Prevalence of lifetime nonmedical opioid use among U.S. Health Center Patients aged 45 years and older with psychiatric disorders

Details

• Alternative Title:
  Aging Ment Health
• Personal Author:
  Brooks, Jessica M. ; Umucu, Emre ; Fortuna, Karen L. ; Reid, M. Carrington ; Tracy, Kathlene ; Poghosyan, Lusine
• Description:
  Objective:
  
  Despite recent concerns over the increase in opioid misuse among aging adults, little is known about the prevalence of lifetime nonmedical opioid use in underserved, vulnerable middle-aged and older patients with psychiatric disorders. This study aims to determine the lifetime prevalence of nonmedical opioid use among underserved, vulnerable U.S. adults aged ≥45 years with psychiatric disorders.
  
  Method:
  
  A nationally representative sample (n = 3,294) was obtained from the 2014 Health Center Patient Survey which collects data on psychiatric disorders, opioid use, and other health information from underserved, vulnerable U.S. primary care populations. Predictor variables included self-reported panic disorder, generalized anxiety disorder, schizophrenia, or bipolar disorder. The outcome variable was self-reported lifetime nonmedical opioid use. Frequencies, counts, and unadjusted and adjusted logistic regression models were conducted with the cross-sectional survey dataset.
  
  Results:
  
  Patients with bipolar disorder had the highest lifetime nonmedical opioid use rate (20.8%), followed by schizophrenia (19.3%), panic disorder (16.5%), and generalized anxiety disorder (14.5%). Nonmedical opioid use was significantly associated with bipolar disorder (OR 3.46, 95% CI [1.33, 8.99]) and generalized anxiety disorder (OR 2.03 95% CI [1.08, 3.83]).
  
  Conclusion:
  
  Our findings demonstrate a high prevalence of lifetime nonmedical opioid use in underserved, vulnerable middle-aged and older health center patients with psychiatric disorders. Given the prevalence, health center professionals should monitor, prevent, and treat new or reoccurring signs and symptoms of nonmedical opioid use in this high-risk group of aging patients with psychiatric disorders.
  
  
• Keywords:
  Aged Analgesics, Opioid Anxiety Disorders Cross-Sectional Studies Epidemiology Geriatric Psychiatry Geriatrics Health Centers Humans Middle Aged Opioid-Related Disorders Opioids Prevalence Primary Care United States

  More +
• Source:
  Aging Ment Health. 26(1):179-185
• Pubmed ID:
  33291958
• Pubmed Central ID:
  PMC8187460
• Document Type:
  Journal Article
• Funding:
  K01 MH117496/MH/NIMH NIH HHSUnited States/ ; L30 MH114357/MH/NIMH NIH HHSUnited States/ ; R01 MD011514/MD/NIMHD NIH HHSUnited States/ ; L30 MH111001/MH/NIMH NIH HHSUnited States/ ; U48 DP005018/DP/NCCDPHP CDC HHSUnited States/ ; K24 AG053462/AG/NIA NIH HHSUnited States/ ; P30 AG022845/AG/NIA NIH HHSUnited States/
• Volume:
  26
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:a74823a56a93d467bdfb7b76af9aa6aaaef3eb91ccb12848b720c5235b5a4f57
• Download URL:
  https://stacks.cdc.gov/view/cdc/107258/cdc_107258_DS1.pdf
• File Type:
  [PDF - 335.61 KB ]