Do painkillers serve as “hillbilly heroin” for rural adults with high levels of psychosocial stress
Bibliographic Data
| ID | 15414820 |
|---|---|
| Authors | Pamela Black (0000-0002-8921-7729, Pennsylvania State University, corresponding author), Helen M Hendy (0000-0002-6057-3463, Pennsylvania State University) |
| Year | 2017 |
| Volume | 18 |
| Issue | 2 |
| Pages | 224-236 |
| Publication date | 2017-07-05 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Ethnicity in Substance Abuse (JOURNAL) |
| Journal identifiers | ISSN: 1533-2640 • E-ISSN: 1533-2659 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/15332640.2017.1333478 |
| PMID | 28678649 |
| OpenAlex | W2730835527 |
| Language | EN |
| References cited | 30 |
Nonmedical use of painkillers has increased in recent years, with some authors suggesting that painkillers serve as "hillbilly heroin": a drug chosen by rural adults to cope with psychosocial stresses in their lives. The present study compared rural and urban adults for their reported use of 5 drugs during the past year (painkillers, marijuana, cocaine, methamphetamine, heroin) and for associations between these 5 drugs and their reported psychosocial stressors. This study conducted secondary analyses of anonymous survey data provided by the 2014 National Survey on Drug Use and Health with responses from 8,699 rural and 18,481 urban adults. The survey included demographics (gender, age, race, education, marital status, family income), reports of whether participants had used each of 5 illicit drugs during the past year, and measures of psychological distress and social functioning problems. Controlling for demographics, rural adults showed no greater prevalence of painkiller use than urban adults, but rural adults were more likely than urban adults to use methamphetamine and less likely to use marijuana, cocaine, and heroin. Controlling for demographics, rural adults showed no associations between psychological or social stressors and the use of painkillers, but such stressors were significantly associated with the use of marijuana, methamphetamine, and heroin. Urban adults showed significant associations of psychological and social stressors with the use of painkillers, as well as with the use of marijuana, cocaine, and heroin. Results suggest that painkillers are unlikely to serve as "hillbilly heroin" for rural adults, but they may serve as "big-city heroin" for urban adults
Distress · Drug · Environmental health · Heroin · Marital status · Population · Psychiatry · Psychosocial · Social support · Stressor · Young adult · Cannabis and Cannabinoid Research · Clinical Psychology · Medicine · Mental Health Treatment and Access · Psychology · Social Psychology · Substance Abuse Treatment and Outcomes · Gerontology
Social sources of delinquency
Society and the Adolescent Self-Image
The validation of a self-report measure of posttraumatic stress disorder
Social Structure and Anomie
Drug Use Patterns and Trends in Rural Communities
Examining Rural/Urban Differences in Prescription Opioid Misuse Among US Adolescents
Alcohol and Drug Use in Rural Colonias and Adjacent Urban Areas of the Texas Border
Social and Environmental Factors and Their Influence on Drug Use Vulnerability and Resiliency in Rural Populations
Meeting a Binational Research Challenge
Consensus and controversy
Social Sources of Delinquency
The OxyContin Epidemic and Crime Panic in Rural Kentucky
Measures of perceived social support from friends and from family
Understanding the Rural–Urban Differences in Nonmedical Prescription Opioid Use and Abuse in the United States
LGBT Novel Drug Use as Contextualized Through Control, Strain, and Learning Theories
Foundation for a General Strain Theory of Crime and Delinquency
Social Structure and Anomie
OxyContin(R) as currency
General Strain Theory and Substance Use Among American Indian Adolescents
General Strain Theory and the Relationship Between Early Victimization and Drug Use
| Highly cited | No |
|---|