Association Between Self-Reported Opioid Use and Behavioral/Social Health Characteristics—Arizona, 2020,International Journal of Mental Health and Addiction

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Association Between Self-Reported Opioid Use and Behavioral/Social Health Characteristics—Arizona, 2020
International Journal of Mental Health and Addiction ( IF 8 ) Pub Date : 2024-03-18 , DOI: 10.1007/s11469-024-01276-2
Samantha Davidson , Mercedeh Javadi , M. Shayne Gallaway

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.

中文翻译：

自我报告的阿片类药物使用与行为/社会健康特征之间的关联——亚利桑那州，2020 年

摘要

背景

亚利桑那州观察到 2017 年至 2021 年间阿片类药物过量死亡人数急剧增加。我们的目标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

使用来自亚利桑那州 2020 年行为风险因素监测系统 (BRFSS) 的数据完成了横断面研究设计 ( N = 10,291)。使用卡方对有或没有自我报告阿片类药物滥用的受访者得出置信区间和 p 值。针对不良童年经历 (ACE)、心理健康和冒险行为 (RTB) 与阿片类药物滥用之间的关联开发了逻辑回归模型。

结果

报告 2-3 个 ACE（OR_调整：4.7；95% CI：[2.8，7.9]）和报告 4 个或更多 ACE（OR_调整：8.3；95% CI：[5.0，13.6]）的受访者；报告心理健康状况不佳的受访者（_调整后的OR ：3.3；95% CI：[2.1，5.2]）；与没有自我报告阿片类药物滥用的受访者相比，报告两次或更多 RTB（OR_调整：3.9；95% CI：[2.5，6.1]）的受访者自我报告阿片类药物滥用的几率更高。