Prevalence and Health Characteristics of Prescription Opioid Use, Misuse, and Use Disorders Among U.S. Adolescents

Carmona, Jasmin; Maxwell, Jane Carlisle; Park, Ji-Yeun; Wu, Li‐Tzy

doi:10.1016/j.jadohealth.2019.11.306

Cited by 30 publications

(25 citation statements)

References 29 publications

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“…Socio-economic class as an influencing factor in substance use disorders is also worthy of discussion here. While the protagonists in our text set are middle class or affluent, Carmona et al, ( 2020 ) found that prescription opioid misuse and disorders were distributed almost evenly across socioeconomic strata with the Substance Abuse and Mental Health Services Administration reporting the same findings in a similar study. In other words, affluent white teen girls are not the only adolescents misusing substances.…”

Section: Implications: Why Does This Matter For Scholars and Readers?mentioning

confidence: 51%

“…Further, males are more likely to experience substance use disorders when broadly defined (Gray & Squeglia, 2018 ; SAMHSA, 2019 ); the majority of protagonists across our text set are female. In a study of prescription opioid use and misuse, female adolescents had a higher incidence of prescription opioid use disorder than males by a slight margin (50.94 to 49.06%) (Carmona et al, 2020 ), but even that slightly higher incidence does not align with the overwhelming appearance of female protagonists across our texts. In the Substance Abuse and Mental Health Services Administration’s 2019 report, rates of occurrence of substance use disorders were roughly the same across racial and ethnic categories, with the exception of American Indian and Alaska Native (AIAN) adolescents, who experienced substance use disorders at nearly twice the rate of their white counterparts.…”

Section: Implications: Why Does This Matter For Scholars and Readers?mentioning

confidence: 66%

“…This trope in the texts is not completely misaligned with research on adolescent substance use disorders. Carmona et al ( 2020 ) found that adolescents in their study had a higher prevalence of prescription opioid use disorders if they had experienced a major depressive episode in the previous year. Basedow et al ( 2020 ) reported that adolescents who experienced traumatic events had substance use disorders three times as frequently as their peers; those with PTSD following traumatic events had a 5-times higher prevalence of substance use disorders.…”

Section: Implications: Why Does This Matter For Scholars and Readers?mentioning

confidence: 85%

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Figured Worlds of Addiction: A Content Analysis of 10 YAL Texts

2022

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While the opioid epidemic rages on in the US, adolescent drug use and abuse is often left unaddressed in university and public-school classrooms. In an effort to support educator’s conversations with youth about drug and alcohol addiction, this study draws on the theory of figured worlds to conduct a critical content analysis of 10 YAL novels to understand how adolescents with addiction are constructed within the selected texts. Our findings detail three themes that work together to construct figured worlds in which: the majority of protagonists in the texts are middle class, white, teenage girls; the protagonists’ experiences around addiction are preceded by one or a series of traumatic events; and, due to their privilege, the protagonists have ready access to rehabilitation facilities and other mental health supports. We offer both implications for our findings and directions for future research.

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Section: Implications: Why Does This Matter For Scholars and Readers?mentioning

confidence: 51%

Section: Implications: Why Does This Matter For Scholars and Readers?mentioning

confidence: 66%

Section: Implications: Why Does This Matter For Scholars and Readers?mentioning

confidence: 85%

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Figured Worlds of Addiction: A Content Analysis of 10 YAL Texts

2022

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“…9 Our findings that Black and urban children were less likely than their counterparts to fill opioid prescriptions or experience adverse events, but more likely to experience other opioid-related harms (for example, abuse and dependence), increase the call for future studies to explore racial and geographic opioid-related inequities in children. 3,7,8,13 We identified preceding opioid prescription fills in almost 50 percent of adverse events, which may suggest a temporal relationship between children's own prescriptions and subsequent harms. In a 1999-2014 study in Tennessee, 89 percent of chart-adjudicated opioid adverse events were linked to children's prescriptions.…”

Section: Discussionmentioning

confidence: 94%

“…6 Disparities in pediatric opioid exposures and opioid-related harms have been reported by age, race, urban/ rural status, and medical complexity. 3,[6][7][8][9] In this study, we characterize age-stratified opioid exposures, opioid-related harms, and disparities for North Carolina Medicaid-insured children. As shown in exhibit 1, we found that the yearly prevalence of exposures and harms among children was highest among older adolescents, with one in ten (10.8 percent) adolescents ages 15-17 filling at least one opioid…”

mentioning

confidence: 99%

Children And The Opioid Epidemic: Age-Stratified Exposures And Harms

Brown

Carlisle²,

Raman

et al. 2020

Health Affairs

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Using North Carolina Medicaid 2016-18 claims data, we found that approximately one in ten adolescents (10.8 percent) filled at least one opioid prescription per year. Dentists, advanced practice providers, and surgeons were common prescribers of opioids to children. In addition, half of children who experienced opioid-related adverse events had filled opioid prescriptions in the prior six months.Among adult patients admitted for opioid use disorder treatment, a third report having their first opioid exposure in childhood, highlighting the importance of addressing early opioid exposures. 1,2 Children's opioid-related hospitalizations and deaths have doubled or tripled in recent decades. 3,4 Opioid exposures in childhood are responsible for the majority of drugrelated pediatric fatalities and are potentially linked to opioid misuse in adulthood. 1,5 Up to 15 percent of children fill at least one opioid prescription each year, and prescriptions to children have been linked to subsequent opioid-related adverse events. 6 Disparities in pediatric opioid exposures and opioid-related harms have been reported by age, race, urban/ rural status, and medical complexity. 3,[6][7][8][9] In this study, we characterize age-stratified opioid exposures, opioid-related harms, and disparities for North Carolina Medicaid-insured children. As shown in exhibit 1, we found that the yearly prevalence of exposures and harms among children was highest among older adolescents, with one in ten (10.8 percent) adolescents ages 15-17 filling at least one opioid

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