ArticleThe American journal of drug and alcohol abuse2020
Early onset of cannabis use and alcohol intoxication predicts prescription drug misuse in American Indian and non-American Indian adolescents living on or near reservations.
Article in The American journal of drug and alcohol abuse, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 15 citations in OpenAlex.
- Early Substance Use Initiation Is Associated With Difficulty Quitting Among American Indian and Non-American Indian Youth: A Potential Marker of Later Dependence?Journal of studies on alcohol and drugs · 2026Article
- Motivations for Nonuse as Predictors of Substance Use Among Reservation-Based Youth in a Computerized Screening and Brief Intervention: The Power of Positive People.Journal of child & adolescent substance use · 2026Article
- The Relationships of Early Use of Marijuana With Substance Use and Violence in Adolescent Gamblers and Non-Gamblers.Journal of the Korean Academy of Child and Adolescent Psychiatry · 2025Article
- Investigating Cannabis-Use Among Students Attending High Schools Within the Cherokee Nation Reservation 2017 and 2019.Journal of community health · 2024Article
- Tribal Reservation Adolescent Connections Study: A study protocol using mixed methods for examining social networks and associated outcomes among American Indian youth on a Northern Plains reservation.Child abuse & neglect · 2024Article
- Social networks of American Indian youth on a Northern Plains reservation.Connections (Toronto, Ont.) · 2024Article
- Leveraging the Full Continuum of Care to Prevent Opioid Use Disorder.Prevention science : the official journal of the Society for Prevention Research · 2023Article
- Culturally Responsive Opioid and Other Drug Prevention for American Indian/Alaska Native People: a Comparison of Reservation- and Urban-Based Approaches.Prevention science : the official journal of the Society for Prevention Research · 2023Article
- Article
- Profiles of Ecosystemic Resilience and Risk: American Indian Adolescent Substance Use during the First Year of the COVID-19 Crisis.International journal of environmental research and public health · 2022Article
- Racial and Ethnic Differences in Cannabis Use and Cannabis Use Disorder: Implications for Researchers.Current addiction reports · 2022Article
- Variations of cannabis-related adverse mental health and addiction outcomes across adolescence and adulthood: A scoping review.Frontiers in psychiatry · 2022Article
- Depressive symptoms, alcohol use, and alcohol-related consequences: the moderating role of gender among American Indian adolescents.Journal of ethnicity in substance abuseArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPrescription drug misuse (PDM) is a growing issue within the American Indian (AI) population, especially in younger populations.
objectivesThis study estimates relationships between PDM and early initiation (prior to 14 yrs) of cannabis use and alcohol intoxication for a national sample of AI and non-AI adolescents attending schools on or near reservations.
methodParticipants were 2580 students (50.2% female; 58.1% AI), ages 15-18, attending schools located on or near an AI reservation. Four models of PDM were estimated: 1) demographic variables; 2) demographics plus cannabis use initiation status; 3) demographics plus alcohol intoxication initiation status; and 4) all variables. All analyses were conducted using multilevel modeling.
resultsResults indicated that early onset of cannabis use and alcohol intoxication were individually significant predictors of PDM for AI and non-AI adolescents, with odds ratios (OR) of 47.00 for cannabis (p <.01) and 35.73 (p <.01) for intoxication and with no significant differences by race (AI vs. non-AI). Results also indicated a greater likelihood of PDM when a student was an early initiator of both cannabis use and intoxication than when they were one or the other. Finally, there was a significantly greater association between cannabis use and PDM (ORearlycannabis = 24.95, p <.01) than between intoxication and PDM (ORearlyintoxication = 3.98, p <.01) when both predictors were in the model.
conclusionsThese findings suggest that for AI and non-AI youth who have some shared living experience, early initiation of cannabis use and alcohol intoxication are risk factors that are similarly related to PDM and that targeting early initiation for both groups of adolescents is critical in prevention of PDM.
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