ArticleDrug and alcohol dependence2021
Opioid misuse and family structure: Changes and continuities in the role of marriage and children over two decades.
Article in Drug and alcohol dependence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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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.
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Who cites it
11 citing papers in PubMed, 27 citations in OpenAlex.
- The changing contribution of fentanyl use to non-fatal overdose among a cohort of people who inject drugs in San Diego, California: A longitudinal assessment.Drug and alcohol dependence · 2026Article
- Dietary and Consumer Behaviors in Individuals Currently Using Substances: A Cross-Sectional Study Based on NHANES (2013 - 2018).American journal of lifestyle medicine · 2025Article
- Temporal stability and volatility in population-level high-risk illicit polysubstance use by gender and marital status in the United States, 2002-2019.Social science & medicine (1982) · 2025Article
- Opioid Addiction and Gender Role Conflict: A Comparative Study of Fathers Receiving Treatment for an Opioid Use Disorder.Psychology of men & masculinity · 2025Article
- More Than 1.4 Million US Children Have Lost a Family Member to Drug Overdose.American journal of public health · 2024Article
- Household Compositions and Substance Use among Young Adults in the U.S.International journal of environmental research and public health · 2024Article
- Misuse of Prescription Opioids and Suicidal Behaviors Among Black Adolescents: Findings from the 2017 and 2019 Youth Risk Behavior Survey.Journal of racial and ethnic health disparities · 2023Article
- The Opioid Epidemic: A Review of the Contributing Factors, Negative Consequences, and Best Practices.Cureus · 2023Review
- Using the National Institute on Minority Health and Health Disparities framework to better understand disparities in major amputations.Seminars in vascular surgery · 2023Review
- The Opioid Crisis and Child Maltreatment Across Counties and Time in the United States, 2007-2017.The Annals of the American Academy of Political and Social Science · 2022Article
- A Demographic and Regional Comparison of Opioid-Related Hospital Visits within Community Type in the United States.Journal of clinical medicine · 2021Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe opioid crisis is widely felt in the United States. Scholarly attention to the crisis focuses on macro-level processes and largely neglects meso-level explanations such as family structure for opioid use behaviors. We hypothesize that married adults and adults with coresident children are at lower risk of misusing prescription pain relievers (PPR), using heroin, and using needles to inject heroin relative to adults from other family structures.
methodWe used National Survey on Drug Use and Health data from 2002-2018 to test our hypotheses with multivariable logistic regression.
resultsWe found that married adults have a lower predicted probability of each opioid use behavior relative to nonmarried adults across the study period. We also found that the presence of children is associated with reductions in all three outcomes especially for never married adults.
conclusionIndividuals from all family structures are vulnerable to the opioid crisis, but never married adults without coresident children ("disconnected adults") are especially susceptible to temporal fluctuations and drive the temporal trends in PPR misuse and heroin use. These findings suggest that ongoing demographic trends where disconnected adults are a growing population may result in future rises in opioid use disorders and mortality because of divestment from U.S. social safety nets. Future research should examine the role of U.S. policies that make disconnected adults especially vulnerable to developing opioid use disorders.
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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.