Increases in prescription opioid injection abuse among treatment admissions in the United States, 2004-2013

被引:62
作者
Jones, Christopher M. [1 ]
Christensen, Aleta [2 ]
Gladden, R. Matthew [2 ]
机构
[1] US Dept HHS, Off Sci & Data Policy, Off Assistant Secretary Planning & Evaluat, 200 Independence Ave SW RM434E2, Washington, DC 20201 USA
[2] Ctr Dis Control & Prevent, Natl Ctr Injury Prevent & Control, 4770 Buford Highway, Chamblee, GA 30341 USA
关键词
Prescription opioid; Injection; Abuse; Overdose; HEPATITIS-C VIRUS; YOUNG-ADULTS; DRUG USERS; INFECTIONS; RISK; HIV; OVERDOSES; MISUSE;
D O I
10.1016/j.drugalcdep.2017.03.011
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: The 2015 HIV outbreak in Indiana associated with prescription opioid injection coupled with rising rates of hepatitis C, especially in areas with long-standing opioid abuse, have raised concerns about prescription opioid injection. However, research on this topic is limited. We assessed trends in treatment admissions reporting injection, smoking, and inhalation abuse of prescription opioids and examined characteristics associated with non-oral routes of prescription opioid abuse in the U.S. Methods: Prescription opioid abuse treatment admissions in the 2004-2013 Treatment Episode Data Set were used to calculate counts and percentages of prescription opioid treatment admissions reporting oral, injection, or smoking/inhalation abuse overall, by sex, age, and race/ethnicity. Multivariable multinomial logistic regression was used to identify demographic and substance use characteristics associated with injection or smoking/ inhalation abuse. Results: From 2004-2013, oral abuse decreased from 73.1% to 58.9%; injection abuse increased from 11.7% to 18.1%; and smoking/inhalation abuse increased from 15.3% of admissions to 23.0%. Among treatment admissions, the following were associated with injection abuse: male sex, 18-54 year-olds, non-Hispanic whites, non-Hispanic other, homeless or dependent living, less than full-time work, living in the Midwest or South, 1 prior treatment episodes, younger age of first opioid use, and reporting use of cocaine/crack, marijuana, heroin, or methamphetamine. Conclusions: The proportion of treatment admissions reporting prescription opioid injection and smoking/ inhalation abuse increased significantly in the U.S. between 2004 and 2013. Expanding prevention efforts as well as access to medication-assisted treatment and risk reduction services for people who inject drugs is urgently needed.
引用
收藏
页码:89 / 95
页数:7
相关论文
共 40 条
  • [1] Black Ryan A, 2013, J Opioid Manag, V9, P5, DOI 10.5055/jom.2013.0142
  • [2] Abuse of prescription drugs and the risk of addiction
    Compton, Wilson A.
    Volkow, Nora D.
    [J]. DRUG AND ALCOHOL DEPENDENCE, 2006, 83 : S4 - S7
  • [3] Prescription opioid use, misuse, and diversion among street drug users in New York City
    Davis, W. Rees
    Johnson, Bruce D.
    [J]. DRUG AND ALCOHOL DEPENDENCE, 2008, 92 (1-3) : 267 - 276
  • [4] Des Jarlis D., 2013, MMWR-MORBID MORTAL W, V64, P1337
  • [5] Dowell D., 2016, 65NORR1 MMWR
  • [6] Prevalence of opioid analgesic injection among rural nonmedical opioid analgesic users
    Havens, Jennifer R.
    Walker, Robert
    Leukefeld, Carl G.
    [J]. DRUG AND ALCOHOL DEPENDENCE, 2007, 87 (01) : 98 - 102
  • [7] Prescription Opioid Abuse and Diversion in an Urban Community: The Results of an Ultrarapid Assessment
    Inciardi, James A.
    Surratt, Hilary L.
    Cicero, Theodore J.
    Beard, Ronald A.
    [J]. PAIN MEDICINE, 2009, 10 (03) : 537 - 548
  • [8] National and State Treatment Need and Capacity for Opioid Agonist Medication-Assisted Treatment
    Jones, Christopher M.
    Campopiano, Melinda
    Baldwin, Grant
    McCance-Katz, Elinore
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 2015, 105 (08) : E55 - E63
  • [9] Tampering with Prescription Opioids: Nature and Extent of the Problem, Health Consequences, and Solutions
    Katz, Nathaniel
    Dart, Richard C.
    Bailey, Elise
    Trudeau, Jeremiah
    Osgood, Eric
    Paillard, Florence
    [J]. AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 2011, 37 (04) : 205 - 217
  • [10] Abuse-deterrent opioid formulations: Are they a pipe dream?
    Katz N.
    [J]. Current Rheumatology Reports, 2008, 10 (1) : 11 - 18