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Adverse Childhood Experiences and Overdose: Lessons from Overdose Data to Action
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6 2022
Source: Am J Prev Med. 62(6 Suppl 1):S40-S46 -
Alternative Title:Am J Prev Med
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Description:Introduction:
Adverse childhood experiences (ACEs) and overdose are linked in a cycle that affects individuals and communities across generations. The Centers for Disease Control and Prevention’s (CDC) Overdose Data to Action (OD2A) cooperative agreement supports a comprehensive public health approach to overdose prevention and response activities across the United States. Exposure to traumatic events during childhood can increase the risk for a myriad of health outcomes, including overdose; therefore, many OD2A recipients leveraged funds to address ACEs.
Methods:
In 2021, an inventory of OD2A-funded activities implemented in 2019 and 2020 showed that 34 of the 66 recipients proposed overdose prevention activities that support people who have experienced ACEs or that focus on preventing the intergenerational transmission of ACEs. Activities were coded by ACE prevention strategy, level of the social ecology, and whether they focused on neonatal abstinence syndrome (NAS).
Results:
Most activities amongst OD2A recipients occurred at the community level of the social ecological model (SEM) and under the “intervene to lessen harms” ACE prevention strategy. Of the 84 ACE-related activities taking place across 34 jurisdictions, 44 are focused on NAS.
Conclusion:
Study results highlight the opportunities to expand the breadth of ACEs prevention strategies across the social ecology. Implementing cross-cutting overdose and ACEs-related activities that span the SEM are critical for population-level change and have the potential for broadest impact. Focusing on NAS also offers a unique intervention opportunity for both ACEs and overdose prevention.
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Pubmed ID:35597582
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Pubmed Central ID:PMC9761611
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