@article{ref1,
title="Adverse childhood experiences, risk of opioid misuse and its pathway among students at a public university",
journal="Journal of American college health",
year="2021",
author="Fortson, Kennicia and Rajbhandari-Thapa, Janani and Ingels, Justin and Thapa, Kiran and Dube, Shanta R.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="We examine role of ACEs and pathways to risk of opioid misuse among young adults. Participants and Methods: A cross-sectional survey of validated measures of ACEs, risk of opioid misuse, and health conditions with a sample of 1,402 students from a large public university followed by multivariate logistic regression and pathway analysis. <br><br>RESULTS: Majority (61%) of participants reported at least one ACE. A dose-response relationship between numbers of ACEs with risk for opioid misuse was present. Compared to participants with no ACEs, participants with ≥4 ACEs and 0-3 ACEs were 2.93 (95% CI: 1.95, 4.39; p < 0.001) and 1.96 (95% CI: 1.46, 2.65; p < 0.001) times more likely to be at risk for opioid misuse, respectively. Having at least one existing or past health condition significantly mediated the association. <br><br>CONCLUSIONS: Our findings suggest need to include assessment of ACEs as a screening criterion for opioid prescription and administration among college-aged individuals.<p /> <p>Language: en</p>",
language="en",
issn="0744-8481",
doi="10.1080/07448481.2021.2002336",
url="http://dx.doi.org/10.1080/07448481.2021.2002336"
}