title: Previous use of alcohol, cigarettes, and marijuana and subsequent abuse of prescription opioids in young adults.
abstract: OBJECTIVE
  There has been an increase in the abuse of prescription opioids, especially in younger individuals. The current study explores the association between alcohol, cigarette, and/or marijuana use during adolescence and subsequent abuse of prescription opioids during young adulthood.
  
  
  METHODS
  We used demographic/clinical data from community-dwelling individuals in the 2006-2008 National Survey on Drug Use and Health. We used logistic regression analyses, adjusted for these characteristics, to test whether having previous alcohol, cigarette, or marijuana use was associated with an increased likelihood of subsequently abusing prescription opioids.
  
  
  RESULTS
  Twelve percent of the survey population of 18-25 year olds (n = 6,496) reported current abuse of prescription opioids. For this population, prevalence of previous substance use was 57% for alcohol, 56% for cigarettes, and 34% for marijuana. We found previous alcohol use was associated with the subsequent abuse of prescription opioids in young men but not young women. Among both men and women, previous marijuana use was 2.5 times more likely than no previous marijuana to be associated with subsequent abuse of prescription opioids. We found that among young boys, all previous substance use (alcohol, cigarettes, and marijuana), but only previous marijuana use in young girls, was associated with an increased likelihood of subsequent abuse of prescription opioids during young adulthood.
  
  
  CONCLUSIONS
  Previous alcohol, cigarette, and marijuana use were each associated with current abuse of prescription opioids in 18-25-year-old men, but only marijuana use was associated with subsequent abuse of prescription opioids in young women. Prevention efforts targeting early substance abuse may help to curb the abuse of prescription opioids.
authors: Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520-8093, USA. lynn.fiellin@yale.edu
authors: Lynn E
authors: LE
authors: Fiellin
authors: Jeanette M
authors: JM
authors: Tetrault
authors: William C
authors: WC
authors: Becker
authors: David A
authors: DA
authors: Fiellin
authors: Rani A
authors: RA
authors: Hoff
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000428:Alcohol Drinking / Q000453:epidemiology*; D015897:Comorbidity; D005260:Female; D006306:Health Surveys; D006801:Humans; D016013:Likelihood Functions; D016015:Logistic Models; D008297:Male; D008385:Marijuana Smoking / Q000453:epidemiology*; D009293:Opioid-Related Disorders / Q000453:epidemiology*; D055553:Prescription Drugs; D015995:Prevalence; D012307:Risk Factors; D017678:Sex Distribution; D012907:Smoking / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology; D055815:Young Adult
chemical_list: D055553:Prescription Drugs