Social Influence on Adolescent Polysubstance Use: The Escalation to Opioid Use

Russell, Beth S.; Trudeau, Jeremiah; Leland, Alicia J

doi:10.3109/10826084.2015.1013128

Cited by 35 publications

(27 citation statements)

References 29 publications

(34 reference statements)

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“…Peer pressure was identified as a major risk factor for opioid misuse among high school students in recovery settings [ 24 ]. Several environmental factors (e.g., access to illegal drugs, participation in organized athletics, and off-campus housing), influence opioid misuse among college students, which can lead to SUD [ 26 , 32 , 33 ].…”

Section: Resultsmentioning

confidence: 99%

Individualized approach to primary prevention of substance use disorder: age-related risks

Afuseh

Pike

Oruche

2020

Subst Abuse Treat Prev Policy

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Background The misuse of legal and illegal substances has led to an increase in substance use disorder (SUD) in the United States. Although primary prevention strategies have been successfully used to target chronic physical diseases, these strategies have been less effective with SUD, given misconceptions of SUD, shortages in behavioral health professionals, and the population-based focus on specific substances. A developmental approach to the identification and primary prevention of SUD that does not fully rely upon behavioral health workers is needed. The purpose of this paper was to examine age related risk factors for developing SUD and present a novel individualized approach to SUD prevention. Methods A literature search was conducted to identify risk factors for SUD among children, young adults, adults, and older adults. We searched CINAHL, PsycINFO, and PubMed between the years 1989–2019, and extracted data, analyzing similarities and differences in risk factors across life stages. Broader categories emerged that were used to group the risk factors. Results More than 370 articles were found. Across all age groups, risk factors included adverse childhood experiences, trauma, chronic health diseases, environmental factors, family history, social determinants, and grief and loss. Despite the similarities, the contextual factors and life challenges associated with these risks varied according to the various life stages. We proposed an approach to primary prevention of SUD based on risk factors for developing the disease according to different age groups. This approach emphasizes screening, education, and empowerment (SEE), wherein individuals are screened for risk factors according to their age group, and screening results are used to customize interventions in the form of education and empowerment. Given that trained persons, including non-healthcare providers, close to the at-risk individual could conduct the screening and then educate and mentor the individual according to the risk level, the number of people who develop SUD could decrease. Conclusions The risk factors for developing SUD vary across the various life stages, which suggests that individualized approaches that do not overtax behavioral healthcare workers are needed. Using SEE may foster early identification and individualized prevention of SUD.

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Section: Resultsmentioning

confidence: 99%

Individualized approach to primary prevention of substance use disorder: age-related risks

Afuseh

Pike

Oruche

2020

Subst Abuse Treat Prev Policy

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“…While there is clearly a role for medications for acute pain and symptoms, long-term medication use for chronic pediatric pain is not an optimal solution. Availability of medications, long-term can increase the chances of misuse [40], and can have untoward consequences for youth at greater risk for substance abuse [56,57]. Access to medication may be more commonplace in part due to medications frequently being the most readily available and heavily marketed treatment options for both primary care and the majority of medical specialists not connected with academic teaching hospitals.…”

Section: Discussionmentioning

confidence: 99%

Medication Use among Pediatric Patients with Chronic Musculoskeletal Pain Syndromes at Initial Pain Clinic Evaluation

et al. 2017

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“…). Other studies note that a common predictor of opioid abuse in adolescents is a family history of substance abuse (Russell, Trudeau, and Leland ), as well as comorbid mental health disorders (Katz et al. ).…”

Section: Analyzing Media Coverage Of White Opioid Users: From Deviantmentioning

confidence: 99%

The Kids Are All White: Examining Race and Representation in News Media Coverage of Opioid Overdose Deaths in Canada

Johnston

2019

Sociological Inquiry

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Problematic opioid use in Canada is on the rise, and opioid overdose deaths now number in the thousands each year. While opioids have long been responsible for overdoses among certain demographics of Canadians, such as drug users on Vancouver's notoriously impoverished downtown Eastside, it is only recently that fatal overdoses have also claimed the lives of White, middle‐class young people. This critical discourse analysis of Canadian news media examines the differences in racial representation in recent coverage of opioid deaths. I pay particular attention to the ways in which White opioid users are portrayed as innocent victims while other users, such as those from Indigenous communities, are often ignored or stigmatized as “addicts.” I draw on the work of Hall (1978; 2000) and Reinarman and Levine (1989; 2004) on the role of media in representing race and constructing drug scares, to frame the media narratives. I then discuss the Canadian government's current harm‐reduction approach to the opioid crisis, as well as calls from Indigenous leaders for “culture as treatment.”

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Social Influence on Adolescent Polysubstance Use: The Escalation to Opioid Use

Cited by 35 publications

References 29 publications

Individualized approach to primary prevention of substance use disorder: age-related risks

Individualized approach to primary prevention of substance use disorder: age-related risks

Medication Use among Pediatric Patients with Chronic Musculoskeletal Pain Syndromes at Initial Pain Clinic Evaluation

The Kids Are All White: Examining Race and Representation in News Media Coverage of Opioid Overdose Deaths in Canada

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