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Drug use trajectories among young people with experiences of problematic tramadol use

Arve, Kristin LU and Johnson, Björn LU orcid (2023) In Drugs: Education, Prevention and Policy
Abstract
Aim: Non-medical use of prescription opioids, such as tramadol, is a major health concern globally. in sweden, non-medical tramadol use among young people is widely recognized. this study explores the central components that characterize drug use trajectories among young people with experiences of problematic tramadol use. Methods: 24 qualitative interviews were conducted with 13 young people (aged 19–24) with self-reported experiences of problematic tramadol use. the concepts of drug, set, and setting from Zinberg’s theoretical framework were applied to explore significant aspects of their drug use trajectories. Findings: Four themes ... (More)
Aim: Non-medical use of prescription opioids, such as tramadol, is a major health concern globally. in sweden, non-medical tramadol use among young people is widely recognized. this study explores the central components that characterize drug use trajectories among young people with experiences of problematic tramadol use. Methods: 24 qualitative interviews were conducted with 13 young people (aged 19–24) with self-reported experiences of problematic tramadol use. the concepts of drug, set, and setting from Zinberg’s theoretical framework were applied to explore significant aspects of their drug use trajectories. Findings: Four themes corresponding to different stages in the young people’s drug use trajectories, were identified: (1) initiating tramadol use; (2) developing continuous tramadol use; (3) expanding the drug repertoire and; (4) starting to lose control. Overall there was a progression toward more severe drug use over time, where self-medication and dependence dynamics, as well as peer influence and other environmental factors were significant. Conclusion: the study demonstrates that the drug use trajectories of young people with problematic tramadol use involve a complex interaction between the drugs’ effects, personal circumstances, and environmental factors. increasing the understanding of this process can be helpful in improving both preventive and therapeutic measures for this target group. (Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Prescription drugs, drug use trajectories, young people
in
Drugs: Education, Prevention and Policy
pages
10 pages
publisher
Informa Healthcare
external identifiers
  • scopus:85173484253
ISSN
0968-7637
DOI
10.1080/09687637.2023.2263144
project
Young people and tramadol – stories of drug use trajectories and attempts to quit the drug
language
English
LU publication?
yes
id
3ffd7d77-e90f-4c7c-9e07-173ac90b239b
date added to LUP
2023-10-08 16:42:36
date last changed
2024-04-05 14:35:22
@article{3ffd7d77-e90f-4c7c-9e07-173ac90b239b,
  abstract     = {{Aim:  Non-medical  use  of  prescription  opioids,  such  as  tramadol,  is  a  major  health  concern  globally.  in   sweden,   non-medical   tramadol   use   among   young   people   is   widely   recognized.   this   study   explores  the  central  components  that  characterize  drug  use  trajectories  among  young  people  with  experiences  of  problematic  tramadol  use.  Methods:  24  qualitative  interviews  were  conducted  with  13  young  people  (aged  19–24)  with  self-reported  experiences  of  problematic  tramadol  use.  the  concepts  of  drug,  set,  and  setting  from  Zinberg’s  theoretical  framework  were  applied  to  explore  significant  aspects  of  their  drug  use  trajectories.  Findings:  Four  themes  corresponding  to  different  stages  in  the  young  people’s  drug  use  trajectories,  were  identified:  (1)  initiating  tramadol  use;  (2)  developing  continuous  tramadol  use;  (3)  expanding  the  drug  repertoire  and;  (4)  starting  to  lose  control.    Overall    there    was    a    progression    toward    more    severe    drug    use    over    time,    where    self-medication   and   dependence   dynamics,   as   well   as   peer   influence   and   other   environmental   factors  were  significant.  Conclusion:  the  study  demonstrates  that  the  drug  use  trajectories  of  young  people  with  problematic  tramadol  use  involve  a  complex  interaction  between  the  drugs’  effects,  personal  circumstances,  and  environmental  factors.  increasing  the  understanding  of  this  process  can  be  helpful  in  improving  both  preventive  and  therapeutic  measures  for  this  target  group.}},
  author       = {{Arve, Kristin and Johnson, Björn}},
  issn         = {{0968-7637}},
  keywords     = {{Prescription drugs; drug use trajectories; young people}},
  language     = {{eng}},
  month        = {{10}},
  publisher    = {{Informa Healthcare}},
  series       = {{Drugs: Education, Prevention and Policy}},
  title        = {{Drug use trajectories among young people with experiences of problematic tramadol use}},
  url          = {{https://lup.lub.lu.se/search/files/160628063/Drug_use_trajectories_among_young_people_with_experiences_of_problematic_tramadol_use.pdf}},
  doi          = {{10.1080/09687637.2023.2263144}},
  year         = {{2023}},
}