Associations between opioid misuse and social relationship factors among American Indian, Alaska Native, and Native Hawaiian college students in the U.S.

Qeadan, Fares; Madden, Erin Fanning; Bern, Rona; Parsinejad, Nasim; Porucznik, Christina A.; Venner, K; English, Kevin

doi:10.1016/j.drugalcdep.2021.108667

Cited by 13 publications

(12 citation statements)

References 30 publications

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“…ANAI opioid risk and protective factors are specific to certain samples. ANAI/Native Hawaiian college students experience the highest rate of opioid misuse among all racial groups with reported risk factors of loneliness, difficult social relationships, family problems, and intimate partner violence 19 . Risk factors for life‐time opioid misuse among American Indian youth aged 10 to 21 include family disapproval, poor academic performance, and peer substance use 20 .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with readmission to alcohol and opioid detoxification in the Alaska Interior

et al. 2022

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Background and Objectives: A "revolving door" of repeated admissions to detoxification treatment facilities has long plagued alcohol and drug use patients, yet few studies examine factors associated with readmission. This study examined risk factors for readmission to alcohol and opioid detoxification in a sample from the Alaska Interior. Methods: Data were extracted from electronic medical records for admissions between 2012 and 2016 at an inpatient detoxification facility in Fairbanks, Alaska. Data from 1014 patients admitted for alcohol detoxification and 267 patients admitted for opioid detoxification were analyzed. The analysis employed descriptive statistics for risk factors (substance use history, adverse life experiences, and psychosocial functioning) and prevalence of readmission to either alcohol or opioid detoxification. Inferential analyses used marginal standardization to calculate differences in readmission risk by patient characteristics.Results: Male, Alaska Native/American Indian, single-never married patients, and those seeking work were at higher risk for readmission to alcohol detoxification, while those with stable housing were at reduced risk. Being single-never married and completing detoxification treatment reduced readmission to opioid detoxification. Family involvement in detoxification reduced readmission risk for both alcohol and opioid patients. Discussion and Conclusions: Further research that investigates the mechanism(s) by which family may act as a protective factor may be efficacious in eliminating the "revolving door" of detoxification. Scientific Significance: This study is the first to examine both alcohol and opioid use risk and protective factors in the Alaska Interior. The results can be used in the development of interventions for subpopulations with high detoxification readmission rates.

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Section: Introductionmentioning

confidence: 99%

Factors associated with readmission to alcohol and opioid detoxification in the Alaska Interior

et al. 2022

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“…This finding is consistent with prior research [ 33 , 35 , 46 , 51 , 56 ]. Strong familial support, cultural ties, and other social support, such as school personnel have been identified as significant resilience factors in AI/AN communities [ 18 , 27 , 46 , 51 , 53 , 57 ], and some tribes are leveraging these areas as alternatives to interventions that only use clinical and behavioral therapy and to mitigate behavioral health risk [ 17 , 33 , 50 ]. This strengths-based analysis highlights how social connections with family, teachers, friends, and other mentors are key resources in AI/AN communities that improve youth health and should be integrated into behavioral health initiatives targeting youth suicide and substance use interventions.…”

Section: Discussionmentioning

confidence: 99%

“…” and “ During the past 30 days, how many times did you use a painkiller to get high, like Vicodin, OxyContin (also Oxy or OC), or Percocet (also called Percs)? ” Combining these two questions gave us the ability to explore the effects of overall misuse involving any non-prescribed opioid [ 53 ].…”

Section: Methodsmentioning

confidence: 99%

The mediation and moderation effect of social support on the relationship between opioid misuse and suicide attempts among native American youth in New Mexico: 2009-2019 Youth Risk Resiliency Survey (NM-YRRS)

