Non-medical prescription opioid use and violent behaviour among adolescents
Non-medical prescription opioid use and violent behaviour among adolescents
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DOI：
10.2989/17280583.2013.849607
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发表时间：
2014-01-01
影响因子：
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通讯作者：
Robinson, Kent
中科院分区：
文献类型：
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作者：
Murphy, Sean M.;McPherson, Sterling;Robinson, Kent
目的：对观察到的阿片类药物滥用和暴力之间的正相关似乎不存在药理学解释。因此，人们提出了几种解释。这项研究试图进一步阐明阿片类药物滥用与青少年暴力之间的潜在因素。就我们所知，这是第一次调查这种关系，同时区分滥用自己处方的青少年和分流开处方的青少年。第二个目标是比较阿片类药物滥用与其他物质的估计影响。方法：分析2008年华盛顿州健康青年调查数据。全信息最大似然多元回归被用来解释缺失的数据。结果：青少年滥用阿片类药物和自己处方的阿片类药物滥用被证明是暴力思想和随后的暴力行为的相对较强的预测因素。结论：这些发现，结合我们独特的暴力可操作性，帮助我们推断阿片类药物滥用和暴力之间关系的真实来源。结果还表明，阿片类药物滥用是暴力的一个潜在的可改变的风险因素。鉴于最近阿片类药物处方激增，对滥用自己处方的年轻人观察到这一负面结果是进一步令人关切的原因。
Objective: A pharmacological explanation for the observed positive association between opioid abuse and violence does not appear to exist. Several explanations have therefore been posited. This study attempted to shed additional light on the latent factors linking opioid abuse and adolescent violence. To the best of our knowledge, this is the first investigation to examine this relationship while distinguishing between adolescents who misused their own versus a diverted prescription. A secondary objective was to compare the estimated effects of opioid abuse to those of other substances.Method: The 2008 Washington State Healthy Youth Survey data were analysed. A full information maximum likelihood multiple regression was used to account for missing data.Results: Diverted- and own-prescription opioid abuse among adolescents were evidenced to be relatively strong predictors of violent thoughts and subsequent violent behaviour.Conclusions: These findings, in conjunction with our unique operationalisation of violence, help us draw inferences about the true source of the relationship between opioid abuse and violence. The results also indicate that opioid abuse is a potentially modifiable risk factor for violence. The fact that this negative outcome was observed for youths abusing their own prescription is further cause for concern given the recent surge in opioid prescriptions.