Genetic and environmental risk factors in the non‐medical use of over‐the‐counter or prescribed analgesics, and their relationship to major classes of licit and illicit substance use and misuse in a population‐based sample of young adult twins

Background and Aims: The non‐medical use of over‐the‐counter or prescribed analgesics (NMUA) is a significant public health problem. Little is known about the genetic and environmental etiology of NMUA and how these risks relate to other classes of substance use and misuse. Our aims were to estimate...

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Publicado en:Addiction Vol. 114; no. 12; pp. 2229 - 2241
Autores principales: Gillespie, Nathan A., Bates, Timothy C., Hickie, Ian B., Medland, Sarah E., Verhulst, Brad, Kirkpatrick, Robert M., Kendler, Kenneth S., Martin, Nicholas G., Benotsch, Eric G.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
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        atl: Genetic and environmental risk factors in the non‐medical use of over‐the‐counter or prescribed analgesics, and their relationship to major classes of licit and illicit substance use and misuse in a population‐based sample of young adult twins
      aug:
        au:
          Gillespie, Nathan A.
          Bates, Timothy C.
          Hickie, Ian B.
          Medland, Sarah E.
          Verhulst, Brad
          Kirkpatrick, Robert M.
          Kendler, Kenneth S.
          Martin, Nicholas G.
          Benotsch, Eric G.
        affil: Virginia Institute for Psychiatric and Behavior Genetics, Virginia Commonwealth University, VA, USA
      sug:
        subj:
          Cannabis
          Nicotine
          Substance Use Disorders Familial and Genetic
          Alcoholism Familial and Genetic
          Substance Use Disorders Risk Factors
          Alcoholism Risk Factors
          Twins
          Risk Assessment
          Environmental Health
          Human
          Australia
          Biometrics
          Genetic Screening Methods
          Structural Equation Modeling
          Female
          Male
          Adolescence
          Young Adult
          Adult
          Prospective Studies
          Retrospective Design
          Self Report
          Narcotics
          Analgesics, Opioid
          DSM
          Substance Dependence Diagnosis
          Confidence Intervals
          Multivariate Analysis
          Analgesics Administration and Dosage
          Prescribing Patterns
          Adolescent: 13-18 years
          Adult: 19-44 years
          Female
          Male
      ab: Background and Aims: The non‐medical use of over‐the‐counter or prescribed analgesics (NMUA) is a significant public health problem. Little is known about the genetic and environmental etiology of NMUA and how these risks relate to other classes of substance use and misuse. Our aims were to estimate the heritability NMUA and sources of genetic and environmental covariance with cannabis and nicotine use, cannabis and alcohol use disorders and nicotine dependence in Australian twins. Design Biometrical genetic analyses or twin methods using structural equation univariate and multivariate modeling. Setting: Australia. Participants: A total of 2007 young adult twins [66% female; μage = 25.9, standard deviation (SD) = 3.6, range = 18–38] from the Brisbane Longitudinal Twin Study retrospectively assessed between 2009 and 2016. Measurements: Self‐reported NMUA (non‐opioid or opioid‐based), life‐time nicotine, cannabis and opioid use, DSM‐V cannabis and alcohol use disorders and the Fagerström Test for Nicotine Dependence. Findings Life‐time NMUA was reported by 19.4% of the sample. Univariate heritability explained 46% [95% confidence interval (CI) = 0.29–0.57] of the risks in NMUA. Multivariate analyses revealed that NMUA is moderately associated genetically with cannabis (rg = 0.41) and nicotine (rg = 0.45) use and nicotine dependence (rg = 0.34). In contrast, the genetic correlations with cannabis (rg = 0.15) and alcohol (rg = 0.07) use disorders are weak. Conclusions: In young male and female adults in Australia, the non‐medical use of over‐the‐counter or prescribed analgesics appears to have moderate heritability. NMUA is moderately associated with cannabis and nicotine use and nicotine dependence. Its genetic etiology is largely distinct from that of cannabis and alcohol use disorders.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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