Longitudinal changes in the county-level relationship between opioid prescriptions and child maltreatment reports, United States, 2009–2018

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)

Environmental health · Injury prevention · Medical prescription · MEDLINE · Multilevel model · Neglect · Opioid · Poison control · Political science · Psychiatry · PsycINFO · Sociology · Suicide prevention · Child Abuse and Trauma · Demography · Medicine · Migration, Health and Trauma · Prenatal Substance Exposure Effects

• Co-occurring substance use and mental disorders among adults with opioid use disorder

  Open Access•Christopher M Jones, Elinore F McCance-Katz et al.•Drug and Alcohol Dependence•2019

  Añadir item

• Prevalence of Childhood Exposure to Violence, Crime, and Abuse

  Open Access•David Finkelhor, Heather A Turner et al.•JAMA Pediatrics•2015

  Añadir item

• Defining maltreatment according to substantiation

  Open Access•Jon M Hussey, Jane Marshall et al.•Child Abuse & Neglect•2005

  Añadir item

• High-Risk Neighborhoods and High-Risk Families

  J Garbarino, Deborah Sherman et al.•Child Development•1980

  Añadir item

• Understanding the Ecology of Child Maltreatment

  Open Access•Bridget Freisthler, Darcey H Merritt et al.•Child Maltreatment•2006

  Añadir item

• Population-Based Prevention of Child Maltreatment

  Open Access•Ronald J Prinz, Matthew Sanders et al.•Prevention Science•2009

  Añadir item

• Racial and ethnic disparities

  Open Access•Emily Putnam-Hornstein, Barbara Needell et al.•Child Abuse & Neglect•2013

  Añadir item

• Child maltreatment risk as a function of poverty and race/ethnicity in the USA

  Open Access•Hyunil Kim, Barbara Drake et al.•International Journal of…•2018

  Añadir item

• Child abuse

  Open Access•Donna Della Femina, Catherine A Yeager et al.•Child Abuse & Neglect•1990

  Añadir item

• How neighborhoods influence child maltreatment

  Open Access•Claudia Coulton, Claudia J Coulton et al.•Child Abuse & Neglect•2007

  Añadir item

• Time to Leave Substantiation Behind

  Open Access•Patricia L Kohl, Melissa Jonson-Reid et al.•Child Maltreatment•2009

  Añadir item

• Interventions to prevent child maltreatment and associated impairment

  Open Access•Harriet L Macmillan, C Nadine Wathen et al.•The Lancet•2009

  Añadir item

• Burden and consequences of child maltreatment in high-income countries

  Open Access•Ruth Gilbert, Cathy Spatz Widom et al.•The Lancet•2009

  Añadir item

• Opioid overdose events and child maltreatment indicators

  Open Access•Rebecca Rebbe, Asia S Bishop et al.•Children and Youth Services Review•2020

  Añadir item

• Neighborhood Disorder, Fear, and Mistrust

  Open Access•C E Ro, CATHERINE E ROSS et al.•American Journal of Community…•2000

  Añadir item

• Etiology of child maltreatment

  J Belsky•Psychological Bulletin•1993

  Añadir item