Cumulative protective factors are associated with decreased risk for prescription opioid misuse among high school students

2021 ◽  
pp. jech-2020-214218
Author(s):  
Zach Timpe ◽  
Heather B Clayton ◽  
Jack Andrzejewski ◽  
Chanel Phillips ◽  
Sarah Conklin ◽  
...  

BackgroundMultiple protective factors at the individual and environmental levels have been associated with prescription opioid misuse (POM) among adolescents. The literature may benefit by extending this research to consider the association between cumulative protective factors and current (ie, within the past 30 days) POM.MethodsThe 2017 Virginia Youth Survey (part of the Youth Risk Behaviour Surveillance System) (N=3697) was used to investigate recent POM and the presence of individual and cumulative protective factors among high school students. Youth were asked to indicate whether they had engaged POM within the past 30 days. A set of protective factors representing youths’ internal assets (eg, aspirational plans for education) and external resources (eg, family meals, safe school environment) were investigated as predictors of current POM, followed by testing of a cumulative protective factor score. Logistic regression models estimated ORs and 95% CIs.ResultsWhen including demographics and risk factors in the model, none of the individual protective factors were significantly associated with current POM. Alternatively, the cumulative protective factor score was significantly associated with a decrease in the odds of current POM.ConclusionsThe cumulative protective factor score was significantly associated with a decrease in the odds of current POM among high school students in Virginia. Programmes designed to provide multiple forms of support may be effective strategies for preventing current POM.

Author(s):  
Retno Purwasih

Moral awareness is a condition where the individual understands and comprehends the actions taken, both in the past, present, and future and realizes how the impact of behavior carried out both for oneself, others, and the surrounding. The purpose of this study is to find out how is the strategies of guidance and counseling teacher to increasing the moral awareness of students so far. This research is a qualitative type of phenomenology research. The data were collected through observation and interviews. The participants of the interviews were guidance and counseling teachers who teach in high schools which were chosen randomly. The data which were obtained from interviews were analyzed using the Miles & Huberman qualitative research model. The results showed the guidance and counseling teachers’ strategies in increasing moral awareness mostly through group guidance, group counseling, individual counseling, and responsive services with lecturing method, discussion, short film, and modeling. Keywords: High School Students, Guidance and Counseling Teachers, Moral Awareness, Descriptive Qualitative


2020 ◽  
Vol 69 (1) ◽  
pp. 38-46 ◽  
Author(s):  
Christopher M. Jones ◽  
Heather B. Clayton ◽  
Nicholas P. Deputy ◽  
Douglas R. Roehler ◽  
Jean Y. Ko ◽  
...  

PEDIATRICS ◽  
2021 ◽  
pp. e2020030601
Author(s):  
Natalie J. Wilkins ◽  
Heather Clayton ◽  
Christopher M. Jones ◽  
Melissa Brown

2021 ◽  
Vol 26 (2) ◽  
pp. 133-143
Author(s):  
Olufunmilola Abraham ◽  
Lisa Szela ◽  
Tanvee Thakur ◽  
Kelsey Brasel ◽  
Randall Brown

OBJECTIVES This study explored adolescents' perspectives on prescription opioids, opioid safety and misuse, and sources of opioid information. METHODS High school students participated in focus groups that elicited information about adolescent perspectives on prescription opioids and opioid safety. Demographic information was collected. Focus groups consisted of 5 to 8 student participants and 2 moderators. Focus groups were audio-recorded and professionally transcribed. Transcript content was thematically analyzed using NVivo. RESULTS A total of 54 high school students (59% female, 44% white, 44% Latino) participated in 8 focus groups. Participants ranged from ages 14 to 18 years and grades 9 to 12. Five major themes emerged: 1) perceptions of prescription opioids and misuse; 2) prevalence of prescription opioid misuse; 3) reasons for prescription opioid misuse; 4) consequences of prescription opioid misuse; and 5) sources of medication information. Participants identified examples of misuse and reasons for and consequences of teen opioid misuse, including mental and physical health challenges, peer and family influences, and addiction. Sources of opioid-related information included family, peers, online Web sites, and television shows. CONCLUSIONS Adolescents had some knowledge pertaining to prescription opioids, but they had misconceptions related to safety. Participants were aware of safety risks and negative consequences of misuse. Adolescents obtained medication information from various sources, including health care professionals, family and peers, and online sources. Educational efforts that target adolescents should provide opportunities for addressing misconceptions about safe and responsible use of medications.


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