Delaney J Boyce, Megan M Shifrin, Shelley R Moses, Colleen R Moss
Perceptions of motivating factors and barriers to precepting
Journal of the American Association of Nurse Practitioners
opioid misuse become epidemic united states present study examine potential malleable early childhood predictors opioid misuse including whether childhood achievement aggressive behavior attention problems peer social preferencelikability first grade predicted opioid misuse whether relationships differed depending participant sex data drawn three cohorts participants n 1585 467 male recruited first grade part series elementary schoolbased universal preventive interventions conducted midatlantic region us first grade participants completed standardized achievement tests teachers reported attention problems peers nominated classmates respect aggressive behavior social preferencelikability approximately age 20 participants reported misuse opioids defined lifetime use heroin misuse prescription opioids higher levels peer nominations aggressive behavior first grade predicted greater likelihood opioid misuse interaction participant sex attention problems observed females higher attention problems likely misuse opioids particularly prescription opioids females lower attention problems interaction also found participant sex peer likability males lower peernominated likability likely misuse opioids relative males higher likability given malleable nature attention problems aggression social skills early childhood prevention programs target behaviors developmental period may attenuate risk opioid misuse