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Adolescent opioid use: Examining the intersection of multiple inequalities
Cristina B Bares1, Addie Weaver1, Mary F Kelso1
1School of Social Work, University of Michigan , Ann Arbor , Michigan , USA.
Summary
Adolescent opioid use is influenced by intersecting social and economic factors, including race, sex, and where they live. Understanding these combined inequalities is crucial for effective prevention and treatment strategies.
Area of Science:
- Public Health
- Sociology
- Adolescent Health
Background:
- Nonmedical prescription opioid use among adolescents is a growing public health concern in the U.S.
- Limited understanding exists regarding the impact of intersecting social and economic inequalities on adolescent opioid use.
Purpose of the Study:
- To examine how residential context, parental education, race/ethnicity, and sex interact to influence adolescent opioid use.
- To identify disparities in adolescent opioid use based on multiple intersecting identities.
Main Methods:
- Utilized data from the 2015 Monitoring the Future study.
- Employed bivariate analyses and multi-group logistic regression to explore associations between demographic factors and opioid use.
- Examined opioid use patterns across race/ethnicity, sex, residential context, and socioeconomic status (SES).
Main Results:
- Demonstrated differential patterns of adolescent opioid use based on residential context and SES, varying across race/ethnicity and sex.
- Found that intersecting identities significantly influence adolescent opioid use rates.
- Highlighted racial/ethnic heterogeneity within rural adolescent populations and its relation to opioid use.
Conclusions:
- Intersecting identities are critical determinants of adolescent opioid use, necessitating their consideration in treatment interventions.
- Acknowledging the diversity within rural adolescent populations is essential for understanding opioid use.
- Community-based approaches are needed to address the complex inequalities contributing to adolescent opioid use.
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