2015
DOI: 10.15288/jsad.2015.76.5
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A Systematic Review of Risk and Protective Factors Associated With Nonmedical Use of Prescription Drugs Among Youth in the United States: A Social Ecological Perspective

Abstract: The purpose of this study was to identify the strongest and most consistent risk and protective factors associated with nonmedical use of prescription drugs (NMUPD) in multiple contexts, specifi cally in community-, school-, interpersonal-, and individual-level domains. Method: A literature search was conducted to review studies published from 2006 to 2012 that examined NMUPD among adolescents. Included were original research studies that focused specifi cally on risk and protective factors or review articles … Show more

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Cited by 99 publications
(65 citation statements)
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References 58 publications
(153 reference statements)
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“…Among users, disorders increased among those aged 18–34 (Martins et al, 2017). While several studies have investigated NMPO use in specific age groups, especially adolescents, college students (Boyd et al, 2009; McCabe et al, 2013; McCabe et al, 2014; Nargiso et al, 2015) or older adults (Schepis and McCabe, 2016), rarely have use patterns been examined by age over time in the same sample (Han et al, 2015; Jones, 2017; Martins et al, 2017; Miech et al, 2013). …”
Section: Introductionmentioning
confidence: 99%
“…Among users, disorders increased among those aged 18–34 (Martins et al, 2017). While several studies have investigated NMPO use in specific age groups, especially adolescents, college students (Boyd et al, 2009; McCabe et al, 2013; McCabe et al, 2014; Nargiso et al, 2015) or older adults (Schepis and McCabe, 2016), rarely have use patterns been examined by age over time in the same sample (Han et al, 2015; Jones, 2017; Martins et al, 2017; Miech et al, 2013). …”
Section: Introductionmentioning
confidence: 99%
“…Although low resistance self-efficacy is likely relevant to NMPDU, popularity may be less of a risk factor for NMPDU than substances typically used in social settings such as alcohol. Both of these individual factors have been understudied in the context of NMPDU (Nargiso et al, 2015). Peer factors associated with adolescent NMPDU include exposure to drug use and pro-drug attitudes (Ford, 2008a; Ford and Hill, 2012).…”
Section: Introductionmentioning
confidence: 99%
“…This is the first study to specifically focus on NMPDU initiation during middle school, identifying both correlates of initiation and high school outcomes associated with early initiation, addressing the critical need for longitudinal research in this area (Nargiso et al, 2015; Young et al, 2012). We followed a diverse cohort of middle school students over 4 years (6 waves of data) to address the following research questions: First, to what extent do time-varying individual factors (resistance self-efficacy, perceived popularity), family factors (family substance use, parental respect), and peer factors (offers, approval, and perceived prevalence of substance use) predict initiation of NMPDU during the middle school years?…”
Section: Introductionmentioning
confidence: 99%
“…A recent systematic review examined risk and protective factors associated with NMUPD among youth aged 14 to 24 from a social ecological perspective and included 7 longitudinal studies, 36 cross-sectional studies, and 7 reviews (Nargiso et al, 2015). In the interpersonal domain related to peers, the review found that peer approval of substance use (an injunctive norm) and NMUPD were strongly associated, and that a close friend’s use of substances (a descriptive norm) was one of the strongest and most consistent risk factors for NMUPD (Nargiso et al, 2015). Several of the studies included in the review analyzed data from the National Survey on Drug Use and Health and the majority of the others used convenience samples from schools and colleges.…”
Section: Introductionmentioning
confidence: 99%