A supportive school environment may reduce the risk of non-medical prescription opioid use due to impaired mental health among students

被引:0
|
作者
Charlotte Probst
Tara Elton-Marshall
Sameer Imtiaz
Karen A. Patte
Jürgen Rehm
Bundit Sornpaisarn
Scott T. Leatherdale
机构
[1] Institute for Mental Health Policy Research,Centre for Addiction and Mental Health (CAMH)
[2] Universitätsklinikum Heidelberg,Heidelberg Institute of Global Health
[3] University of Toronto,Dalla Lana School of Public Health
[4] Brock University,Department of Health Sciences
[5] CAMH,Campbell Family Mental Health Research Institute
[6] University of Toronto,Department of Psychiatry
[7] University of Toronto,Institute of Medical Science
[8] Technische Universität Dresden,Institute of Clinical Psychology and Psychotherapy & Center for Clinical Epidemiology and Longitudinal Studies
[9] I.M. Sechenov First Moscow State Medical University,Department of International Health Projects, Institute for Leadership and Health Management
[10] University of Waterloo,School of Public Health and Health Systems
来源
European Child & Adolescent Psychiatry | 2021年 / 30卷
关键词
Adolescent; Youth; Analgesics; Opioid; Prescription opioids; Substance use/abuse; Mental health; Schools; School environment; Education settings;
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暂无
中图分类号
学科分类号
摘要
Canada is in the midst of an ongoing, escalating opioid crisis, with significant impacts on adolescents and young adults. Accordingly, mental health impairment was examined as a risk factor for non-medical prescription opioid use (NMPOU) among high school students. In addition, the moderating effects of the school environment, in terms of the availability of mental health services and substance use policies, were characterized. Self-reported, cross-sectional data were obtained from the COMPASS study, including 61,239 students (grades 9–12) in 121 secondary schools across Canada. Current and lifetime NMPOU were ascertained. Categorical indicators of mental health impairment and school environment were derived. The main analytical strategy encompassed hierarchal multilevel logistic regression, including the addition of interaction terms to characterize the moderation effects. Current and lifetime NMPOU were reported by 5.8% and 7.2% of the students, respectively. After adjusting for confounders, students in the highest quintile of mental health impairment had odds ratios (OR) of 2.60 (95% confidence interval [CI] 2.29–2.95) and 2.96 (95% CI 2.64–3.33) for current and lifetime NMPOU, respectively when compared to students in the lowest quintile of mental health impairment. A significant interaction between mental health impairment and school environment indicated relatively lower risks of NMPOU in students from schools that provide more mental health services and have stricter substance use policies. Mental health impairment increased the risk of NMPOU, but the associations were moderated by the school environment. These findings underscore the importance of mental health services and substance use regulations in schools.
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页码:293 / 301
页数:8
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