Prescription Drug Abuse in Hall County, Georgia: A Tough Pill to Swallow APPROVED Iris Smith, PhD, MPH, Committee Chair David N. Westfall, MD, MPH, CPE, Field Advisor Melissa Alperin, MPH, Director of Career Education iNotice to Borrowers Unpublished papers deposited in the Rollins School of Public Health of Emory University must be used only in accordance with the stipulation prescribed by the author in the preceding statement. The author of this Thesis is: Name: Dave Palmer Address: 161 Orlando Drive Toccoa, GA 30577 The Thesis Chairperson of this report is: Name: Iris Smith, Ph.D., MPH Address: Rollins School of Public Health Emory University 1525 Clifton Road, NE Atlanta, GA 30322 Users of this report are required to attest acceptance of the preceding stipulation by signing below. Name of User Address Date Type of Use (Examination only or copying) iv 公开

Palmer, Davey Brian (2011)

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I would like to thank the following people for encouragement, support and guidance.
Dr. Iris Smith for her excellent guidance and a good measure of patience as I worked
through edits and rewrites.
Dr. David Westfall for serving as my field advisor and mentor through the thesis process,
as well as, his unwavering support and encouragement throughout my completion of the
CMPH program.
Mr. J.P. Banks and members of the Drug Free Coalition of Hall County for
the opportunity to be a part of this initiative to reduce prescription drug abuse.
My wife, Karen, who has been overwhelmingly remarkable in her support,
encouragement, and patience.
The Emory University professors and staff that made this opportunity a unique learning
experience and especially to Moose and Melissa for always taking time to offer advice
and guidance.


Prescription Drug Abuse in Hall County, Georgia: A Tough Pill to Swallow

Prescription drug abuse has become a public health crisis in our nation, state and
local communities. Every day in the U.S., 2,500 youth try prescription drugs non-
medically for the first time, which adds almost one million new users every year to the
approximately 48 million people who have abused prescription drugs. In Hall County,
14.24% of high school seniors said that they used prescription drugs non-medically.
Societal costs on the national level for prescription drug misuse and abuse surpassed $55.7
billion in 2007, including $25.6 billion workplace costs, $25 billion healthcare costs, and
$5.1 billion criminal justice costs.
Behavior or attitude of individuals, and particularly youth that leads to the misuse
of prescription drugs is important. One-in-three teens believes there is
nothing wrong with abusing prescription drugs every once in awhile, and one-in-six adults
say they would share their prescription drugs with others. These beliefs can result
in negative health consequences.
Identifying interventions that raise awareness, change behaviors, change policy, or
reduce/eliminate access to prescription drugs can be effective in reducing diversion of these
drugs for non-medical use and subsequent abuse. Three steps individuals can take to reduce
abuse are to monitor and secure personal prescription drugs, and dispose of expired and
unused prescription drugs.

Table of Contents

Table of Contents
Approval i
Title Page ii
Distribution Statement iii
Notice to Borrowers iv
Curriculum Vitae v
Acknowledgments vi
Abstract vii
Table of Contents ix
List of Tables x
List of Figures xi
Appendicies xii
Chapter 1: Introduction 1

Problem Statement 1
Theoretical Framework 2
Purpose 4
Research Question 5
Significance Statement 5
Definition of Terms 6
Chapter 2: Literature Review 8
Introduction 8
Socioeconomic Burden 8
Behavioral Risk Factors 10
Securing and Disposing of Drugs 12
Summary 14

Chapter 3: Methodology 16
Introduction 16
Population and Sample 17
Research Design 18
Instrument 18
Data Analysis 19
Limitations and Delimitations 19
Summary 20

Chapter 4: Results 21
Introduction 21
Findings 21
Other Findings 29
Summary 30

Chapter 5: Implications and Conclusions 31
Introduction 31
Summary of Study 31
Conclusion 32
Implications 33
Recommendations 34

References: 36

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