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|Year : 2014 | Volume
| Issue : 3 | Page : 246-252
Nonmedical use of sedatives in urban Bengaluru
Prasanthi Nattala1, Pratima Murthy2, K Thennarasu3, Linda B Cottler4
1 Department of Nursing, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India
2 Department of Psychiatry, Center for Addiction Medicine, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India
3 Department of Biostatistics, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India
4 Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida, Florida, USA
Background: Nonmedical sedative use is emerging as a serious problem in India. However, there is paucity of literature on the patterns of use in the population.
Aim: The aim of the present analysis was to explore sedative use patterns in an urban metropolis.
Materials and Methods: Data for the present analysis come from the parent study on nonmedical prescription drug use in Bengaluru, India. Participants (n = 717) were recruited using a mall-intercept approach, wherein they were intercepted in five randomly selected shopping malls, and administered an interview on their use of prescription drugs.
Results: Past 12-month nonmedical sedative use was reported by 12%, benzodiazepines being the commonest. Reasons cited for nonmedical use included "sleeplessness, pain relief, stress." A majority (73%) reported sedative use "in ways other than as prescribed," compared to "use without prescription" (27%). All prescriptions were issued by general physicians in private hospitals. About 11% among those who used "in ways other than as prescribed," and 100% of nonprescribed users, reported irregular use (skipping doses/stopping/restarting).
Among those who used "in ways other than prescribed," pharmacy stores were the source of obtaining the sedatives. Among "nonprescribed users," family/friends were the main source. Three-percent reported using sedatives and alcohol together in the same use episode. In multivariate logistic regression analyses, nonmedical sedative use was significantly associated with graduation-level education or above (adjusted odds ratio [aOR]: 2.53, 95% confidence interval [CI]: 1.30-4.91), and married status (aOR: 2.32, 95% CI: 1.04-5.18).
Conclusions: Findings underscore the need for considering various contextual factors in tailoring preventive interventions for reducing nonmedical sedative use.
Dr. Prasanthi Nattala
Department of Nursing, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka
Source of Support: The study is funded by Fogarty International Center, USA (Advanced In-Country Research Grant No. TW05811-08; PI: Linda B. Cottler),, Conflict of Interest: None
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