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• W3136232509 startingPage "1" @default.
• W3136232509 abstract "Aim Opioid misuse is a severe threat to justice-involved children and adolescents. Identifying risk factors and sex differences is critical to design accurate risk assessments and person-centered interventions. Stress theory and research posit that abuse may be linked to opioid misuse, and the consequences may be harsher for females. The study tests the hypothesis that physical and sexual abuse will individually and cumulatively increase the risk for opioid misuse, and females will have a higher risk than males.Methods A statewide sample of 79,960 justice-involved children in Florida were examined. Opioid misuse, illicit and non-medical use, was measured by urine analysis or self-disclosure within the past-30 days. Bivariate and multivariate logistic regression analyses were employed. Marginal effects were estimated to investigate the interaction between abuse and sex.Results Over 2000 youth met the criteria for opioid misuse. One-third of female opioid users experienced both physical and sexual abuse. Compared to those with no history of physical or sexual abuse, those who were physically abused had 43% higher odds of opioid misuse, those who were sexually abuse had 78% higher odds, and those who experienced both had twice as high odds of opioid misuse. The individual and combined effects of these abuse types were higher for females. For example, female youth who were sexually abused had 2.7-times higher odds of opioid misuse than males who were sexually abused.Conclusion Intervention efforts can be improved by integrating physical and sexual abuse into risk assessments and tailoring assessments by sex." @default.
• W3136232509 created "2021-03-29" @default.
• W3136232509 creator A5040636427 @default.
• W3136232509 creator A5057964740 @default.
• W3136232509 date "2021-03-11" @default.
• W3136232509 modified "2023-09-23" @default.
• W3136232509 title "Sex differences in the effects of physical and sexual abuse on the odds of past 30-day opioid misuse among Florida justice-involved children" @default.
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• W3136232509 doi "https://doi.org/10.1080/16066359.2021.1891414" @default.
• W3136232509 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35035335" @default.

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