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Little is known about how young Australians engage in NMPO use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Methods<\/jats:title><jats:p>During 2015, we conducted qualitative interviews with young people (16\u201329\u2009years) who reported oral NMPO use at least twice in the past 90\u2009days. The study included a sample of injecting (<jats:italic>n<\/jats:italic>\u2009=\u200914) and oral (<jats:italic>n<\/jats:italic>\u2009=\u200922) users. This paper focuses on the oral user group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most participants grew up in affluent areas of Sydney, reported few health problems, rarely accessed health or welfare services and had limited contact with police. NMPO use was part of a repertoire of drug use involving: (i) use to come down from stimulants; (ii) use in conjunction with cannabis and alcohol; and (iii) use by itself. Participants reported limiting their use in order to avoid stigma and dependence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Results suggest culture of self\u2010limiting NMPO use characterised by stable housing, disposable income and intimate friendship networks. Despite the adverse health outcomes observed in other settings, our data suggest that the patterns and meanings of NMPO use observed in this small sample may help explain the limited nature of problematic use among young Australians to date. Findings indicate a need for epidemiological data, including longitudinal data, to assess possible demographic shifts in NMPO use in Australia, and to address risk factors for dependence and transitions to injecting and heroin use in this population. [Dertadian GC, Dixon TC, Iversen J, Maher L. Self\u2010limiting non\u2010medical pharmaceutical opioid use among young people in Sydney, Australia: An exploratory study. <jats:italic>Drug Alcohol Rev<\/jats:italic> 2017;00:000\u2010000]<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.12474","type":"journal-article","created":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T08:12:57Z","timestamp":1489997577000},"page":"643-650","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Self\u2010limiting non\u2010medical pharmaceutical opioid use among young people in Sydney, Australia: An exploratory study"],"prefix":"10.1111","volume":"36","author":[{"given":"George C.","family":"Dertadian","sequence":"first","affiliation":[{"name":"Kirby Institute for Infection and Immunity Faculty of Medicine, UNSW Australia  Sydney Australia"},{"name":"School of Social Science and Psychology Western Sydney University  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas C.","family":"Dixon","sequence":"additional","affiliation":[{"name":"Kirby Institute for Infection and Immunity Faculty of Medicine, UNSW Australia  Sydney Australia"},{"name":"Faculty of Law University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Iversen","sequence":"additional","affiliation":[{"name":"Kirby Institute for Infection and Immunity Faculty of Medicine, UNSW Australia  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Maher","sequence":"additional","affiliation":[{"name":"Kirby Institute for Infection and Immunity Faculty of Medicine, UNSW Australia  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,20]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"443","article-title":"Community outbreak of HIV infection linked to injection drug use of oxymorphone \u2014 Indiana, 2015","volume":"64","author":"Conrad C","year":"2015","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_7_3_1","first-page":"391","article-title":"Threading the needle \u2014 how to stop the HIV outbreak in rural Indiana","volume":"375","author":"Strathdee SA","year":"2015","journal-title":"N Engl J Med"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2012.11.018"},{"key":"e_1_2_7_5_1","first-page":"719","article-title":"Vital signs: demographic and substance use trends among heroin users \u2014 United States, 2002\u20132013","volume":"64","author":"Jones CM","year":"2015","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2007.07050252"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2015.12.026"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1508490"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2008.10.015"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000337028"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2014.366"},{"key":"e_1_2_7_12_1","unstructured":"StaffordJ BurnsL.Findings from the Illicit Drug Reporting System in Australian Drug Trends Series No. 127.2014 National Drug and Alcohol Research Centre."},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/10826080903080664"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2016.01.022"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12093"},{"key":"e_1_2_7_16_1","volume-title":"Doing qualitative research: a practical handbook","author":"Silverman D","year":"2013"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/09595230500102434"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2014-205079"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2011.05.014"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1521\/aeap.2009.21.3.181"},{"key":"e_1_2_7_21_1","volume-title":"Qualitative methods for health research","author":"Green J","year":"2013"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/10550490701375293"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.090784"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2013.01.007"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2013.10.004"},{"key":"e_1_2_7_26_1","unstructured":"StaffordJ BreenC Australian Drug Trends2015.Findings from the Illicit Drug Reporting System (IDRS). 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