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处方类阿片类药物滥用与携带枪支及其他武器行为之间的性别差异。

Sex differences in the relationship between prescription opioid misuse and gun and other weapon-carrying behaviors.

机构信息

Rutgers Global Health Institute Faculty Affiliate, Center on Gun Violence Google Scholar, United States; Rutgers, The State University of New Jersey, School of Nursing-Camden.

Rutgers Global Health Institute Faculty Affiliate, Center on Gun Violence Google Scholar, United States; Rowan University, Rohrer College of Business.

出版信息

Drug Alcohol Depend. 2021 Apr 1;221:108596. doi: 10.1016/j.drugalcdep.2021.108596. Epub 2021 Feb 19.

DOI:10.1016/j.drugalcdep.2021.108596
PMID:33684773
Abstract

BACKGROUND

Previous research shows that adolescent prescription opioid misuse is strongly associated with weapon carrying.

METHOD

For this research, data from the nationally representative 2017 Youth Risk Behavior Survey were analyzed. Average marginal predictions were estimated for gun and weapon carrying as a function of prescription opioid misuse and sex. As per STROBE guidelines, additive interactions with risk differences-in addition to multiplicative interactions with odds ratios and risk ratios-were estimated to investigate sex disparities in the effects of prescription opioid misuse on gun and other weapon-carrying.

RESULTS

Male US high school students who misused prescription opioids had an especially high prevalence of gun and other weapon carrying. Additive interactions show significantly greater risk differences associated with prescription opioid misuse among male students compared to female students for gun carrying, weapon carrying, and weapon carrying at school. In contrast, multiplicative interactions show lower odds ratios and risk ratios among male students for these same weapon-carrying variables.

DISCUSSION

Prescription opioid misuse is a significantly greater risk factor for gun and other weapon carrying among male US high school students, which disproportionately increases the risk for violence perpetration, including suicide among these students. Researchers should follow STROBE guidelines and report additive interactions and risk differences separately by sex when investigating risk factors associated with gun and other weapon carrying.

摘要

背景

先前的研究表明,青少年处方阿片类药物滥用与携带武器密切相关。

方法

本研究分析了具有全国代表性的 2017 年青少年风险行为调查数据。根据处方阿片类药物滥用和性别,估计了枪支和武器携带的平均边缘预测值。根据 STROBE 指南,除了估计与优势比和风险比的乘法相互作用外,还估计了处方阿片类药物滥用对枪支和其他武器携带的影响的风险差异的附加相互作用,以调查性别差异。

结果

滥用处方阿片类药物的美国男高中生携带枪支和其他武器的比例特别高。与女学生相比,男性学生的枪支携带、武器携带和在学校携带武器的风险差异与处方阿片类药物滥用有显著的附加相互作用。相比之下,对于这些相同的武器携带变量,男性学生的优势比和风险比较低。

讨论

处方阿片类药物滥用是美国男高中生枪支和其他武器携带的一个重大风险因素,这不成比例地增加了这些学生实施暴力的风险,包括自杀。研究人员在调查与枪支和其他武器携带相关的风险因素时,应遵循 STROBE 指南,并分别按性别报告附加相互作用和风险差异。

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Misuse of Prescription Opioids and Suicidal Behaviors Among Black Adolescents: Findings from the 2017 and 2019 Youth Risk Behavior Survey.处方阿片类药物滥用与黑人青少年自杀行为:来自 2017 年和 2019 年青少年风险行为调查的结果。
J Racial Ethn Health Disparities. 2023 Aug;10(4):1856-1868. doi: 10.1007/s40615-022-01369-5. Epub 2022 Jul 21.
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