Psychostimulant dependence in a community sample.

dc.contributor.author

Wu, Li-Tzy

dc.contributor.author

Schlenger, William E

dc.date.accessioned

2020-02-03T06:20:31Z

dc.date.available

2020-02-03T06:20:31Z

dc.date.issued

2003-01

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2020-02-03T06:20:31Z

dc.description.abstract

OBJECTIVE:To examine the prevalence of psychostimulant dependence and the characteristics associated with nonmedical users' development of dependence. METHODS:The study sample was drawn from the 1995 to 1998 National Household Surveys on Drug Abuse. Statistical analysis was conducted on a total of 1047 individuals aged 12 or older who reported nonmedical use of stimulants in the past year. Multiple multinomial logistic regression identified factors related to stimulant dependence and dependence problems. RESULTS:Among all past year stimulant users, 19% met criteria for stimulant dependence in the past year, and an additional 16% reported having one to two dependence problems. Adjusting for demographics and drug use characteristics, female stimulant users were an estimated 2.6 times more likely than male users to develop dependence. Not only did the Western region of the United States have more recent stimulant users than other regions, its users also were more likely to meet criteria for dependence or experience dependence problems. Stimulant users who had increased odds of progressing into dependence were characterized by an early onset of stimulant use, coexisting multiple illicit drug use, and an onset of daily cigarette smoking between the ages of 13 and 17 years. CONCLUSIONS:Gender differences in initial stimulant use and progression to dependence require further investigation, including contextual, cultural, or perceptual factors related specifically to the choice of drugs by females.

dc.identifier.issn

1082-6084

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1532-2491

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https://hdl.handle.net/10161/20027

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eng

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Informa UK Limited

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Substance use & misuse

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10.1081/JA-120017246

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Humans

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Substance-Related Disorders

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Central Nervous System Stimulants

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Prevalence

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Logistic Models

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Cross-Sectional Studies

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Age Factors

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Sex Factors

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Adolescent

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Adult

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Child

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United States

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Female

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Male

dc.title

Psychostimulant dependence in a community sample.

dc.type

Journal article

duke.contributor.orcid

Wu, Li-Tzy|0000-0002-5909-2259

pubs.begin-page

221

pubs.end-page

248

pubs.issue

2

pubs.organisational-group

School of Medicine

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Duke

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Center for Child and Family Policy

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Sanford School of Public Policy

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Duke Clinical Research Institute

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Institutes and Centers

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Duke Institute for Brain Sciences

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University Institutes and Centers

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Institutes and Provost's Academic Units

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Psychiatry & Behavioral Sciences, Social and Community Psychiatry

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Psychiatry & Behavioral Sciences

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Clinical Science Departments

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Medicine, General Internal Medicine

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Medicine

pubs.publication-status

Published

pubs.volume

38

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