Differences in Prevalence of Prescription Opiate Misuse Among Rural and Urban Probationers

Havens, Jennifer R.; Oser, Carrie B.; Leukefeld, Carl G.; Webster, J. Matthew; Martin, Steven S.; O’Connell, Daniel J.; Surratt, Hilary L.; Inciardi, James A.

doi:10.1080/00952990601175078

Cited by 84 publications

(76 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous literature has posited that prescription drug use among rural residents may be partially explained by several factors. For example, previous studies have posited that decreased availability of heroin (10,12,22), increased social acceptability of nonmedical prescription drug use (11), and decreased accessibility of prescription opioids for pain complaints among minority urban populations (23,24) may contribute to rural-urban differences in prescription opioid use. The decreased availability of heroin is unlikely to contribute to differences observed in this study as heroin use was more common among rural participants.…”

Section: Discussionmentioning

confidence: 98%

A Comparison of Rural and Urban Nonmedical Prescription Opioid Users’ Lifetime and Recent Drug Use

Young

Havens

Leukefeld

2012

The American Journal of Drug and Alcohol Abuse

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 98%

A Comparison of Rural and Urban Nonmedical Prescription Opioid Users’ Lifetime and Recent Drug Use

Young

Havens

Leukefeld

2012

The American Journal of Drug and Alcohol Abuse

Self Cite

View full text Add to dashboard Cite

show abstract

“…While misusers are more likely to be white, 39 -41 attempted deceivers are more likely to be Hispanic or Native Americans. Also, while use is higher in rural areas, 40,42 attempted deception was not associated with the size of participants' home communities. Deceivers were more likely to be male, as is the case for pharmaceutical misusers more generally, 43 and our income findings mirror a previous study that noted pharmaceutical misuse was lowest within homes earning $40,000 to $75,0000 annually.…”

Section: Discussionmentioning

confidence: 99%

Deception for Drugs: Self-Reported "Doctor Shopping" Among Young Adults

Stogner

Sanders

Miller

2014

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

Background: Pharmaceutical abuse is a burgeoning problem, and various forms of drug diversion are becoming more common. At present, little is known about those who attempt to deceive physicians to receive medications, and even less is known about those who successfully avoid detection and abuse-related repercussions. The goal of this study is to assess the prevalence of attempted physician deception in a general population, explore common motives, and evaluate risk factors associated with the behavior.Methods: A stratified random sampling technique was used to obtain a locally representative sample of 2349 young adults. The sample was 48.4% male, 68.9% white, 24.4% black, and 2.8% Hispanic. Selected individuals were surveyed using a self-report instrument (80.4% response rate).Results: Of the respondents, 93 (4.0%) self-reported having attempted to deceive a physician to obtain a pharmaceutical. Most of these indicated that they were at least partially motivated by their own abuse. Approximately half reported that selling a portion of the prescription was a motivating factor. Alcohol use, marijuana use, and pharmaceutical misuse each were risk factors associated with attempted deception. Although no traits were definitively linked to the behavior, attempted deception was more commonly reported by men, Hispanics, self-identified lesbian/gay/bisexual/transgender individuals, and those at the lowest and highest extremes of the income spectrum. Logistic regression models of rare events indicated that past substance use along with sexual orientation and family income were related to attempted deception when controlling for other factors.Conclusion: Results suggest that attempted physician deception may be more common than previously believed. Practicing physicians should attempt to use risk factor information presented within this study, albeit very cautiously. This study identifies general characteristics of young people who might divert medications but notes that only a small minority of any patient group will do so. Awareness should not equal bias in the treatment of these patients; instead, it should reinforce the need for careful clinical interviewing and the utilization of prescription drug monitoring programs and local law enforcement databases. (J Am Board Fam Med 2014;27:583-593.)

show abstract

“…In Australia, 46% of injection drug users (IDUs) reported having used morphine in the previous six months, with significant variations across states and up to a prevalence of 85% in the northern territories (8). In a study conducted in rural Kentucky among non-medical PO users, 35.3% reported having injected POs in their lifetime (9). In Quebec, Canada, the prevalence of PO The recent increase in the use of illicit POs and the growing evidence of intravenous administration by a significant number of users is worrisome.…”

Section: Introductionmentioning

confidence: 99%

The rising prevalence of prescription opioid injection and its association with hepatitis C incidence among street‐drug users

Bruneau

Roy

Arruda³

et al. 2012

Addiction

154

129

View full text Add to dashboard Cite

Aims: The study objectives were to examine trends in prescription opioid (PO) injection and to assess its association with HCV seroconversion among injection drug users (IDUs), accounting for other risk factors.Design and Setting: A prospective cohort study of IDUs was carried out between 2004 and 2009 in Montreal, Canada.Participants and Measurements: 246 HCV-negative IDUs were included in this analysis. Semiannual visits included HCV antibody testing and an interview-administered questionnaire assessing risk behaviours. HCV incidence rate was calculated using the person-time method.Time-updated Cox regression models were conducted to examine predictors of HCV incidence.Findings: The proportion of IDUs reporting PO injection increased from 21% to 75% between 2004 and 2009 (p < 0.001). Of the 246 participants (81.6% male; mean age 34.5 years; mean follow-up time 23 months), 83 seroconverted to HCV (incidence rate: 17.9 per 100 person-years; 95% CI 14.3, 22.1). PO injectors were more likely to become infected if they did not use injection heroin (Adjusted Hazard Ratio (AHR): 2.9 (95% CI: 1.5, 5.5)), whereas the association was not statistically significant for participants who reported using both drugs (AHR: 1.2 (95%CI: 0.6, 2.3). Other independent predictors of HCV incidence were: cocaine injection, recent incarceration, and > 30 injections per month.Conclusion: PO injection has increased rapidly in recent years, and appears to be an important risk factor for HCV acquisition. Our results suggest that the risks related to PO injection may be conditioned by specific drug practices which differ from those of heroin users.

show abstract

Differences in Prevalence of Prescription Opiate Misuse Among Rural and Urban Probationers

Cited by 84 publications

References 9 publications

A Comparison of Rural and Urban Nonmedical Prescription Opioid Users’ Lifetime and Recent Drug Use

A Comparison of Rural and Urban Nonmedical Prescription Opioid Users’ Lifetime and Recent Drug Use

Deception for Drugs: Self-Reported "Doctor Shopping" Among Young Adults

The rising prevalence of prescription opioid injection and its association with hepatitis C incidence among street‐drug users

Contact Info

Product

Resources

About