Are community level prescription opioid overdoses associated with child harm? A spatial analysis of California zip codes, 2001–2011
dc.contributor.author | Wolf, Jennifer Price | |
dc.contributor.author | Ponicki, William R. | |
dc.contributor.author | Kepple, Nancy J. | |
dc.contributor.author | Gaidus, Andrew | |
dc.date.accessioned | 2019-06-26T18:31:59Z | |
dc.date.available | 2019-06-26T18:31:59Z | |
dc.date.issued | 2016-07-26 | |
dc.identifier.citation | Wolf, J.P., Ponicki, B., Kepple, N.J., & Gaidus, A. (2016). Are community level prescription drug overdoses associated with child harm? A spatial analysis of California zip codes, 2001-2011. Drug & Alcohol Dependence, 166, 202-208. doi:10.1016/j.drugalcdep.2016.07.014 | en_US |
dc.identifier.uri | http://hdl.handle.net/1808/29375 | |
dc.description.abstract | Background: Non-medical prescription opioid use is increasing globally within high-income countries, particularly the United States. However, little is known about whether it is associated with negative outcomes for children. In this study, we use prescription opioid overdose as a proxy measure for non-medical prescription opioid use and ask the following: Do California communities with greater rates of non-medical prescription opioid use also have higher rates of child maltreatment and unintentional child injury? Methods: We used longitudinal population data to examine ecological associations between hospital discharges involving overdose of prescription opioids and those for child maltreatment or child injury in California zip codes between 2001 and 2011 (n = 18,517 zip-code year units) using Bayesian space-time misalignment models. Results: The percentage of hospital discharges involving prescription opioid overdose was positively associated with the number of hospital discharges for child maltreatment (relative rate = 1.089, 95% credible interval (1.004, 1.165)) and child injury (relative rate = 1.055, 95% credible interval (1.012, 1.096)) over the ten-year period, controlling for other substance use and environmental factors. Conclusions: Increases in community level prescription opioid overdoses between 2001 and 2011 are associated with a 2.06% increase in child maltreatment discharges and a 1.27% increase in discharges for child injury. Communities with higher rates of non-medical prescription opioid use may experience greater levels of child harms. | en_US |
dc.publisher | Elsevier | en_US |
dc.rights | This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License 4.0 (CC BY-NC-ND 4.0), which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. | en_US |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | en_US |
dc.subject | Prescription opioid overdose | en_US |
dc.subject | Child maltreatment | en_US |
dc.subject | Unintentional injury | en_US |
dc.subject | Spatial analysis | en_US |
dc.title | Are community level prescription opioid overdoses associated with child harm? A spatial analysis of California zip codes, 2001–2011 | en_US |
dc.type | Article | en_US |
kusw.kuauthor | Kepple, Nancy J. | |
kusw.kudepartment | Social Welfare | en_US |
dc.identifier.doi | 10.1016/j.drugalcdep.2016.07.014 | en_US |
kusw.oaversion | Scholarly/refereed, author accepted manuscript | en_US |
kusw.oapolicy | This item meets KU Open Access policy criteria. | en_US |
dc.rights.accessrights | openAccess | en_US |
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Except where otherwise noted, this item's license is described as: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License 4.0 (CC BY-NC-ND 4.0), which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.