Social-Ecological Predictors of Opioid Use Among Adolescents With Histories of Substance Use Disorders
Adolescent opioid misuse is a public health crisis, particularly among clinical populations of youth with substance misuse histories. Given the negative and often lethal consequences associated with opioid misuse among adolescents, it is essential to identify the risk and protective factors underlyi...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-07-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2021.686414/full |
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| author | Lindsey M. Nichols Lindsey M. Nichols Jonathan A. Pedroza Jonathan A. Pedroza Christopher M. Fleming Kaitlin M. O’Brien Emily E. Tanner-Smith Emily E. Tanner-Smith |
| author_facet | Lindsey M. Nichols Lindsey M. Nichols Jonathan A. Pedroza Jonathan A. Pedroza Christopher M. Fleming Kaitlin M. O’Brien Emily E. Tanner-Smith Emily E. Tanner-Smith |
| author_sort | Lindsey M. Nichols |
| collection | DOAJ |
| description | Adolescent opioid misuse is a public health crisis, particularly among clinical populations of youth with substance misuse histories. Given the negative and often lethal consequences associated with opioid misuse among adolescents, it is essential to identify the risk and protective factors underlying early opioid misuse to inform targeted prevention efforts. Understanding the role of parental risk and protective factors is particularly paramount during the developmental stage of adolescence. Using a social-ecological framework, this study explored the associations between individual, peer, family, community, and school-level risk and protective factors and opioid use among adolescents with histories of substance use disorders (SUDs). Further, we explored the potential moderating role of poor parental monitoring in the associations between the aforementioned risk and protective factors and adolescent opioid use. Participants included 294 adolescents (Mage = 16 years; 45% female) who were recently discharged from substance use treatment, and their parents (n = 323). Results indicated that lifetime opioid use was significantly more likely among adolescents endorsing antisocial traits and those whose parents reported histories of substance abuse. Additionally, adolescents reporting more perceived availability of substances were significantly more likely to report lifetime opioid use compared to those reporting lower perceived availability of substances. Results did not indicate any significant moderation effects of parental monitoring on any associations between risk factors and lifetime opioid use. Findings generally did not support social-ecological indicators of opioid use in this high-risk population of adolescents, signaling that the social-ecological variables tested may not be salient risk factors among adolescents with SUD histories. We discuss these findings in terms of continuing care options for adolescents with SUD histories that target adolescents’ antisocial traits, perceived availability of substances, and parent histories of substance abuse, including practical implications for working with families of adolescents with SUD histories. |
| first_indexed | 2024-12-17T02:25:44Z |
| format | Article |
| id | doaj.art-945839ed31e0412db6409f25d507f57f |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-17T02:25:44Z |
| publishDate | 2021-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-945839ed31e0412db6409f25d507f57f2022-12-21T22:07:06ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-07-011210.3389/fpsyg.2021.686414686414Social-Ecological Predictors of Opioid Use Among Adolescents With Histories of Substance Use DisordersLindsey M. Nichols0Lindsey M. Nichols1Jonathan A. Pedroza2Jonathan A. Pedroza3Christopher M. Fleming4Kaitlin M. O’Brien5Emily E. Tanner-Smith6Emily E. Tanner-Smith7Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United StatesPrevention Science Institute, University of Oregon, Eugene, OR, United StatesDepartment of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United StatesPrevention Science Institute, University of Oregon, Eugene, OR, United StatesPrevention Science Institute, University of Oregon, Eugene, OR, United StatesDepartment of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United StatesDepartment of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United StatesPrevention Science Institute, University of Oregon, Eugene, OR, United StatesAdolescent opioid misuse is a public health crisis, particularly among clinical populations of youth with substance misuse histories. Given the negative and often lethal consequences associated with opioid misuse among adolescents, it is essential to identify the risk and protective factors underlying early opioid misuse to inform targeted prevention efforts. Understanding the role of parental risk and protective factors is particularly paramount during the developmental stage of adolescence. Using a social-ecological framework, this study explored the associations between individual, peer, family, community, and school-level risk and protective factors and opioid use among adolescents with histories of substance use disorders (SUDs). Further, we explored the potential moderating role of poor parental monitoring in the associations between the aforementioned risk and protective factors and adolescent opioid use. Participants included 294 adolescents (Mage = 16 years; 45% female) who were recently discharged from substance use treatment, and their parents (n = 323). Results indicated that lifetime opioid use was significantly more likely among adolescents endorsing antisocial traits and those whose parents reported histories of substance abuse. Additionally, adolescents reporting more perceived availability of substances were significantly more likely to report lifetime opioid use compared to those reporting lower perceived availability of substances. Results did not indicate any significant moderation effects of parental monitoring on any associations between risk factors and lifetime opioid use. Findings generally did not support social-ecological indicators of opioid use in this high-risk population of adolescents, signaling that the social-ecological variables tested may not be salient risk factors among adolescents with SUD histories. We discuss these findings in terms of continuing care options for adolescents with SUD histories that target adolescents’ antisocial traits, perceived availability of substances, and parent histories of substance abuse, including practical implications for working with families of adolescents with SUD histories.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.686414/fullopioid misuseadolescencesubstance use recoverysocial-ecological modelSUD treatment |
| spellingShingle | Lindsey M. Nichols Lindsey M. Nichols Jonathan A. Pedroza Jonathan A. Pedroza Christopher M. Fleming Kaitlin M. O’Brien Emily E. Tanner-Smith Emily E. Tanner-Smith Social-Ecological Predictors of Opioid Use Among Adolescents With Histories of Substance Use Disorders Frontiers in Psychology opioid misuse adolescence substance use recovery social-ecological model SUD treatment |
| title | Social-Ecological Predictors of Opioid Use Among Adolescents With Histories of Substance Use Disorders |
| title_full | Social-Ecological Predictors of Opioid Use Among Adolescents With Histories of Substance Use Disorders |
| title_fullStr | Social-Ecological Predictors of Opioid Use Among Adolescents With Histories of Substance Use Disorders |
| title_full_unstemmed | Social-Ecological Predictors of Opioid Use Among Adolescents With Histories of Substance Use Disorders |
| title_short | Social-Ecological Predictors of Opioid Use Among Adolescents With Histories of Substance Use Disorders |
| title_sort | social ecological predictors of opioid use among adolescents with histories of substance use disorders |
| topic | opioid misuse adolescence substance use recovery social-ecological model SUD treatment |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2021.686414/full |
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