Associations between opioid misuse and social relationship factors among American Indian, Alaska Native, and Native Hawaiian college students in the U.S
•AI/AN/NH college students have higher opioid misuse prevalence than most other groups.•AI/AN/NH students reporting traumatic or violent relationships were at greater risk.•AI/AN/NH students reporting loneliness or family problems also exhibited greater risk.•The Social Development Model emphasis on...
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| Veröffentlicht in: | Drug and alcohol dependence 2021-05, Vol.222, p.108667, Article 108667 |
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| creator | Qeadan, Fares Madden, Erin F. Bern, Rona Parsinejad, Nasim Porucznik, Christina A. Venner, Kamilla L. English, Kevin |
| description | •AI/AN/NH college students have higher opioid misuse prevalence than most other groups.•AI/AN/NH students reporting traumatic or violent relationships were at greater risk.•AI/AN/NH students reporting loneliness or family problems also exhibited greater risk.•The Social Development Model emphasis on prosocial relationships appears to apply.
Despite declining overall rates of opioid misuse among college students, racial and ethnic differences in percentage and correlates of opioid misuse among student populations remains unclear. This study seeks to estimate percentages of opioid misuse among American Indian, Alaska Native, and Native Hawaiian (AI/AN/NH) college students and determine whether problems in social bonds affect AI/AN/NH opioid misuse.
Guided by social relationship factors associated with substance use in the Social Development Model, we used 2015–2019 data from the American College Health Association-National College Health Assessment survey in multivariable logistic regression models to examine the role of social bonds with peers and family in opioid misuse (prescription and non-prescription) among AI/AN/NH college students across the U.S.
The percentage of opioid misuse was highest among AI/AN/NH college students (7.12 %) relative to other race/ethnicity groups. AI/AN/NH college students who reported experiencing loneliness (aOR: 1.68; 95 % CI 1.33−2.12; P < .0001), difficult social relationships (aOR: 1.27; 95 % CI 1.04−1.55; P = 0.0196), family problems (aOR: 1.32; 95 % CI 1.07−1.63; P = 0.0097), and intimate partner violence (aOR: 1.92; 95 % CI 1.56−2.36; P < .0001) were significantly more likely to misuse opioids than students who did not report experiencing these relationship problems.
Relationship problems with peers and family increase AI/AN/NH college student risk for opioid misuse, indicating opportunities for colleges to support programs addressing healthy social relationships as a means to reduce opioid misuse among AI/AN/NH students. |
| doi_str_mv | 10.1016/j.drugalcdep.2021.108667 |
| format | Article |
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Despite declining overall rates of opioid misuse among college students, racial and ethnic differences in percentage and correlates of opioid misuse among student populations remains unclear. This study seeks to estimate percentages of opioid misuse among American Indian, Alaska Native, and Native Hawaiian (AI/AN/NH) college students and determine whether problems in social bonds affect AI/AN/NH opioid misuse.
Guided by social relationship factors associated with substance use in the Social Development Model, we used 2015–2019 data from the American College Health Association-National College Health Assessment survey in multivariable logistic regression models to examine the role of social bonds with peers and family in opioid misuse (prescription and non-prescription) among AI/AN/NH college students across the U.S.
The percentage of opioid misuse was highest among AI/AN/NH college students (7.12 %) relative to other race/ethnicity groups. AI/AN/NH college students who reported experiencing loneliness (aOR: 1.68; 95 % CI 1.33−2.12; P < .0001), difficult social relationships (aOR: 1.27; 95 % CI 1.04−1.55; P = 0.0196), family problems (aOR: 1.32; 95 % CI 1.07−1.63; P = 0.0097), and intimate partner violence (aOR: 1.92; 95 % CI 1.56−2.36; P < .0001) were significantly more likely to misuse opioids than students who did not report experiencing these relationship problems.
