Association Between Self-Reported Opioid Use and Behavioral/Social Health Characteristics—Arizona, 2020

IF 3.2 3区医学 Q2 PSYCHIATRY

International Journal of Mental Health and Addiction Pub Date : 2024-03-18 DOI:10.1007/s11469-024-01276-2

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引用次数: 0

Abstract

Background

Arizona observed a sharp increase in opioid overdose deaths between 2017 and 2021. Our objective was to better understand the relationship between behavioral/ social characteristics and self-reported opioid misuse among Arizona adults.

Methods

A cross-sectional study design was done using data from the Arizona 2020 Behavioral Risk Factor Surveillance System (BRFSS) (N = 10,291). Confidence intervals and p-values were found using chi-square for respondents with and without a self-reported opioid misuse. Logistic regression models were developed for the association between adverse childhood experiences (ACEs), mental health, and risk-taking behaviors (RTBs) and opioid misuse.

Results

Respondents who reported 2–3 ACEs (OR_adjusted: 4.7; 95% CI: [2.8, 7.9]) and who reported 4 or more ACEs (OR_adjusted: 8.3; 95% CI: [5.0, 13.6]); respondents who reported poor mental health (OR_adjusted: 3.3; 95% CI: [2.1, 5.2]); and respondents who reported two or more RTBs (OR_adjusted: 3.9; 95% CI: [2.5, 6.1]) had higher odds of self-reported opioid misuse compared to those without self-reported opioid misuse.

Discussion

Opioid misuse was found to be associated with poor mental and physical health, increased RTBs, and history of at least two ACEs among Arizona adults in this study. These findings stress the importance of opportunities for targeted prevention in both Arizona adults and youth, including screening for ACEs and RTBs, in early stages of life.

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自述阿片类药物使用情况与行为/社会健康特征之间的关系-亚利桑那州，2020 年

摘要背景亚利桑那州在 2017 年至 2021 年期间观察到阿片类药物过量死亡人数急剧增加。我们的目的是更好地了解亚利桑那州成年人的行为/社会特征与自我报告的阿片类药物滥用之间的关系。方法使用亚利桑那州 2020 年行为风险因素监测系统（BRFSS）（N = 10,291 人）的数据进行横断面研究设计。对有和没有自我报告阿片类药物滥用情况的受访者采用卡方检验法得出置信区间和 P 值。针对童年不良经历 (ACE)、心理健康和冒险行为 (RTB) 与阿片类药物滥用之间的关联建立了逻辑回归模型。结果报告 2-3 次 ACE 的受访者（OR 调整值：4.7；95% CI：[2.8, 7.9]）和报告 4 次或更多次 ACE 的受访者（OR 调整值：8.3；95% CI：[5.0, 13.6]）；报告心理健康状况不佳的受访者（OR 调整值：3.3；95% CI：[2.1，5.2]）；报告有两次或两次以上 RTB 的受访者（OR 调整后：3.9；95% CI：[2.5，6.1]）与没有自我报告滥用阿片类药物的受访者相比，自我报告滥用阿片类药物的几率更高。讨论在本研究中发现，亚利桑那州成年人滥用阿片类药物与身心健康状况不佳、RTBs 增加以及至少有两次 ACEs 史有关。这些发现强调了对亚利桑那州成年人和青少年进行有针对性预防的重要性，包括在生命早期阶段筛查 ACE 和 RTB。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Mental Health and Addiction SUBSTANCE ABUSE-PSYCHIATRY

CiteScore

15.90

自引率

2.50%

发文量

245

审稿时长

6-12 weeks

期刊介绍： The International Journal of Mental Health and Addictions (IJMH) is a publication that specializes in presenting the latest research, policies, causes, literature reviews, prevention, and treatment of mental health and addiction-related topics. It focuses on mental health, substance addictions, behavioral addictions, as well as concurrent mental health and addictive disorders. By publishing peer-reviewed articles of high quality, the journal aims to spark an international discussion on issues related to mental health and addiction and to offer valuable insights into how these conditions impact individuals, families, and societies. The journal covers a wide range of fields, including psychology, sociology, anthropology, criminology, public health, psychiatry, history, and law. It publishes various types of articles, including feature articles, review articles, clinical notes, research notes, letters to the editor, and commentaries. The journal is published six times a year.