Sex differences in the prevalence and correlates of emergency department utilization among adults with prescription opioid use disorder.


Journal Article

BACKGROUND: The emergency department (ED) is well-suited as an opportunity to increase treatment access for prescription opioid use disorder (POUD). We examined sex differences in ED utilization among individuals with POUD to understand potential sex-specific treatment barriers and needs. METHODS: Data from the 2005-2014 National Surveys on Drug use and Health were analyzed to examine the prevalence and correlates of past-year ED utilization among male and female adults aged 18 or older with POUD (n = 4412). RESULTS: Overall, 58.2% of adults with POUD reported past-year ED utilization. Adjusted logistic regression revealed that females (vs. males) with POUD were more likely to report past-year ED utilization. Among females with POUD, older age, lower income, obtaining opioids from a physician, major depressive episode, and greater POUD severity were associated with increased odds of ED utilization. Among males with POUD, public insurance and obtaining opioids from a physician were associated with ED utilization. A larger proportion of males with POUD reporting ED use had multiple substance use disorders than those with no ED use. Treatment history (lifetime or past-year) for alcohol, drugs, or opioid use was associated with increased odds of ED use among males and females with POUD. Conclusions/Importance: Males and females with POUD presenting to the ED may have distinct predisposing, enabling, and need-related correlates. Sex-specific screening and intervention strategies may be useful to maximize the utility of the ED to address POUD.

Full Text

Duke Authors

Cited Authors

  • John, WS; Wu, L-T

Published Date

  • 2019

Published In

Volume / Issue

  • 54 / 7

Start / End Page

  • 1178 - 1190

PubMed ID

  • 30727792

Pubmed Central ID

  • 30727792

Electronic International Standard Serial Number (EISSN)

  • 1532-2491

Digital Object Identifier (DOI)

  • 10.1080/10826084.2019.1568495


  • eng

Conference Location

  • England