A trend analysis of the prevalence of opioid misuse, social support, and suicide attempt among American Indian/Alaska native high school students in New Mexico: 2009-2019 Youth Risk Resiliency Survey (YRRS).
A trend analysis of the prevalence of opioid misuse, social support, and suicide attempt among American Indian/Alaska native high school students in New Mexico: 2009-2019 Youth Risk Resiliency Survey (YRRS).
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DOI：
10.1186/s12889-022-12764-2
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发表时间：
2022-02-21
影响因子：
4.5
通讯作者：
Qeadan F
中科院分区：
文献类型：
--
作者：
Agyemang DO;Madden EF;English K;Venner KL;Rod H;Singh TP;Qeadan F
美洲印第安人和阿拉斯加原住民 (AI/AN) 青年在阿片类药物滥用、社会支持和自杀企图方面面临着严重的不平等。本研究调查了新墨西哥州 (NM) AI/AN 学生的这些行为测量趋势。使用 NM 过采样青少年复原力和风险调查（NM-YRRS，2009 年至 2019 年：奇数年），生成了 AI/AN 高中生阿片类药物滥用、社会支持 (SS) 和自杀企图的流行率估计。根据彼得·阿米蒂奇的说法，随着时间的推移，趋势是通过加权比例的线性回归来评估的。还采用了人口统计的分层趋势。虽然自杀未遂的发生率并没有随着时间的推移而发生显着变化，但在女性中（2011-2019年）、滥用阿片类药物、社会支持较低、母亲受教育程度低于高中、学业成绩为C、D或F以及非异性恋学生的自杀未遂率始终较高。特别是，2009 年报告阿片类药物滥用的 AI/AN 学生中自杀未遂的发生率显着高于未报告阿片类药物滥用的学生 25.4%（35.8% vs. 10.4%）。随着时间的推移（2009-2017 年）观察到阿片类药物滥用呈显着下降趋势（16.1%↓8.8%， p-值 = 0.0033），包括按性别分层时（男性：15.9%↓9%，p-值 = 0.002；女性：16.2%↓8.6%，p-值 = 0.012）。母亲受教育程度较高的青少年阿片类药物滥用率显着下降（13.5%↓6.7%，p值 = 0.019；2011-2017年。）2017年至2019年，阿片类药物滥用率显着增加（8.8%↑12.9%，p值 < 0.0001。）例如，2019年AI/AN学生中与社会支持较高的学生相比，社会支持较低的学生阿片类药物滥用大约增加了一倍（18.9% vs. 8.5%，p<<0.0001），自杀企图增加两倍（21.3% vs. 7.0%，p<<0.0001）。没有观察到自杀企图的显着趋势。我们观察到，2009 年至 2017 年间阿片类药物滥用呈显着下降趋势，但 2017 年至 2019 年则显着增加。母亲受教育程度较高（大学或以上）以及 A 或 B 学校成绩可防止阿片类药物滥用和自杀未遂。
American Indian and Alaska Native (AI/AN) youth face stark inequities in opioid misuse, social support, and suicide attempt. This study examined trends in these behavioral measures among AI/AN students in New Mexico (NM). Using the NM oversampled Youth Resiliency and Risk Survey (NM-YRRS, 2009 – 2019: odd years), prevalence estimates of opioid misuse, social support (SS), and suicide attempt for AI/AN high school students were generated. Trends over time were assessed via linear regression of weighted proportions according to Peter Armitage. Stratified trends by demographics were also employed. While the prevalence of suicide attempt did not change significantly over time, it was consistently higher among females (2011–2019), those who misused opioids, received low social support, had a mother with less than high school education, had a C, D, or F for academic performance, and non-straight students relative to their counterparts. In particular, the prevalence of suicide attempt among AI/AN students who reported opioid misuse in 2009 was significantly higher by 25.4% than their counterparts who did not report opioid misuse (35.8% vs. 10.4%.) A significant decreasing trend over time (2009–2017) was observed for opioid misuse (16.1%↓8.8%, p-value = 0.0033), including when stratifying by sex (males: 15.9%↓9%, p-value = 0.002; females: 16.2%↓8.6%, p-value = 0.012). Youth with high maternal education exhibited significant decline in opioid misuse (13.5%↓6.7%, p-value = 0.019; 2011–2017.) Opioid misuse increased significantly from 2017 to 2019 (8.8%↑12.9%, p-value < 0.0001.) For instance, in 2019 among AI/AN students who reported low social support, opioid misuse was roughly doubled (18.9% vs. 8.5%, p < 0.0001), and suicide attempt was tripled (21.3% vs. 7.0%, p < 0.0001) compared to students with high social support. No significant trend was observed for suicide attempt. We observed a significant decreasing trend in opioid misuse between 2009 through 2017 but a significant increase from 2017 to 2019. A higher level of maternal education (college or above), and an A or B school grade performance were protective against both opioid misuse and suicide attempt.
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影响因子：
6.4
作者：
Olson, LM;Wahab, S
通讯作者：
Wahab, S
影响因子：
25.8
作者：
Brent, David A.;Hur, Kwan;Gibbons, Robert D.
通讯作者：
Gibbons, Robert D.
影响因子：
4.2
作者：
Nalven, Tessa;Spillane, Nichea S.;Schick, Melissa R.
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Schick, Melissa R.
DOI：
10.5820/aian.2402.2017.40
发表时间：
2017-01-01
影响因子：
1.3
作者：
FitzGerald, Courtney A.;Fullerton, Lynne;Penaloza, Linda J.
通讯作者：
Penaloza, Linda J.
DOI：
10.1111/j.1467-842x.1999.tb01253.x
发表时间：
1999-06-01
影响因子：
3.5
作者：
Goodger, B;Byles, J;Higganbotham, N
通讯作者：
Higganbotham, N