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. 2015 Nov;136(5):e1169–e1177. doi: 10.1542/peds.2015-1364

TABLE 2.

Misuse of Prescription Opioids in Past 12 Months at Follow-Ups 1 to 3 as a Function of 12th Grade Characteristics: Relative Risk Ratios and 95% CIs

Variable Model 1 Model 2
Relative Risk 95% CI Relative Risk 95% CI
Legitimate use of prescription opioids by 12th grade 1.33* 1.04–1.7
Lifetime marijuana use occasions by 12th grade
 None (reference)
 1–2 1.44 0.98–2.12 1.43 0.97–2.11
 3–5 1.31 0.83–2.08 1.31 0.83–2.08
 6–9 2.18** 1.40–3.37 2.21** 1.43–3.43
 10–19 2.73** 1.87-3.99 2.74** 1.88-3.99
 20–39 2.52** 1.66–3.82 2.56** 1.69–3.89
 40+ 2.83** 2.02–3.96 2.92** 2.09–4.08
Cigarette smoking history by 12th grade
 Never (reference)
 Once or twice 1.56** 1.14–2.13 1.56** 1.15–2.13
 Occasionally but not regularly 1.75** 1.26–2.42 1.73** 1.25–2.4
 Regularly in the past 2.09** 1.41–3.11 2.08** 1.4–3.09
 Regularly now 1.78** 1.25–2.52 1.78** 1.26–2.52
Lifetime prescription opioids misuse occasions by 12th grade
 None (reference)
 1–2 2.21** 1.59–3.07 1.97** 1.4–2.77
 3–5 3.00** 1.94–4.61 2.8** 1.83–4.29
 6–9 3.36** 2.17–5.20 3.2** 2.06–4.96
 10–19 3.71** 2.35–5.85 3.58** 2.26–5.65
 20–39 6.07** 3.3–11.17 5.88** 3.19–10.8
 40+ 4.94** 2.97–8.22 4.63** 2.79–7.67
Lifetime misuse prescription barbiturates/sedatives occasions by 12th grade
 None (reference)
 1–2 1.63* 1.00–2.64 1.63* 1.01–2.65
 3–5 1.96** 1.18–3.27 1.97** 1.19–3.26
 6–9 1.5 0.82–2.76 1.57 0.85–2.89
 10–19 2.52* 1.17–5.42 2.56* 1.2–5.45
 20–39 2.86** 1.57–5.21 2.93** 1.61–5.33
 40+ 1.03 0.53–2 1.04 0.53–2.01
Binge drinking in last 2 wk
 None (reference)
 Once 1.16 0.87–1.56 1.16 0.86–1.55
 Twice 1.05 0.76–1.44 1.05 0.77–1.44
 3–5 1.44* 1.05–1.96 1.44* 1.06–1.97
 6–9 0.80 0.46–1.37 0.83 0.48–1.42
 10+ 0.87 0.43–1.74 0.86 0.42–1.74
Disapproval of regular marijuana use
 Don’t disapprove (reference)
 Disapprove 0.72* 0.56–0.93 0.72* 0.56–0.93
 Strongly disapprove 0.52** 0.39–0.69 0.52** 0.39–0.69
Women 1.2 0.99–1.46 1.2 0.99–1.46
Average course marks in 12th grade 0.94* 0.89–0.99 0.95* 0.9–1
Racial/ethnic minority 0.61** 0.47–0.79 0.62** 0.48–0.8
Parent with college degree 1.24* 1.03–1.49 1.23* 1.02–1.48
Constant 0.03** 0.02–0.04 0.03** 0.02–0.04

Variables that did not significantly contribute to this model include school truancy, no. evenings out per week, 2-parent household, age at survey, perceived risk of regular marijuana use, no. occasions misuse of prescription amphetamines and prescription tranquilizers, and no. occasions lifetime cocaine use. Model 2 adds to model 1 the 1 variable “legitimate use of prescription opioids by 12th grade.” CI, confidence interval. *P < .01; **P < .05.