Factors associated with heroin use among those reporting -prescription opioid misuse: Results from a nationally -representative sample.
J Opioid Manag
; 18(3): 243-255, 2022.
Article
en En
| MEDLINE
| ID: mdl-35666481
ABSTRACT
OBJECTIVE:
The present investigation aims to identify characteristics associated with heroin use among those reporting prescription opioid misuse from a nationally representative sample, and how these characteristics vary by urbanicity.DESIGN:
A cross-sectional analysis.SETTING:
Pooled 2015-2018 data from the National Survey on Drug Use and Health (NSDUH), the leading source for nationally representative substance use, mental health, and other health-related data and trends in the United States. PATIENTS ANDPARTICIPANTS:
23,719 participants (12,109 male and 11,610 female) reporting previous prescription opioid misuse in the 2015-2018 NSDUH data.INTERVENTIONS:
None. MAIN OUTCOMEMEASURES:
Univariable and multivariable logistic regressions were used to assess the association of characteristics with heroin use, stratified by urbanicity.RESULTS:
After multivariable adjustment, factors associated with heroin use among prescription opioid misusers were male sex, non-Hispanic White race, low educational attainment, recent nonopioid illicit drug use, and recent nonopioid prescription drug misuse. Commercial health insurance was associated with lower odds of heroin use among both rural and urban prescription opioid misusers, but an observed association between Medicaid and greater odds of heroin use was stronger among urban versus rural participants. In contrast, observed associations between illicit drug use other than marijuana in the past year and greater odds of heroin use were stronger among rural vs urban participants.CONCLUSION:
Important differences exist between factors associated with heroin use among urban and rural prescription opioid misusers, and there is a need to consider broader polysubstance use trends and barriers to mental healthcare access to adequately address heroin use.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Drogas Ilícitas
/
Mal Uso de Medicamentos de Venta con Receta
/
Trastornos Relacionados con Opioides
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Opioid Manag
Asunto de la revista:
NEUROLOGIA
/
PSICOFISIOLOGIA
/
TERAPIA POR MEDICAMENTOS
Año:
2022
Tipo del documento:
Article