Aim Prevention of illicit or nonmedical opioid use, called opioid misuse (OM) is a key public health concern that requires research on the factors that influence OM initiation among high-risk populations. Justice-involved children (JIC) have more risk factors and fewer resources. Antisocial peers have been linked to adolescent substance abuse and delinquency. However, the association between the admiration of antisocial peers and OM among JIC has not yet been studied. This study hypothesizes that admiration of antisocial peers will be associated with a higher likelihood of OM among Florida JIC. Methods Cross-sectional data on 79,960 JIC from the Florida Department of Juvenile Justice (FLDJJ) were examined. To test the hypothesis, bivariate and multivariate logistic regression analyses were employed. The multivariate models controlled for gender, race, age in 2007, family income, history of mental health, history of depression, and optimism. Results Nearly 2.7% of the sample met the criteria for past 30-day OM, and over 75% of those current users admired or somewhat admired their antisocial peers. Compare to JIC who did not admire their antisocial peers, those who had some admiration of antisocial peers were 2.39 times more likely to misuse opioids in the past 30-days and those who admired their antisocial peers were 4.40 times more likely to meet the criteria for past 30-day OM. Conclusions Cultivating positive peer interactions and providing positive peer role models may help to reduce illicit opioid use among JIC.

中文翻译：

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参与正义的儿童中反社会同伴的钦佩与过去 30 天阿片类药物滥用之间的关联


目标 预防非法或非医疗阿片类药物使用（称为阿片类药物滥用 (OM)）是一个关键的公共卫生问题，需要研究影响高危人群开始使用阿片类药物的因素。参与正义的儿童（JIC）有更多的风险因素和更少的资源。反社会同龄人与青少年药物滥用和犯罪有关。然而，JIC 中反社会同伴的钦佩与 OM 之间的关联尚未被研究。这项研究假设，佛罗里达州 JIC 中对反社会同伴的钦佩与 OM 的可能性较高有关。方法 对来自佛罗里达州少年司法部 (FLDJJ) 的 79,960 名 JIC 的横截面数据进行了检查。为了检验该假设，采用了双变量和多变量逻辑回归分析。多变量模型控制了性别、种族、2007 年年龄、家庭收入、心理健康史、抑郁史和乐观情绪。结果 近 2.7% 的样本符合过去 30 天 OM 的标准，超过 75% 的当前用户钦佩或有些钦佩他们的反社会同伴。与不钦佩反社会同伴的 JIC 相比，那些对反社会同伴有一定钦佩的人在过去 30 天内滥用阿片类药物的可能性高出 2.39 倍，而那些钦佩反社会同伴的人符合阿片类药物标准的可能性高出 4.40 倍。过去 30 天的 OM。结论 培养积极的同伴互动并提供积极的同伴榜样可能有助于减少 JIC 中非法阿片类药物的使用。