The mediation and moderation effect of social support on the relationship between opioid misuse and suicide attempts among native American youth in New Mexico: 2009-2019 Youth Risk Resiliency Survey (NM-YRRS).
The mediation and moderation effect of social support on the relationship between opioid misuse and suicide attempts among native American youth in New Mexico: 2009-2019 Youth Risk Resiliency Survey (NM-YRRS).
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社会支持对新墨西哥州美国原住民青年阿片类药物滥用与自杀未遂关系的中介和调节作用：2009-2019年青年风险弹性调查（NM-YRRS）。
DOI：
10.1186/s12888-022-03900-8
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发表时间：
2022-04-05
期刊：
影响因子：
4.4
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;Handy R;Singh TP;Qeadan F
自杀企图和阿片类药物滥用仍然是美国印第安人和阿拉斯加原住民（AI/AN）的主要行为健康挑战。该研究的目的是评估社会支持（SS）在新墨西哥州（NM）AI/AN高中生之间的交往中所发挥的中介和调节作用。使用了一个汇总的NM青年弹性和风险调查（NM-YRRS，2009-2019：奇数年）数据集。进行多变量logistic回归建模和中介分析，同时调整混杂变量。总体而言，分别有12.0%和14.0%的AI/AN学生报告了阿片类药物滥用和自杀企图。滥用阿片类药物的高SS学生相对于低SS学生的自杀企图校正比值比为0.43（p值= 0.007）。与女性（AOR = 0.43，p值= 0.007）相比，滥用阿片类药物的男性中高SS相对于低SS的影响更明显（AOR = 0.24，p值<0.0001）。相对于低SS，高SS对滥用阿片类药物并在非保留地（AOR = 0.42，p值= 0.012）社区，农村社区（AOR = 0.44，p = 0.040）以及农村和非保留地（AOR = 0.39，p = 0.035）社区上学的AI/AN学生的自杀企图具有保护作用。总体而言，阿片类药物滥用和自杀企图之间的关联分别有23.64%和41.05%由SS介导和调节。SS的中介作用是最低的农村，保留地学校。需要为农村保留地学校分配更多资源，以加强社会支持。该研究强调了SS在促进健康和减轻阿片类药物滥用与自杀企图之间的关联方面所起的重要作用的关键见解。
Suicide attempt and opioid misuse continue to be major behavioral health challenges among American Indians and Alaska Natives (AI/AN). The aim of the study is to evaluate the mediating and moderating role that social support (SS) plays in their association among AI/AN high-school students in New Mexico (NM). An aggregated NM Youth Resiliency and Risk Survey (NM-YRRS, 2009-2019: odd years) dataset was used. Multivariable logistic regression modeling and mediation analysis were conducted while adjusting for confounding variables. Overall, 12.0 and 14.0% of AI/AN students reported opioid misuse and suicide attempt, respectively. The adjusted odds ratio of suicide attempt in students with high SS relative to low SS who misused opioids was 0.43 (p-value = 0.007). The effect of high SS relative to low SS among males who misused opioids was more pronounced (AOR = 0.24, p-value < 0.0001) compared to females (AOR = 0.43, p-value = 0.007). Relative to low SS, high SS was protective for suicide attempt among AI/AN students who misused opioids and attended school in off-reservation (AOR = 0.42, p-value = 0.012) communities, rural communities (AOR = 0.44, p = 0.040), and in communities that are both rural and off-reservation (AOR = 0.39, p = 0.035). Overall, 23.64, and 41.05% of the association between opioid misuse, and suicide attempt was mediated and moderated by SS, respectively. The mediation effect of SS was lowest for rural, on-reservation schools. More resources need to be allocated to rural on-reservation schools to enhance social support. The study highlights key insights into the significant role SS plays in promoting health and mitigating the association between opioid misuse and suicide attempt.
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影响因子：
16.4
作者：
Hartmann, William E.;Wendt, Dennis C.;Gone, Joseph P.
通讯作者：
Gone, Joseph P.
影响因子：
4.5
作者：
Agyemang DO;Madden EF;English K;Venner KL;Rod H;Singh TP;Qeadan F
通讯作者：
Qeadan F
影响因子：
2
作者：
Baldwin, Julie A.;Brown, Betty G.;Brelsford, Kathleen M.
通讯作者：
Brelsford, Kathleen M.
影响因子：
3.5
作者：
Allen, James;Wexler, Lisa;Rasmus, Stacy
通讯作者：
Rasmus, Stacy
影响因子：
3.1
作者：
Allen, James;Mohatt, Gerald V.;Burkett, Rebekah
通讯作者：
Burkett, Rebekah