title: Nonmedical Prescription Stimulant Use Among Girls 10-18 Years of Age: Associations With Other Risky Behavior.
abstract: OBJECTIVE
  Little is known about the risk factors for nonmedical use (NMU) of prescription stimulants among adolescent girls. We aimed to measure the association of nonmedical prescription stimulant use with empirically linked risk factors, including weight control behavior (WCB), gambling, and depressed mood, in pre-teen and teenaged girls.
  
  
  METHODS
  We assessed the relationship between age and race, gambling, WCB, depressive mood, and nonmedical prescription stimulant use using multivariable logistic regression. The study sample included 5,585 females, aged 10-18 years, recruited via an entertainment venue intercept method in 10 U.S. metropolitan areas as part of the National Monitoring of Adolescent Prescription Stimulants Study (2008-2011).
  
  
  RESULTS
  NMU of prescription stimulants was reported by 6.6% (n = 370) of the sample. In multivariable logistic regression, 1-year increase in age was associated with a 21% (95% confidence interval [CI]: .15, .28) increase in risk for NMU. Whites and other race/ethnicity girls had 2.67 (CI: 1.85, 3.87) and 1.71 (1.11, 2.65) times higher odds for NMU, compared to African-Americans. Depressive mood (adjusted odds ratio: 2.69, CI: 2.04, 5.57) and gambling (adjusted odds ratio: 1.90, 1.23, 2.92) were associated with increased odds for NMU. A dose-response was identified between WCB and NMU, where girls with unhealthy and extreme WCB were over five times more likely to endorse NMU.
  
  
  CONCLUSIONS
  We contribute to the literature linking WCB, depression, gambling, and the NMU of prescription stimulants in any population and uniquely do so among girls.
authors.affiliation: Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville, Florida. Electronic address: cstriley@ufl.edu.
authors.forename: Catherine Woodstock
authors.initials: CW
authors.lastname: Striley
authors.affiliation: Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville, Florida.
authors.forename: Natalie E
authors.initials: NE
authors.lastname: Kelso-Chichetto
authors.affiliation: Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville, Florida.
authors.forename: Linda B
authors.initials: LB
authors.lastname: Cottler
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000367:Age Factors; D000697:Central Nervous System Stimulants; D002648:Child; D002652:Child Behavior; D015897:Comorbidity; D003866:Depressive Disorder / Q000453:epidemiology*; D001068:Feeding and Eating Disorders / Q000453:epidemiology*; D005260:Female; D005715:Gambling / Q000453:epidemiology*; D006801:Humans; D063487:Prescription Drug Misuse / Q000706:statistics & numerical data*; D012309:Risk-Taking; D019966:Substance-Related Disorders / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology
chemical_list: D000697:Central Nervous System Stimulants
keywords: Adolescent; Depression; Eating disorder; Female; Gambling; Nonmedical; Prescription; Stimulant; Teen; Weight control