Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Hampton House, Office 782, 624 N. Broadway, Baltimore, MD 21205, United States.
Office of the Assistant Secretary for Planning & Evaluation, US Department of Health & Human Services, United States.
Drug Alcohol Depend. 2020 Oct 1;215:108153. doi: 10.1016/j.drugalcdep.2020.108153. Epub 2020 Aug 14.
Past studies show that illicit opioid use may impair parents' ability to care for their children. However, few studies have examined adverse outcomes in adolescent children of mothers who misuse opioids.
Data come from the National Survey on Drug Use and Health's nationally representative matched sample of mothers and their adolescent children who resided in the same household. The outcome of interest was whether adolescents engaged in aggressive or antisocial behaviors in the past year. Using logistic regression, adolescent children whose mothers engaged in past-year opioid misuse were respectively compared to children whose mothers used other illicit drugs, had an alcohol use disorder, or had no misuse of substances. To control for confounding, propensity scores were used to match the three other maternal substance use groups to mothers who misused opioids on a number of measured confounding variables.
The odds of antisocial behaviors were 1.6 times higher among adolescent children whose mother engaged in past-year opioid misuse than matched adolescent children whose mothers reported no illicit substance use. There was no significant difference in antisocial behaviors between adolescents whose mothers misused opioids and either adolescents whose mothers used illicit drugs or had an alcohol use disorder.
As the United States seeks to respond to the needs of families impacted by its ongoing opioid crisis, it is likely that services will be needed not only for parents who misuse opioids, but also for their children, who are at elevated risk for adverse behavioral outcomes.
过去的研究表明，非法阿片类药物的使用可能会损害父母照顾孩子的能力。然而，很少有研究调查过滥用阿片类药物的母亲的青少年子女的不良后果。
数据来自全国药物使用与健康调查的全国代表性匹配母亲及其同住子女样本。感兴趣的结果是青少年在过去一年中是否有攻击性或反社会行为。使用逻辑回归，将过去一年滥用阿片类药物的母亲的青少年子女与其他滥用非法药物、有酒精使用障碍或无物质滥用的子女进行比较。为了控制混杂因素，使用倾向得分将其他三个母亲物质使用组与滥用阿片类药物的母亲在一些测量的混杂变量上进行匹配。
与匹配的青少年子女相比，母亲在过去一年中滥用阿片类药物的青少年子女发生反社会行为的可能性高 1.6 倍，而母亲报告没有滥用非法物质的青少年子女。滥用阿片类药物的母亲的青少年子女与滥用非法药物或有酒精使用障碍的母亲的青少年子女之间，反社会行为没有显著差异。
随着美国试图满足受其持续阿片类药物危机影响的家庭的需求，可能不仅需要为滥用阿片类药物的父母提供服务，还需要为其子女提供服务，因为他们有更高的不良行为后果风险。
