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Understanding differences in prescription drug misuse between two Texas border communities

dc.creatorMartinez, Priscillaes_ES
dc.creatorZemore, Sarah E.es_ES
dc.creatorPinedo, Migueles_ES
dc.creatorBorges, Guilhermees_ES
dc.creatorOrozco, Ricardoes_ES
dc.creatorCherpitel, Cheryles_ES
dc.date2021
dc.date.accessioned2022-08-16T20:29:32Z
dc.date.available2022-08-16T20:29:32Z
dc.date.issued2021
dc.identifierJC036es_ES
dc.identifier.issn1355-7858es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7576
dc.identifier.urihttps://doi.org/10.1080/13557858.2019.1620175
dc.descriptionObjectives: The misuse of prescription drugs in the U.S. is an alarming public health crisis. Prior research at the U.S.-Mexico border has found high rates of prescription drug misuse, but with rates varying significantly across border communities. We aimed to examine a model of permissive climate measures and stress exposures as potential mediators of community differences in prescription drug misuse at the U.S.-Mexico border. Design: We analyzed data from the U.S.-Mexico Study of Alcohol and Related Conditions (UMSARC). Household, in-person interviews were conducted with Mexican-origin residents of the Texas border cities Laredo (n = 751) and Brownsville/McAllen (n = 814). Interviews assessed past-year misuse of any and pain-reliever prescription drugs. Drug availability, neighborhood safety, exposure to violence/crime, and social support were examined as potential mediators. Analyses were stratified by gender and employed regressions and mediation analysis with Mplus. Results: The past-year prevalence of any prescription drug misuse in Laredo was 26.3% among women and 24.4% among men, and in Brownsville/McAllen was 12.4% among men, and 6.7% among women. Mediation analysis revealed site effects via some of the hypothesized risk factors for men, but not for women. Specifically, for men, site effects on any and pain reliever prescription drug misuse were partially mediated via high drug availability and low family support. Conclusions: Past-year prescription drug misuse was over 3 times the 2015 national prevalence among both men and women in Laredo and calls for immediate attention. Findings regarding the model suggest drug availability and social support may be relevant to understanding community differences in prescription drug misuse among men living at the border, and that additional factors should be investigated to understand misuse among women living at the border.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherInforma Healthcarees_ES
dc.relation26(7)1028-1044
dc.rightsAcceso Cerradoes_ES
dc.titleUnderstanding differences in prescription drug misuse between two Texas border communitieses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationAlcohol Research Group, Public Health Institute, Emeryville, CA, USA
dc.contributor.emailpmartinez@arg.org
dc.relation.jnabreviadoETHN HEALTHes_ES
dc.relation.journalEthnicity & Health
dc.identifier.placeInglaterraes_ES
dc.date.published2021es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1465-3419es_ES
dc.identifier.doi10.1080/13557858.2019.1620175
dc.subject.kwMexican-Americans
dc.subject.kwPrescription drug misuse
dc.subject.kwU.S.-Mexico border
dc.subject.kwMediation modeling


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