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Family structure and past-30 day opioid misuse among justice-involved children

Dylan J Shaw1,2, Trey B Warren1,2, Micah E Johnson1,2

  • 1a The Study of Teen Opioid Misuse and Prevention Laboratory, University of Florida HealthStreet, Gainesville, Florida, USA.

Substance Use & Misuse
|March 9, 2019
PubMed

Insights

Justice-involved children in two-parent or grandparent-only households showed higher odds of opioid misuse initiation than those in single-parent homes. This suggests increased access in multi-adult households may pose a greater risk than previously thought.

Area of Science:

  • Adolescent Health
  • Substance Abuse Research
  • Criminology

Background:

  • Opioid misuse (OM) is a critical public health issue, particularly among high-risk youth.
  • Justice-involved children (JIC) are a vulnerable population requiring targeted research for OM prevention.
  • Adverse childhood experiences, such as living in a single-parent household, are linked to substance abuse in JIC.

Purpose of the Study:

  • To investigate the association between household structure and opioid misuse initiation among justice-involved children.
  • To test the hypothesis that JIC in single-parent households have a higher likelihood of past-30 day OM.

Main Methods:

  • Utilized cross-sectional data from 79,960 justice-involved children in Florida.
  • Employed multivariate logistic regression analyses to examine predictors of opioid misuse.

Main Results:

  • Contrary to the hypothesis, JIC in two-parent households were 16% as likely to report past-30 day OM compared to those in single-parent households.
  • JIC in grandparent-only households were 28% as likely to report past-30 day OM as those in single-parent households.
  • The observed relationships between household structure and OM varied by age.

Conclusions:

  • Two-parent and grandparent-only households may be associated with increased opioid access, posing a higher risk than single-parent households.
  • Interventions for prescription medication disposal should prioritize households with multiple adults and grandparents.
  • Further research is needed to understand the mechanisms driving increased OM risk in these family structures.
Abstract

Keywords:
Opioid misusedrug abusefamily structurejustice-involved childrenjuvenile justice

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