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. 2024 Feb 29;165(6):1317–1326. doi: 10.1097/j.pain.0000000000003131

Table 3.

Zero-inflated negative binomial regression analyses for number of prescriptions of analgesics in adolescence and young adulthood by symptoms as reported in adolescence.

n Opioids Nonopioid analgesics
Opioids Paracetamol NSAIDs
IRR (95% CI) P IRR (95% CI) P IRR (95% CI) P
Analgesics use in adolescence
 Psychological distress 5807 1.06 (0.91, 1.24) 0.460 1.07 (0.87, 1.30) 0.537 1.07 (0.98, 1.16) 0.128
 Posttraumatic stress symptoms 4753 1.05 (0.95, 1.40) 0.338 1.11 (0.99, 1.25) 0.064 1.13 (1.07, 1.19) <0.001
 Musculoskeletal pain 5790 1.35 (1.24, 1.47) <0.001 1.56 (1.42, 1.72) <0.001 1.29 (1.24, 1.35) <0.001
 Headaches 5447 1.54 (1.15, 2.06) 0.003 1.91 (1.35, 2.70) <0.001 1.86 (1.60, 2.17) <0.001
Analgesics use in young adulthood
 Psychological distress 5954 1.48 (1.33, 1.64) <0.001 1.26 (1.13, 1.42) <0.001 1.17 (1.10, 1.25) <0.001
 Posttraumatic stress symptoms 4858 1.31 (1.23, 1.40) <0.001 1.17 (1.09, 1.25) <0.001 1.10 (1.06, 1.14) <0.001
 Musculoskeletal pain 5939 1.47 (1.39, 1.55) <0.001 1.49 (1.40, 1.58) <0.001 1.26 (1.22, 1.30) <0.001
 Headaches 5586 1.88 (1.54, 2.29) <0.001 2.38 (1.94, 2.93) <0.001 1.67 (1.48, 1.88) <0.001

Subsample analysis among participants exposed to childhood trauma.

Complete case analyses adjusted for age, sex, household structure, and family economy. Analyses for analgesics use in adolescence were additionally adjusted for pubertal development.

IRR, incidence rate ratio; NSAIDs, nonsteroid anti-inflammatory drugs.