National Addiction & HIV Data Archive Program

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Pub. Type:
Conference Proceedings
Identifying Risk Factors Associated with Non-Medicial Prescription Opioid Use: Results from a National Survey
Conference/Meeting Name:
29th Annual Meeting of the Society of General Internal Medicine
Conference/Meeting Date:
Apr 28, 2006
BACKGROUND: The non-medical use of prescription opioids has risen in recent years, and surpasses illicit heroin use. Clinicians are keenly interested in identifying patient factors associated with non-medical use of prescription opioids to avoid iatrogenic addiction. The purpose of this study was to identify demographic and clinical characteristics associated with non-medical use of prescription opioids in a national sample of U.S. adults. METHODS: We performed an analysis on the 2003 National Survey of Drug Use and Health (NSDUH). The NSDUH collects data on drug use and its correlates among the civilian, non-institutionalized U.S. population over 12 years of age. In a sub-sample of respondents 18 years and older (n=37,026), we investigated the association of demographic and clinical variables with non-medical use of prescription opioids (defined as taking an opioid only for the feeling it causes or taking an opioid prescribed for someone else) in the past year. To account for sampling methodology in the NSDUH, we utilized sample weights that normalized data to the distributions based on the 2000 census. Each independent variable was examined for bivariate association with non-medical use of prescription opioids and in a multivariable logistic regression model. RESULTS: 52% of respondents were female and ages ranged from 18 to 80. The prevalence of past year substance use disorders was as follows: non-medical use of opioids (4.56%), cigarette use (30.61%), alcohol abuse or dependence (7.75%), marijuana use, abuse or dependence (10.22%), cocaine use, abuse or dependence (2.57%), crack cocaine use (0.63%), heroin use, abuse or dependence (0.15%) inhalant or hallucinogen use, abuse or dependence (1.77%), nonmedical tranquilizer or sedative use, abuse or dependence (2.24%), and nonmedical stimulant use, abuse or dependence (1.05%). Mental illness and good/ fair/poor overall health were reported by 9.02% and 38.74% of subjects, respectively, and
Conference/Meeting Sponsor:
Place of Conference/Meeting:
Los Angeles, CA

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