The nonmedical use of prescription opioids (POs) has become an area of increasing public health concern in the United States and rates of use are particularly high among young adults. In the past decade, an emerging "epidemic" of nonmedical PO use has been reported. Among young adults, self-reported use is 11% and overdose deaths involving POs now exceed deaths involving heroin and cocaine combined. Sexual violence is also a serious problem in the United States receiving increased national attention, and the relationship between substance use and sexual violence is well supported in the literature.
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