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Association Between Self-Reported Opioid Use and Behavioral/Social Health Characteristics-Arizona, 2020.
Samantha Davidson1,2, Mercedeh Javadi1, M Shayne Gallaway1
1Arizona Department of Health Services, Phoenix, AZ USA.
International Journal of Mental Health and Addiction
|September 15, 2025
Summary
Arizona adults with adverse childhood experiences (ACEs), poor mental health, or risk-taking behaviors (RTBs) show higher odds of opioid misuse. Early screening for ACEs and RTBs is crucial for prevention.
Area of Science:
- Public Health
- Epidemiology
- Behavioral Science
Background:
- Arizona experienced a significant rise in opioid overdose fatalities from 2017 to 2021.
- Understanding factors linked to opioid misuse is vital for public health interventions.
Purpose of the Study:
- To investigate the association between behavioral/social characteristics and self-reported opioid misuse in Arizona adults.
- To identify specific risk factors, including adverse childhood experiences (ACEs), mental health status, and risk-taking behaviors (RTBs).
Main Methods:
- Cross-sectional study utilizing data from the 2020 Arizona Behavioral Risk Factor Surveillance System (BRFSS).
- Analysis included 10,291 adult respondents.
- Logistic regression models assessed the relationship between ACEs, mental health, RTBs, and opioid misuse.
Main Results:
- Individuals reporting 2-3 ACEs (aOR: 4.7) or 4+ ACEs (aOR: 8.3) had significantly higher odds of opioid misuse.
- Poor mental health was associated with increased odds of opioid misuse (aOR: 3.3).
- Reporting two or more RTBs correlated with higher odds of opioid misuse (aOR: 3.9).
Conclusions:
- Opioid misuse in Arizona adults is linked to adverse childhood experiences, poor mental health, and risk-taking behaviors.
- Findings underscore the need for targeted prevention strategies for both adults and youth.
- Screening for ACEs and RTBs in early life is recommended to mitigate future opioid misuse.
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