Risk and protective factors for opioid misuse in American Indian adolescents
Risk and protective factors for opioid misuse in American Indian adolescents
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DOI：
10.1016/j.drugalcdep.2019.107736
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发表时间：
2020-01-01
影响因子：
4.2
通讯作者：
Schick, Melissa R.
中科院分区：
文献类型：
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作者：
Nalven, Tessa;Spillane, Nichea S.;Schick, Melissa R.
背景资料：美洲印第安人（AI）青年滥用海洛因和其他阿片类药物的比例不成比例地高，最近由于阿片类药物滥用而导致的负面结果大幅增加。为了解决缺乏对AI青少年中海洛因和其他阿片类药物滥用的组内危险因素的研究，本研究的目标是探讨同伴，家庭和学校因素对AI青少年中阿片类药物使用的影响。方法：参与者（n = 3498，49.5%女性，M年龄= 14.8）来自六个地理区域的居住在保留地或附近的AI青年的大型校本样本，在2009年到2013年间。参与者完成了一份关于物质使用和相关因素的自我报告问卷。采用多水平logistic回归分析研究了同龄人、家庭和学校相关因素对过去一个月和一生中海洛因和其他阿片类药物滥用的作用。更多的同伴物质使用（OR = 1.14，p < 0.001），低家庭不赞成使用（OR = 0.98，p = 0.01）和较低的学校表现（OR = 0.90，p = 0.01）与终生阿片类药物滥用的可能性更大相关。更多的同伴物质使用（OR = 1.05，p < 0.001）和较低的家庭不赞成使用（OR = 0.99，p = 0.04）与过去一个月阿片类药物滥用的可能性更大相关。更大的同伴物质使用是唯一的变量显着相关的可能性更大的一生（OR = 1.15，p < 0.001）或过去一个月海洛因使用（OR = 1.02，p = 0.047）。结论：研究结果强调了干预的必要性，并提供了潜在的因素，以考虑在AI青少年中开发海洛因和/或其他阿片类药物滥用的干预措施。
Background: American Indian (AI) youth have disproportionately high rates of both heroin and other opioid misuse and recently have seen a large increase in negative outcomes due to opioid misuse. To address the dearth of research on within-group risk factors for heroin and other opioid misuse in AI adolescents, the goal of the present study is to explore the influence of peer, family, and school factors on opioid use among AI youth.Methods: Participants (n = 3498, 49.5 % female, M-age = 14.8) were drawn from a large school-based sample of AI youth living on or near reservations, across six geographic regions, between 2009 and 2013. Participants completed a self-report questionnaire regarding substance use and related factors. Multilevel logistic regression was utilized to examine the role of peer, family, and school-related factors on past-month and lifetime heroin and other opioid misuse.Results: Greater peer substance use (OR = 1.14, p < 0.001), lower family disapproval of use (OR = .98, p = 0.01), and lower school performance (OR = .90, p = 0.01) were associated with greater likelihood of lifetime opioid misuse. Greater peer substance use (OR = 1.05, p < 0.001) and lower family disapproval of use (OR = .99, p = 0.04) were associated with greater likelihood of past month opioid misuse. Greater peer substance use was the only variable significantly related to greater likelihood of lifetime (OR = 1.15, p < 0.001) or past month heroin use (OR = 1.02, p = 0.047).Conclusions: Findings highlight the need for interventions and offer potential factors to consider in developing interventions for heroin and/or other opioid misuse among AI adolescents.