a The Study of Teen Opioid Misuse and Prevention Laboratory, University of Florida HealthStreet, Gainesville, Florida, USA.
b Department of Epidemiology, College of Public Health and Health Professions and College of Medicine , University of Florida , Gainesville , Florida, USA.
Subst Use Misuse. 2019;54(7):1226-1235. doi: 10.1080/10826084.2019.1573839. Epub 2019 Mar 8.
To prevent opioid-related overdose among high risk youth, research on the predictors of opioid misuse (OM) initiation among justice-involved children (JIC) is needed. Living in a single-parent household, an important adverse childhood experience, is prevalent among JIC and linked to substance abuse. It is hypothesized that JIC who live in single-parent households will have a higher likelihood of meeting criteria for past-30 day OM than those who live in two-parent households.
The data in this paper were obtained from the Florida Department of Juvenile Justice (FLDJJ). Cross-sectional data on 79,960 JIC from FLDJJ were examined. To test the hypothesis, multivariate logistic regression analyses were employed.
Over 2,000 JIC in the sample met criteria for past-30 day (P30D) OM. Over 27.1% of those who met criteria for past-30 day OM lived in a two-parent household while 21.3% of those who were non-past-30 day users lived in two-parent households. Contrary to our hypothesis, JIC who lived in grandparent-only households were 28% as likely to report P30D OM as those who lived in single-parent households. Those who lived in two-parent households were 16% as likely to meet criteria for P30D OM as those in single-parent households. These relationships varied by age.
Two-parent and grandparent-only households maybe associated with increased access to opioids compared to other family structures with fewer adults. The risk of increased access may be more harmful than the strain of a single-parent household. Disposal of prescription medication initiatives should target households with multiple adults and grandparents.
为了预防高危青少年的阿片类药物相关过量，需要研究与司法涉案儿童（JIC）阿片类药物滥用（OM）起始相关的预测因素。生活在单亲家庭中，这是一个重要的不良儿童经历，在 JIC 中很普遍，并与物质滥用有关。假设生活在单亲家庭中的 JIC 比生活在双亲家庭中的 JIC 更有可能符合过去 30 天 OM 的标准。
本文的数据来自佛罗里达州少年司法部（FLDJJ）。检查了来自 FLDJJ 的 79960 名 JIC 的横断面数据。为了检验假设，采用了多变量逻辑回归分析。
在样本中，超过 2000 名 JIC 符合过去 30 天（P30D）OM 的标准。在符合过去 30 天 OM 标准的人中，有超过 27.1%的人生活在双亲家庭中，而在非过去 30 天使用者中，有 21.3%的人生活在双亲家庭中。与我们的假设相反，生活在只有祖父母的家庭中的 JIC 报告 P30D OM 的可能性比生活在单亲家庭中的 JIC 低 28%。生活在双亲家庭中的 JIC 比生活在单亲家庭中的 JIC 更有可能符合 P30D OM 的标准，其可能性低 16%。这些关系因年龄而异。
与其他成人较少的家庭结构相比，双亲家庭和只有祖父母的家庭可能与更多的阿片类药物获取有关。增加获取的风险可能比单亲家庭的压力更有害。处方药物处置计划应针对有多个成年人和祖父母的家庭。
