Motives for nonmedical use of prescription opioids among high school seniors in the United States: self-treatment and beyond.
OBJECTIVE
To assess motives for nonmedical use of prescription opioids among US high school seniors and examine associations between motives for nonmedical use and other substance use behaviors.


METHODS
Nationally representative samples of US high school seniors (modal age 18 years) were surveyed during the spring of their senior year via self-administered questionnaires.


METHODS
Data were collected in public and private high schools.


METHODS
The sample consisted of 5 cohorts (2002-2006) of 12 441 high school seniors.


METHODS
Self-reports of motives for nonmedical use of prescription opioids and substance use behaviors.


RESULTS
More than 1 in every 10 high school seniors reported nonmedical use of prescription opioids and 45% of past-year nonmedical users reported "to relieve physical pain" as an important motivation. The odds of heavy drinking and other drug use were lower among nonmedical users of prescription opioids motivated only by pain relief compared with nonmedical users who reported pain relief and other motives and those who reported non-pain relief motives only. The odds of medical use of prescription opioids were lower among nonmedical users who reported only non-pain relief motives compared with other types of nonmedical users.


CONCLUSIONS
The findings indicate motives should be considered when working with adolescents who report nonmedical use of prescription opioids. Future efforts are needed to identify adolescents who may need appropriate pain management and those at increased risk for prescription opioid abuse.
McCabe
Sean Esteban
SE
Substance Abuse Research Center, Institute for Research on Women and Gender, University of Michigan, Ann Arbor, 2025 Traverwood Dr, Ste C, Ann Arbor, MI 48105-2194, USA. plius@umich.edu
Boyd
Carol J
CJ
Cranford
James A
JA
Teter
Christian J
CJ
D000293:Adolescent; D000294:Adolescent Behavior; D000428:Alcohol Drinking; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D011307:Drug Prescriptions; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D009042:Motivation; D009293:Opioid-Related Disorders / Q000453:epidemiology* / Q000523:psychology*; D010146:Pain / Q000188:drug therapy*; D000297:Psychology, Adolescent; D012907:Smoking / Q000453:epidemiology; D013334:Students / Q000523:psychology*; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology
D000701:Analgesics, Opioid