National Addiction & HIV Data Archive Program

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Pub. Type:
Conference Proceedings
Risk Factors Associated with Abuse of Prescription Opioids in Women: Results of a National Survey
Conference/Meeting Name:
29th Annual Meeting of the Society of General Internal Medicine
Conference/Meeting Date:
Apr 28, 2006
BACKGROUND: Abuse (i.e. non-medical use) of prescription opioids is a growing problem in the U.S., with an estimated 4.7 million persons abusing pre-scription opioid medications in 2003. Well-documented gender differences exist regarding illicit substance and alcohol use disorders but little is known about the gender differences associated with the non-medical use of prescription opioids. The purpose of this study is to investigate risk factors associated with non-medical use of prescription opioids in women compared to men. METHODS: We performed an analysis of the 2003 National Survey on Drug Use and Health (NSDUH), an annual survey of members of U. S. households aged 12 or older. We chose independent variables based on prior reports and clinical relevance, with gender as our main variable of interest. We conducted a logistic regression model, stratified by gender, of past year non-medical use of prescription opioids. We utilized study calculated weights and SUDAAN software to adjust for the complex sampling design and non-response. RESULTS: Among 55,230 respondents, 52% were female, 70% were white, and 4.9% reported non-medical use of prescription opioids in the prior year. Women and men differed significantly on most demographic and clinical characteristics studied. Women were less likely to have non-medical use of prescription opioids in the past year (4.5% vs. 5.2%, p=0.009), whereas no gender difference was found for non-medical use of other prescription medications. Compared to men, women were more likely to be on state-sponsored medical assistance programs (11.2% vs. 7.0%, po0.0001), not in the labor force (34.5% vs. 20.4%, po0.0001) and to have serious mental illness (11.2% vs. 6.6%). In addition, women were less likely to have used alcohol (60.0% vs. 69.2%), cocaine (1.6% vs. 3.2%), marijuana (8.0% vs. 13.2%) or heroin (0.07% vs. 0.2%) in the past year (po0.0001 for all comparisons). Using stratified, multivariable logistic regress source
Conference/Meeting Sponsor:
Place of Conference/Meeting:
Los Angeles, CA

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