Agyemang

Madden

English³

et al. 2022

BMC Psychiatry

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Background Suicide attempt and opioid misuse continue to be major behavioral health challenges among American Indians and Alaska Natives (AI/AN). The aim of the study is to evaluate the mediating and moderating role that social support (SS) plays in their association among AI/AN high-school students in New Mexico (NM). Methods An aggregated NM Youth Resiliency and Risk Survey (NM-YRRS, 2009-2019: odd years) dataset was used. Multivariable logistic regression modeling and mediation analysis were conducted while adjusting for confounding variables. Results Overall, 12.0 and 14.0% of AI/AN students reported opioid misuse and suicide attempt, respectively. The adjusted odds ratio of suicide attempt in students with high SS relative to low SS who misused opioids was 0.43 (p-value = 0.007). The effect of high SS relative to low SS among males who misused opioids was more pronounced (AOR = 0.24, p-value < 0.0001) compared to females (AOR = 0.43, p-value = 0.007). Relative to low SS, high SS was protective for suicide attempt among AI/AN students who misused opioids and attended school in off-reservation (AOR = 0.42, p-value = 0.012) communities, rural communities (AOR = 0.44, p = 0.040), and in communities that are both rural and off-reservation (AOR = 0.39, p = 0.035). Overall, 23.64, and 41.05% of the association between opioid misuse, and suicide attempt was mediated and moderated by SS, respectively. The mediation effect of SS was lowest for rural, on-reservation schools. Conclusion More resources need to be allocated to rural on-reservation schools to enhance social support. The study highlights key insights into the significant role SS plays in promoting health and mitigating the association between opioid misuse and suicide attempt.

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“…The years 2017 and 2019 had an additional question on painkiller use, “ During your life, how many times have you taken prescription pain medicine without a doctor’s prescription or differently than how a doctor told you to use it? ” The additional question was added to generate the variable for opioid misuse for 2017 and 2019 (For justification of combining these variables, see [ 26 ]).…”

Section: Methodsmentioning

confidence: 99%

A trend analysis of the prevalence of opioid misuse, social support, and suicide attempt among American Indian/Alaska native high school students in New Mexico: 2009–2019 Youth Risk Resiliency Survey (YRRS)

et al. 2022

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Background American Indian and Alaska Native (AI/AN) youth face stark inequities in opioid misuse, social support, and suicide attempt. This study examined trends in these behavioral measures among AI/AN students in New Mexico (NM). Methods Using the NM oversampled Youth Resiliency and Risk Survey (NM-YRRS, 2009 – 2019: odd years), prevalence estimates of opioid misuse, social support (SS), and suicide attempt for AI/AN high school students were generated. Trends over time were assessed via linear regression of weighted proportions according to Peter Armitage. Stratified trends by demographics were also employed. Results While the prevalence of suicide attempt did not change significantly over time, it was consistently higher among females (2011–2019), those who misused opioids, received low social support, had a mother with less than high school education, had a C, D, or F for academic performance, and non-straight students relative to their counterparts. In particular, the prevalence of suicide attempt among AI/AN students who reported opioid misuse in 2009 was significantly higher by 25.4% than their counterparts who did not report opioid misuse (35.8% vs. 10.4%.) A significant decreasing trend over time (2009–2017) was observed for opioid misuse (16.1%↓8.8%, p-value = 0.0033), including when stratifying by sex (males: 15.9%↓9%, p-value = 0.002; females: 16.2%↓8.6%, p-value = 0.012). Youth with high maternal education exhibited significant decline in opioid misuse (13.5%↓6.7%, p-value = 0.019; 2011–2017.) Opioid misuse increased significantly from 2017 to 2019 (8.8%↑12.9%, p-value < 0.0001.) For instance, in 2019 among AI/AN students who reported low social support, opioid misuse was roughly doubled (18.9% vs. 8.5%, p < 0.0001), and suicide attempt was tripled (21.3% vs. 7.0%, p < 0.0001) compared to students with high social support. Conclusion No significant trend was observed for suicide attempt. We observed a significant decreasing trend in opioid misuse between 2009 through 2017 but a significant increase from 2017 to 2019. A higher level of maternal education (college or above), and an A or B school grade performance were protective against both opioid misuse and suicide attempt.

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Associations between opioid misuse and social relationship factors among American Indian, Alaska Native, and Native Hawaiian college students in the U.S.

Cited by 13 publications

References 30 publications

Factors associated with readmission to alcohol and opioid detoxification in the Alaska Interior

Factors associated with readmission to alcohol and opioid detoxification in the Alaska Interior

The mediation and moderation effect of social support on the relationship between opioid misuse and suicide attempts among native American youth in New Mexico: 2009-2019 Youth Risk Resiliency Survey (NM-YRRS)

A trend analysis of the prevalence of opioid misuse, social support, and suicide attempt among American Indian/Alaska native high school students in New Mexico: 2009–2019 Youth Risk Resiliency Survey (YRRS)

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