Nonmedical Prescription Drug Use Among Midwestern Rural Adolescents

Park, Nicholas K.; Melander, Lisa A.; Sanchez, Shanell

doi:10.1080/1067828x.2015.1049392

Cited by 7 publications

(2 citation statements)

References 54 publications

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“…21,22 Unfortunately, rural youth are at a greater risk of prescription opioid abuse than their suburban and urban peers. [23][24][25][26][27] The current opioid epidemic traces to a complex interplay between personal, social, cultural, and economic factors. 15 While understanding higher-level factors is key to addressing the epidemic as a public health crisis, it is also invaluable to understand individual factors leading to the initiation and maintenance of opioid abuse, especially for those in treatment and enforcement settings.…”

Section: Research Briefmentioning

confidence: 99%

Impact of Emotional Distress on Prescription Opioid Abuse in a Rural Juvenile Drug Court Sample

Kauffman

Durkin

2019

OJPH

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Background: Ohio is at the epicenter of the opioid epidemic, and the current crisis disproportionately burdens rural areas. The Self-Medication Hypothesis and work examining adverse childhood experiences posit that drug use may be understood as a coping strategy to address emotional distress.Methods: Juvenile drug court participants in a Northwest Ohio county were administered a standardized biopsychosocial assessment. Intake interviews from January 2010 and November 2018 were used to evaluate the relationship between emotional distress reported using the Emotional Problem Scale (EPS) and lifetime nonmedical use of prescription opioids. Linear regression was used to examine temporal trends in EPS scores. Logistic regression was used to examine the relationship between EPS scores and prescription opioid misuse, controlling for temporal trends.Results: Linear regression showed a significant increase in emotional distress over the study period for both pre-scription opioid users and nonusers. Average scores increased 29.5 points (on a 100 point scale) over the duration of the study (P <0.0001). A 10-point increase in EPS score was associated with a nearly 50% increase in the lifetime odds of pre-scription opioid misuse (OR = 1.46, 95% CI: 1.19-1.82, P = 0.0004). The odds of prescription opioid misuse declined each year (OR = 0.63, 95% CI: 0.48-0.81, P = 0.0006).Conclusion: Rates of prescription opioid misuse have decreased over time despite a significant association be-tween emotional distress and opioid misuse and trend toward increasing EPS scores. While efforts to reduce prescription opioid misuse appear to have been effective in this population, significant work is needed to reduce underlying risk fac-tors.

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Section: Research Briefmentioning

confidence: 99%

Impact of Emotional Distress on Prescription Opioid Abuse in a Rural Juvenile Drug Court Sample

Kauffman

Durkin

2019

OJPH

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“…Research shows that children with parents who provide support, guidance and comfort are more likely to develop prosocial behaviors later in life (Kenny et al, 1998;Raja et al, 1992). In contrast, children who perceive their parents as rejecting them, and thus failing to provide support, guidance, and comfort, are more likely to report engaging in higher levels of antisocial behavior (Ali and Zubair, 2011;Allen et al, 2007;Deković , 1999;Jackson and Foshee, 1998;Koiv, 2012;Leiber et al, 2009;Marcus and Betzer, 1996;Park et al, 2016;Ryder, 2007;Wang et al, 2012). Antisocial behaviors can include violence and/or aggression, or may be a risk factor for aggression.…”

Section: Introductionmentioning

confidence: 99%

Parental rejection and antisocial behavior: the moderating role of testosterone

Woeckener

Boisvert

Cooke

et al. 2018

JCP

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Purpose Research reports a positive relationship between parental rejection and antisocial behavior in adolescents and young adults. Studies also report a positive association between testosterone and antisocial behavior. The purpose of this paper is to examine whether testosterone moderates the influence of parental rejection on antisocial behavior in a sample of young adults. Design/methodology/approach The current study analyzed a sample of undergraduate students (N=322) to examine the interaction between testosterone and parental rejection in the prediction of antisocial behavior. Multivariate ordinary least squares (OLS) regression was used to explore this association. Findings Results from OLS regression models revealed that parental rejection and testosterone were independently associated with antisocial behavior and that the effect of parental rejection on antisocial behavior was stronger at higher levels of testosterone. Originality/value This current study is the first to examine how testosterone conditions the influence of parental rejection on antisocial behavior in young adults. Findings from the study add to the growing body of literature examining the interplay between biological and environmental factors.

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Risk and Protective Factors of Youth Prescription Drug Misuse: Variations Across Racial/Ethnic Groups

Farmer

2021

Child Adolesc Soc Work J

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Nonmedical Prescription Drug Use Among Midwestern Rural Adolescents

Cited by 7 publications

References 54 publications

Impact of Emotional Distress on Prescription Opioid Abuse in a Rural Juvenile Drug Court Sample

Impact of Emotional Distress on Prescription Opioid Abuse in a Rural Juvenile Drug Court Sample

Parental rejection and antisocial behavior: the moderating role of testosterone

Risk and Protective Factors of Youth Prescription Drug Misuse: Variations Across Racial/Ethnic Groups

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