Social contextual risk factors for stimulant use among adolescent American Indians
| Autor: | Nichea S. Spillane, Lisa L. Weyandt, Danielle R. Oster, Hayley R. Treloar |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adolescent
Substance-Related Disorders medicine.medical_treatment Social Environment Toxicology Peer Group Article Developmental psychology 03 medical and health sciences 0302 clinical medicine Risk Factors Surveys and Questionnaires medicine Humans 0501 psychology and cognitive sciences Pharmacology (medical) Students Pharmacology Schools 05 social sciences Contextual risk United States 030227 psychiatry Stimulant Psychiatry and Mental health Attention Deficit Disorder with Hyperactivity Indians North American Central Nervous System Stimulants Psychology 050104 developmental & child psychology |
| Zdroj: | Drug and Alcohol Dependence. 179:167-173 |
| ISSN: | 0376-8716 |
| Popis: | Stimulants are the most common and efficacious treatment for Attention-Deficit Hyperactivity Disorder (ADHD). We examined the relationship between stimulant misuse and social factors that could be malleable to prevention among American Indian (AI) adolescents.Participants were AI students (N=3498) sampled from 33 schools in 11 states. Participants completed the American Drug and Alcohol Survey. A multilevel analytic approach was used to evaluate the effects of participant-level (level 1) variables (i.e., gender, grade, peer, school, family, stimulant prescribed by doctor) on lifetime and current simulant use to 'get high.'Nearly 7% of our sample had been prescribed stimulants and nearly 6% of the sample reported using stimulants to get high. Age [OR=1.22; 95% CI=1.09, 1.36, p0.001], perception of peer substance use [OR=1.19; 95% CI=1.14, 1.23, p0.001], parental monitoring [OR=0.96; 95% CI=0.92, 1.99, p=0.04], and stimulants prescribed by a doctor [OR=8.79, 95% CI=5.86, 13.18, p0.001] were associated with ever using stimulants to get high. Perception of peer substance use, [b=0.09, SE=0.02, p0.001, 95%CI [0.05, 0.13], and having stimulants prescribed by a doctor, [b=0.58, SE=0.21, p=0.006, 95%CI [0.17, 0.99], were associated with frequency of past month use to get high. There was also a significant quadratic effect for parental monitoring, suggesting that low and high levels were associated with increased stimulant use.Our results suggest a need for prevention efforts to be directed to AI youth who are prescribed stimulants. |
| Databáze: | OpenAIRE |
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