Motives and Simultaneous Sedative-Alcohol Use among Past 12-month Alcohol and Nonmedical Sedative Users

Abstract

Background: Simultaneous sedative-alcohol use (SSAU) is a matter of public health concern. It is important to address the various motives individuals may have for involvement in SSAU. Objective: To explore the motives associated with SSAU. Methods: Data were collected as part of the ongoing Prescription Drug Misuse, Abuse, and Dependence study in St. Louis. For this analysis, the sample included 173 participants who reported nonmedical sedative use for more than 5 days, and use of alcohol, in the past 12 months. SSAU was defined as past 12-month use of sedatives and alcohol together/at the same time. Results: Past 12-month SSAU was reported by 61% of the sample. Multivariate logistic regression indicated that for every increment of one motive, participants were significantly more likely to report SSAU (adjusted odds ratio (aOR): 1.30; 95% confidence interval (CI): 1.12–1.52). Furthermore, reporting sedative use “to get high, to change mood, to relieve stress, to party, and ‘just because’ ” was independently associated with the past 12-month SSAU. Past 12-month SSAU was also found to be significantly associated with simultaneous use of sedatives and cannabis in the past 12 months. Conclusion: A higher number of motives, as well as specific motives reported for sedative use, were found to be significantly associated with past 12-month SSAU. Scientific significance: Findings underscore the need for considering motives in tailoring preventive interventions for reducing SSAU. It may be equally important to direct efforts toward decreasing the number of motives, as well as addressing the specific motives reported for sedative use.

• simultaneous sedative-alcohol use
• nonmedical sedative use
• number of motives
• individual motives

ACKNOWLEDGMENTS

This study (Prescription Drug Misuse, Abuse, and Dependence study) was supported by the NIDA Grant (R01DA020791; LB Cottler, PI). Nattala’s time on the manuscript was supported by the Fogarty International Center ICOHRTA Training Program in Behavioral Disorders (Grant #TW05811-08; LB Cottler, PI). Leung’s work on the manuscript was supported by the NIDA T32 Training Grant (#DA07313; LB Cottler, PI).

Declaration of Interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.