Racial/Ethnic Differences in Factors That Place Adolescents at Risk for Prescription Opioid Misuse
Racial/Ethnic Differences in Factors That Place Adolescents at Risk for Prescription Opioid Misuse
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DOI：
10.1007/s11121-014-0514-y
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发表时间：
2015-07-01
影响因子：
3.5
通讯作者：
Rigg, Khary K.
中科院分区：
文献类型：
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作者：
Ford, Jason A.;Rigg, Khary K.
虽然相当多的研究关注滥用管制药物，相对较少的研究集中在处方阿片类药物滥用（POM）的种族/少数民族青少年。本研究旨在确定三个最大种族/民族（白人，西班牙裔，黑人）青少年中POM的患病率，并确定增加POM风险的人口统计学和心理社会因素。此外，作者应用社会联结理论和社会学习理论的概念来确定这些概念在多大程度上解释了每个群体中的青少年POM。使用2012年全国药物使用和健康调查的数据，估计多变量logistic回归模型，以确定哪些因素与POM风险增加相关。结果表明，黑人（6.08%）的青少年POM的患病率最高，危险因素因种族/民族而异。这些发现很重要，因为它们提高了处方医生识别高危青少年患者的能力，并有助于使预防干预措施更具文化相关性。
Although considerable research attention is paid to the misuse of controlled medications, a relatively small number of studies focus on prescription opioid misuse (POM) among racial/ethnic minority adolescents. This study aimed to determine the prevalence of POM among adolescents in the three largest racial/ethnic groups (Whites, Hispanics, Blacks) and identify demographic and psychosocial factors that increase the risk of POM. Additionally, the authors applied concepts from social bonding theory and social learning theory to determine the extent to which these concepts explain adolescent POM among each group. Using data from the 2012 National Survey of Drug Use and Health, multivariate logistic regression models were estimated to determine which factors were associated with an increased risk of POM. Results show that Blacks (6.08 %) have the highest prevalence rate of adolescent POM and risk factors vary by race/ethnicity. These findings are important in that they enhance the ability of prescribers to identify high-risk adolescent patients and help to make prevention interventions more culturally relevant.