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Congratulations! Your answer was correct.
It's B. Friends and peers of people with ADHD are more likely to abuse prescription stimulants than individuals with the disorder themselves, as occurs with opioids.
Explanation: Prescription drugs are “legal” compounds, manufactured and distributed by the medical system before diversion occurs. Thus, prescription drug abuse is inexorably linked to medical practice in ways quite different from most other drug abuse. This also means that prescription drug abuse engenders a false perception of being inherently less risky than abuse of “street drugs”. Just as increased abuse of opioids is associated with increased prescribing of opioids in general, high rates of abuse of prescription stimulants may be related to recent increased prescribing of these agents for ADHD (Option A). One key difference between those who engage in the nonmedical use of stimulants and those who use nonprescription opioids is that friends and peers of people with ADHD are more likely to abuse prescription stimulants than individuals with the disorder themselves, as occurs with opioids (Option B). Amphetamines and other pharmaceutical stimulants have had a relatively high prevalence of use in the youth population for many years. Analgesic abuse is also mostly concentrated in adolescents and young adults (Option C). Gender, race, literacy, disability, and measures of socioeconomic status were not associated with misuse of opiates. In the overall population studied in the National Survey on Drug Use and Health, gender differences were not found with regard to abuse of either prescription or nonprescription stimulants (Option D).
Reference: The American Psychiatric Publishing Textbook of Substance Abuse Treatment, Fifth Edition. In: Galanter M, Kleber HD, and Brady KT, eds. Arlington, VA: American Psychiatric Association Publishing; 2015:727-731. Click here to purchase.
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