Psychosocial Correlates of Opioid Use Profiles among Young Adults in a Longitudinal Study across 6 US Metropolitan Areas.
Subst Use Misuse
; 58(8): 981-988, 2023.
Article
in En
| MEDLINE
| ID: mdl-37082785
ABSTRACT
Background:
Examining opioid use profiles over time and related factors among young adults is crucial to informing prevention efforts.Objectives:
This study analyzed baseline data (Fall 2018) and one-year follow-up data from a cohort of 2,975 US young adults (Mage=24.55, 42.1% male; 71.7% White; 11.4% Hispanic). Multinomial logistic regression was used to examine 1) psychosocial correlates (i.e. adverse childhood experiences [ACEs], depressive symptoms, parental substance use) of lifetime opioid use (i.e. prescription use vs. nonuse, nonmedical prescription [NMPO] use, and heroin use, respectively); and 2) psychosocial correlates and baseline lifetime use in relation to past 6-month use at one-year follow-up (i.e. prescription use vs. nonuse and NMPO/heroin use, respectively).Results:
At baseline, lifetime use prevalence was 30.2% prescription, 9.7% NMPO, and 3.1% heroin; past 6-month use prevalence was 7.6% prescription, 2.5% NMPO, and 0.9% heroin. Compared to prescription users, nonusers reported fewer ACEs and having parents more likely to use tobacco, but less likely alcohol; NMPO users did not differ; and heroin users reported more ACEs and having parents more likely to use cannabis but less likely alcohol. At one-year follow-up, past 6-month use prevalence was 4.3% prescription, 1.3% NMPO, and 1.4% heroin; relative to prescription users, nonusers were less likely to report baseline lifetime opioid use and reported fewer ACEs, and NMPO/heroin users were less likely to report baseline prescription opioid use but more likely heroin use.Conclusions:
Psychosocial factors differentially correlate with young adult opioid use profiles, and thus may inform targeted interventions addressing different use patterns and psychosocial risk factors.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Prescription Drug Misuse
/
Heroin Dependence
/
Opioid-Related Disorders
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
En
Journal:
Subst Use Misuse
Journal subject:
TRANSTORNOS RELACIONADOS COM SUBSTANCIAS
Year:
2023
Type:
Article
Affiliation country:
United States