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Treatment use and barriers among adolescents with prescription opioid use disorders. Wu, Li-Tzy Blazer, Dan G Li, Ting-Kai Woody, George E 2020-02-03T05:41:29Z 2020-02-03T05:41:29Z 2011-12
dc.identifier S0306-4603(11)00243-7
dc.identifier.issn 0306-4603
dc.identifier.issn 1873-6327
dc.description.abstract This study examined national trends, patterns, correlates, and barriers to substance abuse treatment use by adolescents aged 12-17 years who met at least one of the past-year criteria for prescription opioid abuse or dependence (N=1788).Data were from the 2005-2008 National Surveys of Drug Use and Health (NSDUH). Past-year substance use disorders, major depression, and treatment use were assessed by audio computer-assisted self-interviewing.About 17% of adolescents with opioid dependence (n=434) and 16% of those with opioid abuse (n=355) used any substance abuse treatment in the past year compared with 9% of subthreshold users, i.e., adolescents who reported 1-2 prescription opioid dependence criteria but no abuse criteria (n=999). Only 4.2% of adolescents with opioid dependence, 0.5% of those with abuse, and 0.6% of subthreshold users reported a perceived need for treatment of nonmedical opioid use. Self-help groups and outpatient rehabilitation were the most commonly used sources of treatment. Few black adolescents used treatment (medical settings, 3.3%; self-help groups, 1.7%) or reported a need for treatment (1.8%). Talking to parents/guardians about dangers of substance use increased the odds of treatment use. Barriers to treatment use included "wasn't ready to stop substance use," "didn't want others to find out," and "could handle the problem without treatment."Adolescents with prescription opioid use disorders markedly underutilize treatment. Non-financial barriers are pervasive, including stigma and a lack of perceived treatment need.
dc.language eng
dc.publisher Elsevier BV
dc.relation.ispartof Addictive behaviors
dc.relation.isversionof 10.1016/j.addbeh.2011.07.033
dc.subject Humans
dc.subject Opioid-Related Disorders
dc.subject Ambulatory Care
dc.subject Health Surveys
dc.subject Cross-Sectional Studies
dc.subject Adolescent Behavior
dc.subject Depressive Disorder
dc.subject Diagnostic and Statistical Manual of Mental Disorders
dc.subject Adolescent
dc.subject Child
dc.subject Self-Help Groups
dc.subject Health Services Accessibility
dc.subject United States
dc.subject Female
dc.subject Male
dc.subject Prescription Drugs
dc.title Treatment use and barriers among adolescents with prescription opioid use disorders.
dc.type Journal article Wu, Li-Tzy|0380644 Blazer, Dan G|0082509 Li, Ting-Kai|0492996 2020-02-03T05:41:29Z
pubs.begin-page 1233
pubs.end-page 1239
pubs.issue 12
pubs.organisational-group School of Medicine
pubs.organisational-group Duke
pubs.organisational-group Center for Child and Family Policy
pubs.organisational-group Sanford School of Public Policy
pubs.organisational-group Duke Clinical Research Institute
pubs.organisational-group Institutes and Centers
pubs.organisational-group Duke Institute for Brain Sciences
pubs.organisational-group University Institutes and Centers
pubs.organisational-group Institutes and Provost's Academic Units
pubs.organisational-group Psychiatry & Behavioral Sciences, Social and Community Psychiatry
pubs.organisational-group Psychiatry & Behavioral Sciences
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Medicine, General Internal Medicine
pubs.organisational-group Medicine
pubs.organisational-group Center for the Study of Aging and Human Development
pubs.organisational-group Family Medicine and Community Health
pubs.organisational-group Psychiatry & Behavioral Sciences, Geriatric Behavioral Health
pubs.organisational-group Psychiatry & Behavioral Sciences, Addictions
pubs.publication-status Published
pubs.volume 36
duke.contributor.orcid Wu, Li-Tzy|0000-0002-5909-2259

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