Longitudinal Changes in the County-Level Relationship between Opioid Prescriptions and Child Maltreatment Reports, United States, 2009-2018

Kim, Hyunil; Song, Eun-Jee; Windsor, Liliane

doi:10.1037/ort0000682

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Longitudinal Changes in the County-Level Relationship between Opioid Prescriptions and Child Maltreatment Reports, United States, 2009-2018

2023
By Kim, Hyunil ; Song, Eun-Jee ; Windsor, Liliane
http://dx.doi.org/10.1037/ort0000682
Source: Am J Orthopsychiatry. 93(5):375-388

[PDF-562.53 KB]

English

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Details:

Alternative Title:

Am J Orthopsychiatry
Personal Author:

Kim, Hyunil ; Song, Eun-Jee ; Windsor, Liliane

Kim, Hyunil ; Song, Eun-Jee ; Windsor, Liliane Less -
Description:

This article examines whether county opioid prescription rates were associated with county child maltreatment report (CMR) rates in the United States and whether this relationship changed over time. We linked multiple national data sets to assemble retail opioid prescription data, CMR data, rural-urban codes (to control for urbanicity), and census data (to control for other community characteristics, such as poverty rates) covering 2009-2018. Multilevel linear modeling analyzed the linked data. We found that the strength of the county-level relationship between opioid prescription rates and CMR rates increased almost linearly during the study period. The relationship was not significant in 2009-2011; it became significant in 2012 and grew stronger in the next 6 years. In 2012, there was one more CMR per 1,000 children in a county for every 14.3 more opioid prescriptions per 100 people. In 2018, the number of prescriptions related to this effect was 3.6. In other words, the county-level relationship between opioid prescriptions and CMRs was four times as strong in 2018 as it had been in 2012. This trend was also observed within all subgroups of child age and sex. By type, this trend was somewhat more pronounced for neglect, but somewhat less for sexual abuse. Our findings suggest a growing need for greater efforts to prevent child maltreatment in communities with high opioid prescription rates. Further research is warranted to reveal the underlying factors for this concerning trend. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Subjects:

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Analgesics, Opioid Child Child Abuse Humans Poverty Prescriptions United States
Keywords:

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Child Abuse And Neglect Child Maltreatment Community Longitudinal Opioid Prescription
Source:

Am J Orthopsychiatry. 93(5):375-388
Pubmed ID:

37184964
Pubmed Central ID:

PMC10527856
Document Type:

Journal Article
Funding:

K01 CE003229/CE/NCIPC CDC HHSUnited States/ ; CC/CDC HHSUnited States/

K01 CE003229/CE/NCIPC CDC HHSUnited States/ ; CC/CDC HHSUnited States/ Less -
Volume:

93
Issue:

5
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:81210ac638d560e9b75296d2f1780331495d98b2e9007ba1922469b32f6079ee
Download URL:

https://stacks.cdc.gov/view/cdc/133498/cdc_133498_DS1.pdf
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	NIHMS1909450-supplement-Supplemental_Material.pdf	pdf

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