Table 1.
Prevalence of past-year prescription opioid misuse among those 11 – 30 years of age in the United States
Report | Year of data collection | Sampling method | Survey name (if applicable) | Recruitment location | Definition of prescription opioid “misuse” | Age category | Sample size | Prevalence N, % | 95% Cis |
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Becker, 2008 | 2002 – 2004 | Probability | NSDUH* | Households | NSDUH definition^ | 21 – 25 year olds | 21826 | 2186 (10.0%) | 9.6 – 10.4% |
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Berenson, 2011 | 2008 – 2010 | Convenience | .. | Health clinic | “Have you ever, even once, used a prescription pain reliver that was not prescribed for you or that you took only for the experience or feeling it caused?” [NSDUH informed question] | 16 – 24 year olds | 2976 | 20 (0.7%) | 0.4 – 1.0% |
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Boyd, 2009 | 2007 | Convenience | … | Educational setting | Nonmedical use was measured with the question: “On how many occassions in the past 12 months have you used the following types of drugs not prescribed to you?” | 13 – 15 year olds | 912 | 91 (10.0%) | 8.1 – 12.1 % |
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Boyd, 2007 | 2005 | Convenience | .. | Educational setting | Use of prescription medication to “get high”, to create an altered states, or for reasons (or by routes) other than what the prescribing clinican intended. | 11 – 13 year olds | 290 | 20 (6.9%) | 4.3 – 10.5 % |
14 – 16 year olds | 580 | 74 (12.8%) | 10.2 – 15.8 % | ||||||
17 – 19 year olds | 214 | 32 (15.0%) | 10.5 – 20.4 % | ||||||
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Cerda, 2014 | 2010 | Convenience | GUTS** | Multi-site | “Have you ever used pain killers (e.g., Percocet, Percodan, Oxycontin, Oxycodone, codeine, morphine) without a doctor’s prescription? | 23 – 30 year olds | 7646 | 543 (7.1%) | 6.5 – 7.7% |
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Fiellin, 2013 | 2006 – 2008 | Probability | NSDUH* | Households | NSDUH definition | 18 – 19 year olds | 15079 | 1,916 (12.7%) | 12.2 – 13.2 % |
20 – 21 year olds | 13602 | 1696 (12.5%) | 11.9 – 13.0 % | ||||||
22 – 23 year olds | 13363 | 1534 11.5%) | 10.9 – 12.0 % | ||||||
24 – 25 year olds | 13171 | 1350 (10.3%) | 9.7 – 10.8 % | ||||||
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Jones, 2013 | 2002 – 2004 | Probability | NSDUH* | Households | NSDUH definition | 12 – 17 year olds | 24987 | 1860 (7.4%) | 7.1 – 7.8% |
18 – 25 year olds | 31648 | 3679 (11.6%) | 11.3 – 12.0% | ||||||
2008 – 2010 | Probability | NSDUH* | Households | NSDUH definition | 12 – 17 year olds | 24617 | 1553 (6.3%) | 6.0 – 6.6% | |
18 – 25 year olds | 33531 | 3758 (11.2%) | 10.1 – 11.6 % | ||||||
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Lord, 2011 | 2005 | Convenience | .. | Social network website | “Which of the following prescription pain medications have you ever used for nonmedical reasons? Nonmedical means use of a prescription drug without a prescription or for reasons other than those indicated by a prescription” | 18 – 25 year olds | 527 | 86 (16.3%) | 13.3 – 19.8% |
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Martins, 2012 | 2004 – 2005 | Probability | NESARC**** | Households | NESARC definition^^ | 18 – 29 year olds | 6719 | 261 (3.9%) | 3.4 – 4.4% |
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McCabe, 2005a | 2001 | Systematic | CAS*** | Educational setting | “How often, if ever, have you used any of the drugs listed below? Do now include anything you used under a doctor’s orders.” [list of pain killers] | < 21 years olds | 5444 | 387 (7.1%) | 6.4 – 7.8% |
