Key clinical point: Parental use of tobacco, marijuana, and alcohol are positive predictors of teen use.

Major finding: About 14% of parents reported ever using an nonmedical prescription opioid. Adolescents were more likely to use an nonmedical prescription opioid in their lifetime (14%) if a parent had a history of any use than adolescents whose parents did not have a history (8%).

Study details: A multivariate logistic regression model of 35,000 parent-child dyads.

Disclosures: The authors reported no financial relationships or potential conflicts of interest. The study was supported by grants from the National Institute on Drug Abuse and the New York State Psychiatric Institute; it was funded by the National Institutes of Health.