Evidence map›Paper›PMID 27496625›Full record

ArticleDrug and alcohol dependence2016

Are community level prescription opioid overdoses associated with child harm? A spatial analysis of California zip codes, 2001-2011.

Jennifer Price Wolf, William R Ponicki, Nancy J Kepple, Andrew Gaidus

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 31 citations in OpenAlex.

  1. Geospatial Determinants and Spatial Heterogeneity of Opioid Overdose Mortality in Arizona.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
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  5. The Opioid Crisis and Child Maltreatment Across Counties and Time in the United States, 2007-2017.The Annals of the American Academy of Political and Social Science · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Jennifer Price WolfDivision of Social Work, California State University, Sacramento 600 J Street, Sacramento, CA 95812, United States; Pacific Institute for Research and Evaluation, Prevention Research Center, 180 Grand Avenue, Oakland, CA 94612, United States. Electronic address: wolf@csus.edu.
William R PonickiPacific Institute for Research and Evaluation, Prevention Research Center, 180 Grand Avenue, Oakland, CA 94612, United States.
Nancy J KeppleSchool of Social Welfare, University of Kansas, 1545 Lilac Ln., Lawrence, KS 66045, United States.
Andrew GaidusPacific Institute for Research and Evaluation, Prevention Research Center, 180 Grand Avenue, Oakland, CA 94612, United States.
Pacific Institute For Research and Evaluation · USCalifornia State University, Sacramento · USUniversity of Kansas · US

Funding

Transitions and Alcohol Use in the Later Lifespan: Environmental and Individual-level InfluencesP60AA006282 · NIAAA · PACIFIC INSTITUTE FOR RES AND EVALUATION · PI PAUL J GRUENEWALD · 2003 to 2026
$41.2M
NIAAA NIH HHS P60 AA006282
6 · The paper itself

Abstract

backgroundNon-medical prescription opioid use is increasing globally within high-income countries, particularly the United States. However, little is known about whether it is associated with negative outcomes for children. In this study, we use prescription opioid overdose as a proxy measure for non-medical prescription opioid use and ask the following: Do California communities with greater rates of non-medical prescription opioid use also have higher rates of child maltreatment and unintentional child injury?

methodsWe used longitudinal population data to examine ecological associations between hospital discharges involving overdose of prescription opioids and those for child maltreatment or child injury in California zip codes between 2001 and 2011 (n=18,517 zip-code year units) using Bayesian space-time misalignment models.

resultsThe percentage of hospital discharges involving prescription opioid overdose was positively associated with the number of hospital discharges for child maltreatment (relative rate=1.089, 95% credible interval (1.004, 1.165)) and child injury (relative rate=1.055, 95% credible interval (1.012, 1.096)) over the ten-year period, controlling for other substance use and environmental factors.

conclusionsIncreases in community level prescription opioid overdoses between 2001 and 2011 are associated with a 2.06% increase in child maltreatment discharges and a 1.27% increase in discharges for child injury. Communities with higher rates of non-medical prescription opioid use may experience greater levels of child harms.

Indexed as

AdolescentBayes TheoremCaliforniaChildChild AbuseChild, PreschoolDrug OverdoseFemaleHumansInfantInfant, NewbornLongitudinal StudiesMaleNarcoticsPatient DischargePrescription DrugsNarcoticsPrescription DrugsChild maltreatmentPrescription opioid overdoseSpatial analysisUnintentional injury

Identifiers

PMID27496625
PMCPMC4987103
OpenAlexW2477099123

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.