Exploring Adverse Childhood Experiences and Prescription Opioid Utilization during Pregnancy in Georgia

Abstract

The Centers for Disease Control and Prevention have reported a concerning trend in drug overdose-related fatality rates across both rural and urban landscapes in the United States. Concurrently, maternal mortality rates in the United States have been on the increase in recent years. Particularly according to data from the Georgia Department of Public Health, opioid-related overdose deaths in Georgia surged to 207% from 2010 to 2020. Specifically, from 2019 to 2021 there was a 101% escalation in opioid-related overdose deaths, coupled with a 10% increase in non-fatal drug-related overdoses, hospitalizations, and emergency department visits in Georgia.

Over the past two decades, the opioid pandemic has adversely affected various segments of the American population, with pregnant women emerging as a particularly vulnerable group. The impact of opioid use during pregnancy extends beyond maternal health and poses a substantial risk to fetal health and overall well-being. This study aims to explore the association between adverse childhood experiences (ACEs) and the utilization of prescription opioids during pregnancy among women in Georgia.

Data from 2019 to 2021 Pregnancy Risk Assessment Monitoring System (PRAMS) will be used for this study. Multiple logistic regression and chi-square tests of association methods will be used to examine the relationship between adverse childhood experiences and prescription opioid use during pregnancy among women in Georgia while adjusting for lifestyle, socio-demographic, and health factors.

By exploring and addressing this critical intersection of maternal health, adverse childhood experiences, and opioid use during pregnancy, the study aims to contribute to literature and yield significant insights that can inform targeted interventions and policies, safeguarding the well-being of both mothers and their unborn children within the state of Georgia.

Keywords

Maternal Health, Opioid Crisis, Adverse Childhood Experiences (ACEs), Prescription Opioid Use Pregnancy Risks, Overdose Trends, Georgia

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Exploring Adverse Childhood Experiences and Prescription Opioid Utilization during Pregnancy in Georgia

The Centers for Disease Control and Prevention have reported a concerning trend in drug overdose-related fatality rates across both rural and urban landscapes in the United States. Concurrently, maternal mortality rates in the United States have been on the increase in recent years. Particularly according to data from the Georgia Department of Public Health, opioid-related overdose deaths in Georgia surged to 207% from 2010 to 2020. Specifically, from 2019 to 2021 there was a 101% escalation in opioid-related overdose deaths, coupled with a 10% increase in non-fatal drug-related overdoses, hospitalizations, and emergency department visits in Georgia.

Over the past two decades, the opioid pandemic has adversely affected various segments of the American population, with pregnant women emerging as a particularly vulnerable group. The impact of opioid use during pregnancy extends beyond maternal health and poses a substantial risk to fetal health and overall well-being. This study aims to explore the association between adverse childhood experiences (ACEs) and the utilization of prescription opioids during pregnancy among women in Georgia.

Data from 2019 to 2021 Pregnancy Risk Assessment Monitoring System (PRAMS) will be used for this study. Multiple logistic regression and chi-square tests of association methods will be used to examine the relationship between adverse childhood experiences and prescription opioid use during pregnancy among women in Georgia while adjusting for lifestyle, socio-demographic, and health factors.

By exploring and addressing this critical intersection of maternal health, adverse childhood experiences, and opioid use during pregnancy, the study aims to contribute to literature and yield significant insights that can inform targeted interventions and policies, safeguarding the well-being of both mothers and their unborn children within the state of Georgia.