Pre-Collegiate Global Health Review
Painkiller Abuse in Teenagers: Misconceptions, Trends, and the Importance of Knowledge
Suh Hyun Lee, Yongsan International School of Seoul, Seoul, Republic of Korea
Drug consumption has only been increasing worldwide for various reasons: advancement of healthcare, aging of the world population, and the increased affordability of medicine. With this rise in drug consumption, “drug abuse” has become a key topic. When the issue of drug abuse in teenagers is brought up, many people may think of teenagers smoking marijuana or abusing highly addictive drugs such as cocaine or heroin. However, there is a different type of drug abuse among teenagers that is a rising problem around the world: the use of painkillers. Thus, raising awareness regarding the rising issues of painkiller overdose among teenagers and creating ways to protect our young adults is essential.
Introduction to the Problem
To begin, painkillers, also known as analgesic drugs, are defined as “[drugs] that [relieve] pain selectively without blocking the conduction of nerve impulses, markedly altering sensory perception, or affecting consciousness” (Bloom, 2022). There are two main types of painkillers: anti-inflammatory drugs and opioids (Bloom, 2022). While opioids directly affect the brain, anti-inflammatory drugs “alleviate pain by reducing local inflammatory responses” (Bloom, 2022). Specifically, some examples of painkillers include:
Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
and Advil (U.S. National Library of Medicine, 2016).
One of the most commonly abused drug types include both prescription and nonprescription painkillers, and the overdose of painkillers have become a growing problem worldwide. Over the past few decades, non-medical usage of prescription drugs has increased significantly, with painkillers being the most commonly abused type of drugs (Guo et al., 2015). According to a study done by the National Institute on Drug Abuse, the number of people dependent on painkillers has soared from 1.4 million in 2004 to 1.9 million in 2010 (NIDA, 2018). Furthermore, adolescents have the highest risk of becoming addicted through the misuse of painkillers, which is most likely because of the lower perceived risks of these drugs (Fleary et al., 2013).
Pain medications are also very widely available, as teenagers can get them from friends, family, or even convenience stores (Sussman et al., 2012). In addition, until the early 2000’s in South Korea, “physicians and pharmacists were allowed to both prescribe and dispense drugs, and their behavior was driven by economic incentives, which resulted in the overuse of drugs,” and this was the same for other Asian countries such as Japan and China (Kwon, 2003). Drug misuse, overdose, and abuse are very dangerous, especially for young adults who are still developing and whose hormone levels are rapidly changing.
Non-prescription painkillers are very easy to acquire as many pain medications are available without a prescription at pharmacies or even convenience stores. Though they are often perceived as safer drugs, even nonprescription pain medication can bring harmful side effects. For example, non-steroidal anti-inflammatory drugs (NSAIDS), which are a type of drug that could easily be purchased without prescription, can cause various damages to the body, including but not limited to:
small bowel injuries
cardiovascular damages (Scheiman, 2016).
The non-medical usage of prescription drugs among teenagers has been increasing, and this has become a significant problem worldwide (Sussman et al., 2012). However, not a lot of people are aware of its severe consequences and “the dangers of these prescription drugs outside of medical regimen because they are widely used for legitimate purposes” (Johnston et al., 2022). Furthermore, these drugs are also being advertised directly to various customers including teenagers as “safe drugs” (Johnston et al., 2022). But it is increasingly difficult to restrict the usage of prescription drugs and painkillers as they are necessary for various illnesses and disorders (Sussman et al., 2012).
Moreover, in South Korea, because of the well-developed healthcare systems and the wide affordability of hospital treatment, it is relatively easy to receive prescription for pain medication (Ahn et al., 2011). Thus, in order to prevent teenagers’ misuse of such drugs, other measures such as education programs are necessary.
Misconceptions Regarding Antibiotics
Figure 1: Knowledge and preventive behaviors related to the overuse and misuse of antibiotics (Choi & Kim, 2019).
As shown in Figure 1, there are numerous misconceptions among students and a considerable amount of students believe the misconceptions regarding the usage of antibiotics, which is also a type of medication that helps relieve pain during an infection (Choi & Kim, 2019). With these misconceptions in mind, many teenagers would take antibiotics and painkillers without hesitation or doubt.
Figure 2: Nonmedical Use of Prescription Drugs among Adolescents, Older vs. Younger Teens (McCabe et al., 2007).
Figure 2 depicts that when comparing the ages of teenagers, older teenagers have a greater likelihood of abusing prescription drugs compared to teenagers of younger age (McCabe et al., 2007).
Once again, it is crucial especially in today’s society, for friends, family, teachers, and schools to cooperate to educate teenagers on the safe usage of medicines (Friedman, 2006). Although governments have been making efforts to initiate substance abuse education programs, they have not necessarily been effective (Sharma and Branscum, 2013). Thus, it is necessary for adults to come up with programs that would successfully inform students of the harms and risks of painkiller misuse. With awareness and education programs in place, it is possible to limit addiction and misuse of drugs.
