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Adverse Childhood Experiences and Overdose: Lessons From Overdose Data to Action
April C Wisdom1, Madhumita Govindu1, Stephen J Liu1
1Division of Overdose Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
American Journal of Preventive Medicine
|May 21, 2022
Summary
Adverse childhood experiences (ACEs) and overdose are linked. Overdose Data to Action programs increasingly address ACEs, particularly focusing on community-level interventions and neonatal abstinence syndrome prevention.
Area of Science:
- Public Health
- Epidemiology
- Trauma Studies
Background:
- Adverse childhood experiences (ACEs) are linked to increased risk of overdose.
- This cycle affects individuals and communities across generations.
- The Centers for Disease Control and Prevention's Overdose Data to Action (OD2A) program supports overdose prevention.
Purpose of the Study:
- To inventory OD2A-funded activities addressing ACEs.
- To identify strategies and levels of social ecology targeted by these activities.
- To explore the focus on neonatal abstinence syndrome (NAS) within ACEs prevention.
Main Methods:
- An inventory of OD2A activities from 2019-2020 was conducted.
- Activities were coded by ACE prevention strategy and social ecology level.
- Focus on NAS and intergenerational transmission of ACEs was analyzed.
Main Results:
- 34 of 66 OD2A recipients proposed activities addressing ACEs.
- Most activities occurred at the community level using "intervene to lessen harms" strategies.
- 44 of 84 ACE-related activities focused on NAS.
Conclusions:
- Opportunities exist to broaden ACE prevention strategies across the social ecology.
- Cross-cutting activities spanning the social-ecologic model are critical for population-level change.
- Focusing on NAS presents a unique intervention point for both ACE and overdose prevention.
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