“Not knowing that I could get addicted at any moment”: Drug use initiation narratives among Black Americans.

) of drug use initiation among Black adults with recent prescription opioid misuse. Results highlight features of Black opioid users' awareness and self-representation while detailing systemic and cultural factors related to drug initiation. Results also indicate initiation ages, common substances first used (e.g., marijuana), routes of administration during initiation (e.g., smoking, swallowing), and the circumstances that lead to use. We discuss implications of drug use initiation narrative style and contexts on drug use interventions among this population.