Ahn, Y. H., Kim, E. S., Ham, O. K., Kim, S. H., Hwang, S. S., Chun, S. H., Gwon, N. Y., & Choi, J. Y. (2011). Factors Associated with the Overuse or Underuse of Health Care Services Among Medical Aid Beneficiaries in Korea. Journal of Community Health Nursing, 28(4), 190–203. https://doi.org/10.1080/07370016.2011.614837 Bloom, F. E. (2022, July 4). analgesic. Encyclopedia Britannica. https://www.britannica.com/science/analgesic Boyd, C. J., Esteban McCabe, S., & Teter, C. J. (2006). Medical and nonmedical use of prescription pain medication by youth in a Detroit-area public school district. Drug and alcohol dependence, 81(1), 37–45. https://doi.org/10.1016/j.drugalcdep.2005.05.017 Choi, J. S., & Kim, K. Y. (2019). Factors associated with preventive behaviors in the overuse and misuse of antibiotics in Korean nursing students. American Journal of Infection Control, 47(6), 715–717. https://doi.org/10.1016/j.ajic.2018.11.006 Fleary, S. A., Heffer, R. W., & McKyer, E. L. (2013). Understanding nonprescription and prescription drug misuse in late adolescence/young adulthood. Journal of Addiction, 2013, 1–8. https://doi.org/10.1155/2013/709207 Friedman, R. A. (2006). The Changing Face of Teenage Drug Abuse — The Trend toward Prescription Drugs. New England Journal of Medicine, 354(14), 1448–1450. https://doi.org/10.1056/nejmp068010 Graham, J. W., Flay, B. R., Johnson, C. A., Hansen, W. B., Grossman, L., & Sobel, J. L. (1984). Reliability of self-report measures of drug use in prevention research: evaluation of the Project SMART questionnaire via the test-retest reliability matrix. Journal of drug education, 14(2), 175–193. https://doi.org/10.2190/CYV0-7DPB-DJFA-EJ5U Guo, L., Xu, Y., Deng, J., He, Y., Gao, X., Li, P., Wu, H., Zhou, J., & Lu, C. (2015). Non-medical use of prescription pain relievers among high school students in China: A multilevel analysis. BMJ Open, 5(7). https://doi.org/10.1136/bmjopen-2014-007569 Johnston, L. D., Miech, R. A., O’Malley, P. M., Bachman, J. G., Schulenberg, J. E., & Patrick, M. E. (2022). Monitoring the Future national survey results on drug use 1975-2021: Overview, key findings on adolescent drug use. Ann Arbor: Institute for Social Research, University of Michigan. Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2006). Monitoring the Future national results on adolescent drug use: Overview of key findings, 2005. Ann Arbor, MI: University of Michigan News and Information Services. Retrieved May 12, 2007 from http://www.monitoringthefuture.org. Kozier, B., Erb, G., Blais, K., & Wilkinson, J. M. (1995). Fundamentals of Nursing: Concepts, process, and Practice (5th ed.). Pearson Education. Kwon, S. (2003). Pharmaceutical reform and physician strikes in Korea: Separation of drug prescribing and dispensing. Social Science & Medicine, 57(3), 529–538. https://doi.org/10.1016/s0277-9536(02)00378-7 McCabe, S. E., Boyd, C. J., & Young, A. (2007). Medical and nonmedical use of prescription drugs among secondary school students. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 40(1), 76–83. https://doi.org/10.1016/j.jadohealth.2006.07.016 National Institute on Drug Abuse (NIDA). (2018, January 17). Abuse of Prescription Pain Medications Risks Heroin Use [Infographic]. National Insitute on Drug Abuse. https://nida.nih.gov/sites/default/files/infographic_presc_heroin.pdf. Scheiman, J. M. (2016). NSAID-induced Gastrointestinal Injury: A Focused Update for Clinicians. Journal of Clinical Gastroenterology, 50(1), 5–10. https://doi.org/10.1097/mcg.0000000000000432 Schepis, T. S., & Krishnan-Sarin, S. (2008). Characterizing adolescent prescription misusers: a population-based study. Journal of the American Academy of Child and Adolescent Psychiatry, 47(7), 745–754. https://doi.org/10.1097/CHI.0b013e318172ef0ld Sharma, M., & Branscum, P. (2013). School-Based Drug Abuse Prevention Programs in High School Students. Journal of Alcohol and Drug Education, 57(3), 51–65. https://www.jstor.org/stable/48506392 Sussman, S., Rohrbach, L. A., Spruijt-Metz, D., Barnett, E., Lisha, N., & Sun, P. (2012). One-year prediction of pain killer use among at-risk older teens and emerging adults. Journal of Drug Education, 42(2), 195–210. https://doi.org/10.2190/de.42.2.e U.S. National Library of Medicine. (2016, December 29). Pain Relievers. MedlinePlus. Retrieved September 3, 2022, from https://medlineplus.gov/painrelievers.html#:~:text=There%20are%20two%20main%20types,doctor%20may%20prescribe%20something%20stronger.