Relationship problems with peers and family increase AI/AN/NH college student risk for opioid misuse, indicating opportunities for colleges to support programs addressing healthy social relationships as a means to reduce opioid misuse among AI/AN/NH students.</description><identifier>ISSN: 0376-8716</identifier><identifier>EISSN: 1879-0046</identifier><identifier>DOI: 10.1016/j.drugalcdep.2021.108667</identifier><identifier>PMID: 33771399</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Aggression ; Alaska Natives ; American Indian ; American Indian or Alaska Native ; American Indians ; Attachment ; Child & adolescent psychiatry ; College students ; Colleges & universities ; Drug abuse ; Drug addiction ; Ethnic differences ; Ethnicity ; Families & family life ; Family conflict ; Humans ; Indians, North American ; Indigenous ; Indigenous peoples ; Interpersonal Relations ; Intimate partner violence ; Loneliness ; Minority & ethnic groups ; Narcotics ; Native Hawaiian or Other Pacific Islander ; Native North Americans ; Opioid misuse ; Opioid-Related Disorders - epidemiology ; Opioids ; Peer relationships ; Race ; Racial differences ; Regression analysis ; Regression models ; Social bonds ; Social development ; Social development model ; Social interaction ; Social programs ; Social relations ; Students ; Substance abuse ; Substance use ; United States</subject><ispartof>Drug and alcohol dependence, 2021-05, Vol.222, p.108667, Article 108667</ispartof><rights>2021 Elsevier B.V.</rights><rights>Copyright © 2021 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. May 1, 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-4217f43921d365350fe683c2d06227f6f2becb86f23e3e4812c1bfbb19df7f5b3</citedby><cites>FETCH-LOGICAL-c452t-4217f43921d365350fe683c2d06227f6f2becb86f23e3e4812c1bfbb19df7f5b3</cites><orcidid>0000-0002-3376-220X ; 0000-0003-3146-4222 ; 0000-0001-5884-372X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0376871621001629$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30976,33751,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33771399$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Qeadan, Fares</creatorcontrib><creatorcontrib>Madden, Erin F.</creatorcontrib><creatorcontrib>Bern, Rona</creatorcontrib><creatorcontrib>Parsinejad, Nasim</creatorcontrib><creatorcontrib>Porucznik, Christina A.</creatorcontrib><creatorcontrib>Venner, Kamilla L.</creatorcontrib><creatorcontrib>English, Kevin</creatorcontrib><title>Associations between opioid misuse and social relationship factors among American Indian, Alaska Native, and Native Hawaiian college students in the U.S</title><title>Drug and alcohol dependence</title><addtitle>Drug Alcohol Depend</addtitle><description>•AI/AN/NH college students have higher opioid misuse prevalence than most other groups.•AI/AN/NH students reporting traumatic or violent relationships were at greater risk.•AI/AN/NH students reporting loneliness or family problems also exhibited greater risk.•The Social Development Model emphasis on prosocial relationships appears to apply.
Despite declining overall rates of opioid misuse among college students, racial and ethnic differences in percentage and correlates of opioid misuse among student populations remains unclear. This study seeks to estimate percentages of opioid misuse among American Indian, Alaska Native, and Native Hawaiian (AI/AN/NH) college students and determine whether problems in social bonds affect AI/AN/NH opioid misuse.
Guided by social relationship factors associated with substance use in the Social Development Model, we used 2015–2019 data from the American College Health Association-National College Health Assessment survey in multivariable logistic regression models to examine the role of social bonds with peers and family in opioid misuse (prescription and non-prescription) among AI/AN/NH college students across the U.S.
The percentage of opioid misuse was highest among AI/AN/NH college students (7.12 %) relative to other race/ethnicity groups. AI/AN/NH college students who reported experiencing loneliness (aOR: 1.68; 95 % CI 1.33−2.12; P < .0001), difficult social relationships (aOR: 1.27; 95 % CI 1.04−1.55; P = 0.0196), family problems (aOR: 1.32; 95 % CI 1.07−1.63; P = 0.0097), and intimate partner violence (aOR: 1.92; 95 % CI 1.56−2.36; P < .0001) were significantly more likely to misuse opioids than students who did not report experiencing these relationship problems.
Relationship problems with peers and family increase AI/AN/NH college student risk for opioid misuse, indicating opportunities for colleges to support programs addressing healthy social relationships as a means to reduce opioid misuse among AI/AN/NH students.