AUTHOR=Nichols Lindsey M. , Pedroza Jonathan A. , Fleming Christopher M. , O’Brien Kaitlin M. , Tanner-Smith Emily E. TITLE=Social-Ecological Predictors of Opioid Use Among Adolescents With Histories of Substance Use Disorders JOURNAL=Frontiers in Psychology VOLUME=12 YEAR=2021 URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.686414 DOI=10.3389/fpsyg.2021.686414 ISSN=1664-1078 ABSTRACT=
Adolescent opioid misuse is a public health crisis, particularly among clinical populations of youth with substance misuse histories. Given the negative and often lethal consequences associated with opioid misuse among adolescents, it is essential to identify the risk and protective factors underlying early opioid misuse to inform targeted prevention efforts. Understanding the role of parental risk and protective factors is particularly paramount during the developmental stage of adolescence. Using a social-ecological framework, this study explored the associations between individual, peer, family, community, and school-level risk and protective factors and opioid use among adolescents with histories of substance use disorders (SUDs). Further, we explored the potential moderating role of poor parental monitoring in the associations between the aforementioned risk and protective factors and adolescent opioid use. Participants included 294 adolescents (