title: Chasing the bean: prescription drug smoking among socially active youth.
abstract: OBJECTIVE
  Alternative consumption practices of prescription drug misuse have been less well monitored than general prevalence. We describe prescription drug smoking among socially active youth and highlight correlates of this practice. We also examine its association with drug problems, drug dependence, and mental health.
  
  
  METHODS
  We surveyed 404 young adults recruited from nightlife venues in New York via time-space sampling. We use linear and logistic regression models to examine the probability of smoking prescription drugs and its association with drug problems, dependence, and mental health. Qualitative findings supplement the survey data.
  
  
  RESULTS
  Males have higher odds than females (odds ratio [OR] = 3.4), and heterosexuals have higher odds than sexual minority youth (OR = 2.3) of smoking prescription drugs. Those involved in electronic dance music nightlife have higher odds (OR = 2.1) than those who do not participate in that scene, whereas those in college bar scenes have lower odds (OR = .4) of having smoked prescription drugs. Prescription drug smokers report more drug problems (β = .322) and greater symptoms of dependence net (β = .298) of the frequency of misuse and other characteristics. Prescription drug smokers do not report greater mental health problems. Qualitative interview data support these survey findings.
  
  
  CONCLUSIONS
  Prescription drug smoking is a significant drug trend among socially active youth. It is associated with drug problems and symptoms of dependence net of frequency of misuse. Prevention and intervention efforts for youth who misuse prescription drugs should address the issue of prescription drug smoking, and this may be an area for clinicians to address with their adolescent patients.
authors.affiliation: Department of Sociology, Purdue University, West Lafayette, Indiana; Center for HIV Educational Studies & Training, New York, New York. Electronic address: bckelly@purdue.edu.
authors.forename: Brian C
authors.initials: BC
authors.lastname: Kelly
authors.affiliation: Department of Sociology, Purdue University, West Lafayette, Indiana.
authors.forename: Mike
authors.initials: M
authors.lastname: Vuolo
authors.affiliation: Center for HIV Educational Studies & Training, New York, New York; The Graduate Center, City University of New York, New York, New York.
authors.forename: Mark
authors.initials: M
authors.lastname: Pawson
authors.affiliation: Center for HIV Educational Studies & Training, New York, New York; The Graduate Center, City University of New York, New York, New York; Department of Psychology, Hunter College, City University of New York, New York, New York.
authors.forename: Brooke E
authors.initials: BE
authors.lastname: Wells
authors.affiliation: Center for HIV Educational Studies & Training, New York, New York; The Graduate Center, City University of New York, New York, New York; Department of Psychology, Hunter College, City University of New York, New York, New York.
authors.forename: Jeffrey T
authors.initials: JT
authors.lastname: Parsons
mesh_terms: D000280:Administration, Inhalation; D000293:Adolescent; D000328:Adult; D000700:Analgesics / Q000008:administration & dosage; D000697:Central Nervous System Stimulants / Q000008:administration & dosage; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D008297:Male; D063487:Prescription Drug Misuse / Q000523:psychology*; D055553:Prescription Drugs / Q000008:administration & dosage*; D012494:Sampling Studies; D012919:Social Behavior; D019966:Substance-Related Disorders / Q000523:psychology*; D055815:Young Adult
chemical_list: D000700:Analgesics; D000697:Central Nervous System Stimulants; D006993:Hypnotics and Sedatives; D055553:Prescription Drugs
keywords: Dependence; Drug abuse; Escalation; Prescription drug misuse; Route of administration; Smoking; Youth