Risk Factors for Prescription Opioid-Related Death, Utah, 2008–2009

Lanier, William A.; Johnson, Erin M.; Rolfs, Robert T.; Friedrichs, Michael; Grey, Todd C.

doi:10.1111/j.1526-4637.2012.01518.x

Cited by 47 publications

(53 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…24 Regional and national studies have demonstrated PDM involving each drug class is associated with short-term and long-term consequences, including neuropsychological functioning, depressed mood, sleep problems and higher rates of SUD symptoms in adulthood. 25–29 Clinicians can easily assess educational status when screening for PDM among young adults and make their patients aware of the growing evidence for adverse consequences associated with PDM.…”

Section: Discussionmentioning

confidence: 99%

Sources of Prescription Medication Misuse Among Young Adults in the United States

McCabe¹,

Teter²,

Boyd³

et al. 2018

J. Clin. Psychiatry

View full text Add to dashboard Cite

Objectives This study examined prescription drug misuse (PDM), sources of PDM and substance use disorder (SUD) symptoms as a function of educational status among U.S. young adults based on a large nationally representative sample. Methods Data from the 2009–2014 National Survey on Drug Use and Health came from a sample of 106,845 young adults aged 18–25 years. Respondents were categorized by educational status and PDM, sources of PDM, other substance use, and SUD symptoms, with analyses performed separately for prescription opioids, stimulants and sedatives/tranquilizers. Results Prescription opioid (past-year: 11.9%) and sedative/tranquilizer (past-year: 5.8%) misuse were most prevalent among young adults not attending college, especially among high school dropouts. In contrast, full-time college students and college graduates had the highest rates of prescription stimulant misuse (past-year: 3.9 and 4.3%, respectively). Obtaining prescription medications from friends/relatives for free was the most common source of PDM, especially among college students/graduates. Prescription drug misusers who obtained medications from theft/fake prescriptions, purchases or multiple sources were more likely to report past-year SUDs and had the most severe overall risk profile of concurrent substance use and SUD. More than 70% of past-month prescription drug misusers who reported multiple sources for PDM had at least one past-year SUD. Conclusions Sources of PDM vary by educational status among U.S. young adults and the college environment is associated with sharing prescription medications. Clinicians can help assess an individual’s risk for SUD by determining whether the individual engaged in PDM and the source of prescription medication the individual is misusing.

show abstract

Section: Discussionmentioning

confidence: 99%

Sources of Prescription Medication Misuse Among Young Adults in the United States

McCabe¹,

Teter²,

Boyd³

et al. 2018

J. Clin. Psychiatry

View full text Add to dashboard Cite

show abstract

“…Because SPARCS does not collect prescription drug data, it is not possible to determine if patients were prescribed prescription opioids or other drugs at their ED visit. Similarly, other important characteristics cannot be accounted for such as, drugs taken, drug dosages, the setting in which drugs were taken or the mode of drug administration (e.g., oral or intravenous), factors associated with opioid adverse events, and overdose death [39,60,62,71–73]. Fifth, there have been conflicting studies regarding the accuracy of drug overdose death certification and coding [74–77].…”

Section: Discussionmentioning

confidence: 99%

Emergency department utilization and subsequent prescription drug overdose death

Brady

DiMaggio

Keyes

et al. 2015

Annals of Epidemiology

View full text Add to dashboard Cite

Purpose Prescription drug overdose (PDO) deaths are a critical public health problem in the United States. This study aims to assess the association between emergency department (ED) utilization patterns in a cohort of ED patients and the risk of subsequent unintentional PDO mortality. Methods Using data from the New York Statewide Planning and Research Cooperative System for 2006–2010, a nested case-control design was used to examine the relationship between ED utilization patterns in New York State residents of age 18–64 years and subsequent PDO death. Results The study sample consisted of 2732 case patients who died of PDO and 2732 control ED patients who were selected through incidence density sampling. With adjustment for demographic characteristics, and diagnoses of pain, substance abuse, and psychiatric disorders, the estimated odds ratios of PDO death relative to one ED visit or less in the previous year were 4.90 (95% confidence interval [CI]: 4.50–5.34) for those with two ED visits, 16.61 (95% CI: 14.72–18.75) for those with three ED visits, and 48.24 (95% CI: 43.23–53.83) for those with four ED visits or more. Conclusions Frequency of ED visits is strongly associated with the risk of subsequent PDO death. Intervention programs targeting frequent ED users are warranted to reduce PDO mortality.

show abstract

“…Smoking-attributable mortality [67], overdose deaths from prescription drugs [68, 69], as well as alcohol-attributable mortality [70] have been clearly linked to the socioeconomic status.…”

Section: The Role Of Socioeconomic Statusmentioning

confidence: 99%

Decreases of Life Expectancy Despite Decreases in Non-Communicable Disease Mortality: The Role of Substance Use and Socioeconomic Status

Rehm

Probst

2018

Eur Addict Res

View full text Add to dashboard Cite

With the epidemiological transition, causes of death shifted from communicable to non-communicable diseases (NCDs) and life expectancy increased, as these NCD deaths occurred later in life. However, in the United States, over the past years, life expectancy has been stagnating or decreasing despite decreasing NCD mortality rates. Analyses of the most important underlying causes of death with increasing premature mortality reveal that psychoactive substance use played a crucial role for these increases. Furthermore, it can be shown, that a high proportion of the increased premature mortality and decreased life expectancies happened in lower socio-economic strata. Substance use policies should thus focus on lowering the gap between substance-attributable mortality in higher versus lower socioeconomic strata.

show abstract

Risk Factors for Prescription Opioid-Related Death, Utah, 2008–2009

Cited by 47 publications

References 28 publications

Sources of Prescription Medication Misuse Among Young Adults in the United States

Sources of Prescription Medication Misuse Among Young Adults in the United States

Emergency department utilization and subsequent prescription drug overdose death

Decreases of Life Expectancy Despite Decreases in Non-Communicable Disease Mortality: The Role of Substance Use and Socioeconomic Status

Contact Info

Product

Resources

About