</description><subject>Aggression</subject><subject>Alaska Natives</subject><subject>American Indian</subject><subject>American Indian or Alaska Native</subject><subject>American Indians</subject><subject>Attachment</subject><subject>Child & adolescent psychiatry</subject><subject>College students</subject><subject>Colleges & universities</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Ethnic differences</subject><subject>Ethnicity</subject><subject>Families & family life</subject><subject>Family conflict</subject><subject>Humans</subject><subject>Indians, North American</subject><subject>Indigenous</subject><subject>Indigenous peoples</subject><subject>Interpersonal Relations</subject><subject>Intimate partner violence</subject><subject>Loneliness</subject><subject>Minority & ethnic groups</subject><subject>Narcotics</subject><subject>Native Hawaiian or Other Pacific Islander</subject><subject>Native North Americans</subject><subject>Opioid misuse</subject><subject>Opioid-Related Disorders - epidemiology</subject><subject>Opioids</subject><subject>Peer relationships</subject><subject>Race</subject><subject>Racial differences</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Social bonds</subject><subject>Social development</subject><subject>Social development model</subject><subject>Social interaction</subject><subject>Social programs</subject><subject>Social relations</subject><subject>Students</subject><subject>Substance abuse</subject><subject>Substance use</subject><subject>United States</subject><issn>0376-8716</issn><issn>1879-0046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkc1u1TAQha0K1F4Kr4AssW0u_knsZHmpCq1UwaLt2nLs8a0viR3spBVvwuPiNgWWzGZG1nfmaHwQwpRsKaHi42Fr07LXg7EwbRlhtDy3QsgjtKGt7CpCavEKbQiXomolFSfoTc4HUkp05BidcC4l5V23Qb92OUfj9exjyLiH-REg4Dj56C0efV4yYB0sfoYGnGBY0Xs_YafNHFPGeoxhj3cjJG90wFfBeh3O8G7Q-bvGX4vgAc6et6wzvtSP2hcGmzgMsAec58VCmDP2Ac_3gO-2N2_Ra6eHDO9e-im6-3xxe35ZXX_7cnW-u65M3bC5qhmVruYdo5aLhjfEgWi5YZYIxqQTjvVg-rZ0DhzqljJDe9f3tLNOuqbnp-jDundK8ccCeVaHuKRQLBVrGGtrWf6sUO1KmRRzTuDUlPyo009FiXqKRB3Uv0jUUyRqjaRI378YLP0I9q_wTwYF-LQCUM588JBUNh6CAesTmFnZ6P_v8hu_t6Pv</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Qeadan, Fares</creator><creator>Madden, Erin F.</creator><creator>Bern, Rona</creator><creator>Parsinejad, Nasim</creator><creator>Porucznik, Christina A.</creator><creator>Venner, Kamilla L.</creator><creator>English, Kevin</creator><general>Elsevier B.V</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7U3</scope><scope>7U4</scope><scope>7U7</scope><scope>BHHNA</scope><scope>C1K</scope><scope>DWI</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><orcidid>https://orcid.org/0000-0002-3376-220X</orcidid><orcidid>https://orcid.org/0000-0003-3146-4222</orcidid><orcidid>https://orcid.org/0000-0001-5884-372X</orcidid></search><sort><creationdate>20210501</creationdate><title>Associations between opioid misuse and social relationship factors among American Indian, Alaska Native, and Native Hawaiian college students in the U.S</title><author>Qeadan, Fares ; 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Despite declining overall rates of opioid misuse among college students, racial and ethnic differences in percentage and correlates of opioid misuse among student populations remains unclear. This study seeks to estimate percentages of opioid misuse among American Indian, Alaska Native, and Native Hawaiian (AI/AN/NH) college students and determine whether problems in social bonds affect AI/AN/NH opioid misuse.
Guided by social relationship factors associated with substance use in the Social Development Model, we used 2015–2019 data from the American College Health Association-National College Health Assessment survey in multivariable logistic regression models to examine the role of social bonds with peers and family in opioid misuse (prescription and non-prescription) among AI/AN/NH college students across the U.S.
The percentage of opioid misuse was highest among AI/AN/NH college students (7.12 %) relative to other race/ethnicity groups. AI/AN/NH college students who reported experiencing loneliness (aOR: 1.68; 95 % CI 1.33−2.12; P < .0001), difficult social relationships (aOR: 1.27; 95 % CI 1.04−1.55; P = 0.0196), family problems (aOR: 1.32; 95 % CI 1.07−1.63; P = 0.0097), and intimate partner violence (aOR: 1.92; 95 % CI 1.56−2.36; P < .0001) were significantly more likely to misuse opioids than students who did not report experiencing these relationship problems.
Relationship problems with peers and family increase AI/AN/NH college student risk for opioid misuse, indicating opportunities for colleges to support programs addressing healthy social relationships as a means to reduce opioid misuse among AI/AN/NH students.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>33771399</pmid><doi>10.1016/j.drugalcdep.2021.108667</doi><orcidid>https://orcid.org/0000-0002-3376-220X</orcidid><orcidid>https://orcid.org/0000-0003-3146-4222</orcidid><orcidid>https://orcid.org/0000-0001-5884-372X</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals; Sociological Abstracts |
| subjects | Aggression Alaska Natives American Indian American Indian or Alaska Native American Indians Attachment Child & adolescent psychiatry College students Colleges & universities Drug abuse Drug addiction Ethnic differences Ethnicity Families & family life Family conflict Humans Indians, North American Indigenous Indigenous peoples Interpersonal Relations Intimate partner violence Loneliness Minority & ethnic groups Narcotics Native Hawaiian or Other Pacific Islander Native North Americans Opioid misuse Opioid-Related Disorders - epidemiology Opioids Peer relationships Race Racial differences Regression analysis Regression models Social bonds Social development Social development model Social interaction Social programs Social relations Students Substance abuse Substance use United States |
| title | Associations between opioid misuse and social relationship factors among American Indian, Alaska Native, and Native Hawaiian college students in the U.S |
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