ArticleDrug and alcohol dependence2016
Nonmedical opioid use and heroin use in a nationally representative sample of us high school seniors.
Article in Drug and alcohol dependence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
60 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.
- Can neuroimaging help combat the opioid epidemic? A systematic review of clinical and pharmacological challenge fMRI studies with recommendations for future research.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2019Pooled it
- Understanding risk and protective factors associated with opioid misuse among at-risk adolescents and young adults in the emergency department.Drug and alcohol dependence · 2025Trial
- Evaluating the Effectiveness of a Web-Based Program (POP4Teens) to Prevent Prescription Opioid Misuse Among Adolescents: Randomized Controlled Trial.JMIR public health and surveillance · 2021Trial
- A community pharmacy-led intervention for opioid medication misuse: A small-scale randomized clinical trial.Drug and alcohol dependence · 2019Trial
- Posterior spinal fusion for adolescent idiopathic scoliosis and the impact of postoperative intravenous dexamethasone supplementation.Paediatric & neonatal pain · 2024Article
- Prescription drug monitoring programs and prescription pain medication misuse among U.S. high school students-2019.BMC public health · 2024Article
- Article
- Examining the Critical Need for Tailored Adolescent Opioid Education: A National Study.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2023Article
- Mortality during Resource Booms and Busts.Journal of environmental economics and management · 2022Article
- Poly-victimization and opioid use during late adolescence and young adulthood: Health behavior disparities and protective factors.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022Article
- Longitudinal trajectories of prescription opioid misuse in adolescents.Drug and alcohol dependence · 2022Article
- Addressing opioid medication misuse at point of service in community pharmacy: A study protocol for an interdisciplinary behavioral health trial.Contemporary clinical trials · 2022Article
- Cumulative protective factors are associated with decreased risk for prescription opioid misuse among high school students.Journal of epidemiology and community health · 2021Article
- Functional connectivity of posterior cingulate gyrus in heroin dependents treated by methadone maintenance and protracted abstinence measures: an event-related fMRI study.Brain imaging and behavior · 2021Article
- Emergency department strategies to combat the opioid crisis in children and adolescents.Journal of the American College of Emergency Physicians open · 2021Review
- "People Don't Just Start Shooting Heroin on Their 18Prevention science : the official journal of the Society for Prevention Research · 2021Article
- Opioid use at the transition to emerging adulthood: A latent class analysis of non-medical use of prescription opioids and heroin use.Addictive behaviors · 2021Article
- Guidelines for Opioid Prescribing in Children and Adolescents After Surgery: An Expert Panel Opinion.JAMA surgery · 2021Review
- Social-Ecological Predictors of Opioid Use Among Adolescents With Histories of Substance Use Disorders.Frontiers in psychology · 2021Article
- Initiation of nonmedical use of prescription opioids among high school students.Substance abuse · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundNonmedical use of opioids has become increasingly problematic in recent years with increases in overdoses, treatment admissions, and deaths. Use also appears to be contributing to heroin initiation, which has increased in recent years. Further research is needed to examine which adolescents are at highest risk for nonmedical use of opioids and heroin and to explore potential links between nonmedical opioid use and heroin use.
methodsData were analyzed from a nationally representative sample of American high school seniors in the Monitoring the Future study (2009-2013, Weighted N=67,822). We examined associations between frequency and recency of nonmedical use of opioids and heroin. Sociodemographic correlates of use of each drug were also examined.
results12.4% of students reported lifetime nonmedical opioid use and 1.2% reported lifetime heroin use. As frequency of lifetime nonmedical opioid use increased, so too did the odds for reporting heroin use, with over three-quarters (77.3%) of heroin users reporting lifetime nonmedical opioid use. Recent (30-day) nonmedical opioid use was a robust risk factor for heroin use and almost a quarter (23.2%) of students who reported using opioids ≥40 times reported lifetime heroin use. Black and Hispanic students were less likely to report nonmedical opioid or heroin use than white students, but they were more likely to report heroin use in absence of nonmedical opioid use. DISCUSSION: Recent and frequent nonmedical opioid use are risk factors for heroin use among adolescents. Prevention needs to be targeted to those at highest risk.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.