TY  - JOUR
PY  - 2018//
TI  - Association between childhood maltreatment and non-medical prescription opioid use among Chinese senior high school students: the moderating role of gender
JO  - Journal of affective disorders
A1  - Lei, Yiling
A1  - Xi, Chuhao
A1  - Li, Pengsheng
A1  - Luo, Min
A1  - Wang, Wanxin
A1  - Pan, Siyuan
A1  - Gao, Xue
A1  - Xu, Yan
A1  - Huang, Guoliang
A1  - Deng, Xueqing
A1  - Guo, Lan
A1  - Lu, Ciyong
SP  - 421
EP  - 427
VL  - 235
IS  - 
N2  - BACKGROUND: Non-medical prescription opioid use (NMPOU) and childhood maltreatment are currently serious problems among adolescents worldwide, and childhood maltreatment may be associated with the increased rates of NMPOU. This study examined the specific associations between particular types of childhood maltreatment and lifetime NMPOU and assessed whether gender has a moderating effect on these associations. <br><br>METHODS: A 3-stage, stratified cluster, randomized sampling method was used to collect data from 11,194 high school students in Chongqing. <br><br>RESULT: The prevalence of the lifetime NMPOU among senior high school students in Chongqing was 7.7%. Physical abuse (AOR = 1.11, 95% CI = 1.07-1.14), emotional abuse (AOR = 1.05, 95% CI = 1.03-1.08), sexual abuse (AOR = 1.04, 95% CI = 1.01-1.07), physical neglect (AOR = 1.06, 95% CI = 1.04-1.09), and emotional neglect (AOR = 1.03, 95% CI = 1.02-1.04) were all positively associated with lifetime NMPOU. The moderating effects of gender on emotional abuse (P = 0.004) and sexual abuse (P = 0.019) were statistically significant in the adjusted model of lifetime NMPOU. According to the stratification analyses in which the male and female students were analyzed separately, female students who previously experienced emotional/sexual abuse had a higher prevalence of lifetime NMPOU. LIMITATIONS: The study sample only contained school students and cross-sectional design limited our ability to make causal inferences. <br><br>CONCLUSION: Childhood maltreatment was positively associated with lifetime NMPOU, and gender had a moderating effect on the associations between childhood maltreatment and lifetime NMPOU. Early identification of and intervention for childhood maltreatment victims, particularly female victims, may help reduce the lifetime risk of NMPOU.<br><br>Copyright © 2018 Elsevier B.V. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-0327
UR  - http://dx.doi.org/10.1016/j.jad.2018.04.070
ID  - ref1
ER  -