21 – 23 years old | 3959 | 281 (7.1%) | 6.3 – 7.9% | ||||||
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McCabe, 2005b | 2000 – 2002 | Probability | NESARC**** | Households | NESARC definition | 17 – 24 year olds | 5198 | 236 (4.5%) | 4.0 – 5.1% |
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McCabe, 2007 | 1993 | Systematic | CAS*** | Educational setting | “How often, if ever, have you used any of the drugs listed below? Do now include anything you used under a doctor’s orders.” [list of pain killers] | 18 – 24 year olds | 15282 | 474 (3.1%) | 2.8 – 3.4% |
1997 | Systematic | CAS*** | Educational setting | 18 – 24 year olds | 14428 | 544 (3.8%) | 3.5 – 4.1% | ||
1999 | Systematic | CAS*** | Educational setting | 18 – 24 year olds | 13953 | 629 (4.5%) | 4.2 – 4.9% | ||
2001 | Systematic | CAS*** | Educational setting | 18 – 24 year olds | 10904 | 800 (7.3%) | 6.9 – 7.8% | ||
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McCabe, 2012 | 2002 – 2006 | Probability | MTF***** | Educational setting | “Used prescription opioids on their own-that is, without a doctor telling them to take the medicine (e.g., Vicodin, Percodan)” | 17 – 18 year olds | 11274 | 843 (7.5%) | 7.0 – 8.0% |
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McCabe, 2013 | 2007 – 2010 | Probability | MTF***** | Educational setting | “Used prescription opioids on their own-that is, without a doctor telling them to take the medicine (e.g., Vicodin, Percodan)” | 17 – 18 year olds | 8888 | 647 (7.3%) | 6.7 – 7.8% |
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Nakawai, 2012 | 2003 – 2009 | Probability | NSDUH* | Households | NSDUH definition | 12 – 17 year olds | 126764 | 11,521 (12.0%) | 11.8 – 12.2% |
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Sung, 2005 | 2005 | Probability | NSDUH* | Households | NSDUH definition | 14 – 15 year olds | 6000 | 450 (7.5%) | 6.8 – 8.2% |
16 – 17 year olds | 5554 | 661 (11.9%) | 11.1 – 12.7% | ||||||
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Tetrault, 2007 | 2003 | Probability | NSDUH* | Households | NSDUH definition | 19 – 23 year olds | 11371 | 1341 (11.8%) | 11.2 – 12.4% |
24 – 34 year olds | 5228 | 749 (14.3%) | 13.4 – 15.3% | ||||||
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Wu, 2008 | 2005 – 2008 | Probability | NSDUH* | Households | NSDUH definition | 14 – 15 year olds | 12682 | 799 (6.3%) | 5.9 – 6.7% |
16 – 17 year olds | 12445 | 1394 (11.2%) | 10.7 – 11.8 % | ||||||
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Zullig, 2012 | 2008 | Probability | NCHA****** | Educational setting | “Have you taken any of the following prescription drugs that were not prescribed to you?” [list of painkillers (e.g., OxyCotin, Vicodin) | <= 25 year olds | 22783 | 1913 (8.4%) | 8.0 – 8.9% |
Nation al Survey on Drug Use and Health (NSDUH)
Growing Up Today Study (GUTS)
College Alcohol Survey (CAS)
National Epidemiologic Survey on Alcohol and Related Conditions (NESARC)
Monito ring the Future (MTF)
National College Health Assessment (NCHA)
NSDUH definition: “Have you ever, even once, used a prescription pain reliver that was not prescribed for you or that you took only for the experience or feeling it caused?”
NESARC definition: “Now I’d like to ask you about your experiences with medicines and other kinds of drugs that you may have used on your own-that is, either without a doctor’s prescription (pause); in greater amounts, more oftne, or longer than prescribed (pause); or for a reason other than a doctor said you should use them. People use these medicines and drugs on their own to feel more alert, to relax, or quiet their nerves, to feel better, to enjoy themselves, or to get high, or just to see how they would work.”