A supportive school environment may reduce the risk of non-medical prescription opioid use due to impaired mental health among students.
Adolescent
Analgesics
Education settings
Mental health
Opioid
Prescription opioids
School environment
Schools
Substance use/abuse
Youth
Journal
European child & adolescent psychiatry
ISSN: 1435-165X
Titre abrégé: Eur Child Adolesc Psychiatry
Pays: Germany
ID NLM: 9212296
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
12
12
2019
accepted:
16
03
2020
pubmed:
28
3
2020
medline:
2
4
2021
entrez:
28
3
2020
Statut:
ppublish
Résumé
Canada is in the midst of an ongoing, escalating opioid crisis, with significant impacts on adolescents and young adults. Accordingly, mental health impairment was examined as a risk factor for non-medical prescription opioid use (NMPOU) among high school students. In addition, the moderating effects of the school environment, in terms of the availability of mental health services and substance use policies, were characterized. Self-reported, cross-sectional data were obtained from the COMPASS study, including 61,239 students (grades 9-12) in 121 secondary schools across Canada. Current and lifetime NMPOU were ascertained. Categorical indicators of mental health impairment and school environment were derived. The main analytical strategy encompassed hierarchal multilevel logistic regression, including the addition of interaction terms to characterize the moderation effects. Current and lifetime NMPOU were reported by 5.8% and 7.2% of the students, respectively. After adjusting for confounders, students in the highest quintile of mental health impairment had odds ratios (OR) of 2.60 (95% confidence interval [CI] 2.29-2.95) and 2.96 (95% CI 2.64-3.33) for current and lifetime NMPOU, respectively when compared to students in the lowest quintile of mental health impairment. A significant interaction between mental health impairment and school environment indicated relatively lower risks of NMPOU in students from schools that provide more mental health services and have stricter substance use policies. Mental health impairment increased the risk of NMPOU, but the associations were moderated by the school environment. These findings underscore the importance of mental health services and substance use regulations in schools.
Identifiants
pubmed: 32215733
doi: 10.1007/s00787-020-01518-3
pii: 10.1007/s00787-020-01518-3
doi:
Substances chimiques
Analgesics, Opioid
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
293-301Subventions
Organisme : Institute of Neurosciences, Mental Health and Addiction
ID : SMN-13950
Organisme : Institute of Nutrition, Metabolism and Diabetes
ID : OOP-110788
Organisme : Institute of Population and Public Health
ID : MOP-114875
Organisme : Canadian Institutes of Health Research (CA)
ID : PJT-148562
Organisme : Health Canada
ID : #1617-HQ-000012
Organisme : CIHR
ID : PJT-149092
Pays : Canada
Organisme : CIHR
ID : PJT-159693
Pays : Canada
Organisme : CIHR
ID : PJT-149092
Pays : Canada
Organisme : CIHR
ID : PJT-159693
Pays : Canada
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