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Sources of Misused Prescription Opioids and Their Association with Prescription Opioid Use Disorder in the United States: Sex and Age Differences.

Publication ,  Journal Article
Park, J-Y; Wu, L-T
Published in: Subst Use Misuse
2020

Background: Prescription opioid (PO) misuse and prescription opioid use disorder (POUD) are a national crisis in the USA. To inform strategies for reducing the PO epidemic, research is needed on the sources of misused POs and their association with POUD. Methods: Past-year PO misusers aged ≥12 (N = 6033) from the 2015 to 2016 National Surveys on Drug Use and Health were analyzed. The most recent source of misused POs was assessed. Logistic regression analyses were used to determine the association between the sources of misused POs and past-year POUD. All analyses were stratified by age groups for each sex. Results: Overall, the most common sources of misused POs were obtaining from friends/relatives for free (40.27%) and physicians (36.59%). Males had a higher prevalence of buying POs from friends/relatives or drug dealers/strangers than females. Significant age differences also emerged. Buying POs from drug dealers/strangers (vs. obtaining POs free from friends/relatives) was strong predictor of past-year POUD in both sexes. In the sex- and age-stratified analyses, significant associations of past-year POUD with (1) buying from drug dealers/strangers emerged among males aged 18+ and females aged 26+; (2) buying from friends/relatives emerged among males aged 12+ and females aged 18-25; (3) obtaining from physicians emerged among males aged 18+ and females aged 26+. Conclusions: Our findings indicate different risk profiles for POUD across sex and age groups with different diversion sources. Prevention and treatment programs for POUD should be tailored to consider sex and developmental age differences in sources of opioids.

Duke Scholars

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Published In

Subst Use Misuse

DOI

EISSN

1532-2491

Publication Date

2020

Volume

55

Issue

6

Start / End Page

928 / 936

Location

England

Related Subject Headings

  • Young Adult
  • United States
  • Substance Abuse
  • Prevalence
  • Prescriptions
  • Prescription Drug Misuse
  • Opioid-Related Disorders
  • Male
  • Humans
  • Friends
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Park, J.-Y., & Wu, L.-T. (2020). Sources of Misused Prescription Opioids and Their Association with Prescription Opioid Use Disorder in the United States: Sex and Age Differences. Subst Use Misuse, 55(6), 928–936. https://doi.org/10.1080/10826084.2020.1713818
Park, Ji-Yeun, and Li-Tzy Wu. “Sources of Misused Prescription Opioids and Their Association with Prescription Opioid Use Disorder in the United States: Sex and Age Differences.Subst Use Misuse 55, no. 6 (2020): 928–36. https://doi.org/10.1080/10826084.2020.1713818.
Park, Ji-Yeun, and Li-Tzy Wu. “Sources of Misused Prescription Opioids and Their Association with Prescription Opioid Use Disorder in the United States: Sex and Age Differences.Subst Use Misuse, vol. 55, no. 6, 2020, pp. 928–36. Pubmed, doi:10.1080/10826084.2020.1713818.

Published In

Subst Use Misuse

DOI

EISSN

1532-2491

Publication Date

2020

Volume

55

Issue

6

Start / End Page

928 / 936

Location

England

Related Subject Headings

  • Young Adult
  • United States
  • Substance Abuse
  • Prevalence
  • Prescriptions
  • Prescription Drug Misuse
  • Opioid-Related Disorders
  • Male
  • Humans
  • Friends