AU - Yen, Chia Feng

AU - Hsu, Jui

AU - Chen, Wei J.

PY - 2019/9/1

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N2 - Nonmedical prescription drug use (NMPDU)has become a major public health issue but little is known in Asian populations. This study aimed to investigate the prevalence and correlates of NMPDU in Taiwan. Participants from the 2014 national survey of 17,837 individuals, aged 12 to 64 year, completed anonymously a computer-assisted self-interview. Past-year prescription drug use was divided into medical use only (MUO)and nonmedical use (NMU), defined as using the drug without a prescription, or more frequently, or in larger doses than prescribed. Problematic alcohol use was measured using the Alcohol Use Disorders Identification Test (AUDIT), problematic drug use using the 20-item Drug Abuse Screening Test (DAST), and depressive symptoms using the Center for Epidemiological Study-Depression (CES-D). The prevalence of past-year NMU was 3.02% for analgesics, 0.71% for sedatives/hypnotics, and 3.66% for either drug, with a very small overlap of NMU between analgesics and sedatives/hypnotics (0.07%). When individuals with NMU were compared to those without NMU (Non-NMU)and those with MUO, respectively, some correlates consistently identified, including young adulthood, tobacco smoking, alcohol drinking, and greater AUDIT's scores for analgesics, as well as hard drug use and greater DAST's scores for sedatives/hypnotics. NMU was associated with greater CES-D's scores for both analgesics and sedatives/hypnotics when compared to Non-NMU but not to MUO. Robust correlates of NMPDU could offer implications for development of prevention strategies of NMPDU.

AB - Nonmedical prescription drug use (NMPDU)has become a major public health issue but little is known in Asian populations. This study aimed to investigate the prevalence and correlates of NMPDU in Taiwan. Participants from the 2014 national survey of 17,837 individuals, aged 12 to 64 year, completed anonymously a computer-assisted self-interview. Past-year prescription drug use was divided into medical use only (MUO)and nonmedical use (NMU), defined as using the drug without a prescription, or more frequently, or in larger doses than prescribed. Problematic alcohol use was measured using the Alcohol Use Disorders Identification Test (AUDIT), problematic drug use using the 20-item Drug Abuse Screening Test (DAST), and depressive symptoms using the Center for Epidemiological Study-Depression (CES-D). The prevalence of past-year NMU was 3.02% for analgesics, 0.71% for sedatives/hypnotics, and 3.66% for either drug, with a very small overlap of NMU between analgesics and sedatives/hypnotics (0.07%). When individuals with NMU were compared to those without NMU (Non-NMU)and those with MUO, respectively, some correlates consistently identified, including young adulthood, tobacco smoking, alcohol drinking, and greater AUDIT's scores for analgesics, as well as hard drug use and greater DAST's scores for sedatives/hypnotics. NMU was associated with greater CES-D's scores for both analgesics and sedatives/hypnotics when compared to Non-NMU but not to MUO. Robust correlates of NMPDU could offer implications for development of prevention strategies of NMPDU.

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