Citation

Wright B, Mestan S, Ahrens M, Bottei EM. J. Pediatr. 2018; 196: 258-263.

Affiliation

Carver College of Medicine, University of Iowa, Iowa City, IA; Iowa Poison Control Center, Sioux City, IA.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.jpeds.2017.12.065

PMID

29525071

Abstract

OBJECTIVE: To describe current trends in nonopioid substance exposures and associated outcomes among teenagers nationwide. STUDY DESIGN: In this cross-sectional study, we used 2010-2015 data from the American Association of Poison Control Centers' National Poison Data System and Poisson tests to document trends in the rate of calls to poison control centers involving adolescents stratified by sex, exposures by substance category, proportion of intentional exposures, and severity of exposures.

RESULTS: The number of calls per 1000 persons increased from 5.7 to 6.8 for teenage girls and decreased from 4.7 to 4.3 for boys. Reported exposures to prescription and over-the-counter medications and illicit street drugs increased between 24% and 73%, and reported opioid exposures decreased by 16%. Among teenage girls, intentional exposures increased from 57% to 68%, with cases increasingly managed in health care facilities and more likely to result in worse health outcomes.

CONCLUSIONS: The increase in intentional nonopioid substance exposures among teenage girls, with serious and potentially life-threatening consequences, is a matter of serious concern. Similar trends were not observed among teenage boys.

Copyright © 2017 Elsevier Inc. All rights reserved.

Language: en

Keywords

girls; overdose; substance use