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Trends in Injection Use by Rural Opioid-Abusing Youth

Love, Michael M. Trends in Injection Use by Rural Opioid-Abusing Youth. [Dissertation]

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Abstract

Current epidemiological data has indicated increases in the prevalence of abuse of prescription opioid analgesics in the United States; additionally, these increases seem to be more rapid in rural areas. A growing body of research has supported the notion that rural opioid abuse involves different risk factors, protective factors, and prevalence than opioid abuse in urban areas. Building upon cross-sectional studies that raise the question of whether rural opioid abusers are using injection as a method of administration more frequently, the following study used longitudinal data from a national survey dataset to investigate whether a sample of adolescents who have used prescription opioids (an understudied subpopulation of interest) have increased their use of injection between 1994 and 2008. A multilevel modeling procedure found that multiple measures of injection use increased in the combined sample of rural and non-rural participants, and that rural participants increased in their lifetime use of injection. However, residence in a rural community did not significantly predict any form of injection use. Rural residence also did not predict prescription opioid use by any route of injection, although prescription opioid use also increased in the combined sample. These findings challenge existing theories that regard rural opioid use as a distinct phenomenon and call for replication.

Item Type: Dissertation
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: UNSPECIFIED
Depositing User: Michael M. Love
Date Deposited: 25 May 2016 12:28
Last Modified: 25 May 2016 12:28
URI: http://wagner.radford.edu/id/eprint/229

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