Associations between adverse childhood experiences, student-teacher relationships, and non-medical use of prescription medications among adolescents.

Abstract:

OBJECTIVE:Few studies have investigated associations between adverse childhood experiences (ACE) and nonmedical use of prescription medication (NMUPM) in population-based samples of adolescents, and even fewer have examined whether promotive factors might buffer these effects. The present study assesses the direct effects of ACE and positive student-teacher relationships on NUMPD and whether positive student-teacher relationships moderate this association. DESIGN:Data were from the 2013 Minnesota Student Survey (MSS), an in-school survey administered every three years to students throughout Minnesota. The analytic sample (n=104,332) was comprised of 8th, 9th, and 11th graders. RESULTS:Approximately 3% of students acknowledged past year NMUPM, the majority of whom reported at least one ACE. The most frequently used prescription drug was Ritalin/ADHD medications (1.71%) followed by opiate-based painkillers (1.67%), tranquilizers (0.92%), and stimulants (0.75%). Students who reported any use tended to use more than one medication. For every additional ACE, there was a 56%, 51%, 47%, and 52% increase in the odds of past year stimulant use, ADHD medication, pain reliever, and tranquilizer use, respectively. The estimated rate of the number of prescription drugs used increased by 62% for every additional ACE. Positive student- teacher relationships buffered the association between ACE and NMUPD, especially at higher levels of ACEs. CONCLUSION:Our findings have important implications for prevention work. Training educators to recognize trauma symptomology and cultivating strong student-teacher relationships are important considerations for future school-based substance use prevention initiatives.

journal_name

Addict Behav

journal_title

Addictive behaviors

authors

Forster M,Gower AL,Borowsky IW,McMorris BJ

doi

10.1016/j.addbeh.2017.01.004

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

30-34

eissn

0306-4603

issn

1873-6327

pii

S0306-4603(17)30005-9

journal_volume

68

pub_type

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