TY  - JOUR
PY  - 2021//
TI  - Adverse childhood experiences, risk of opioid misuse and its pathway among students at a public university
JO  - Journal of American college health
A1  - Fortson, Kennicia
A1  - Rajbhandari-Thapa, Janani
A1  - Ingels, Justin
A1  - Thapa, Kiran
A1  - Dube, Shanta R.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0744-8481
UR  - http://dx.doi.org/10.1080/07448481.2021.2002336
ID  - ref1
ER  -