Family member opioid prescriptions and opioid use disorder.
Family member opioid prescriptions and opioid use disorder.
- 2019
Copyright (c) 2019. Published by Elsevier Ltd. It is recognized that family members are a major source of diverted opioids. Yet it is not known how family member opioid prescriptions predict the development of an opioid use disorder (OUD).We conducted an observational study using commercial health care claims to investigate the association between a family member opioid prescription and an individual having an OUD-related claim in a large sample of patients with commercial insurance. We found that individuals had higher odds of having an OUD when a family member had an opioid prescription. This effect was magnified in spouses and employees compared with adolescents and young adult dependents. In addition, adult dependents with a pre-existing non-OUD substance use disorder had higher odds of having an OUD when a family member also had an opioid prescription. Given the high risk of opioid-related morbidity and mortality, more attention should be given to safeguard opioid diversion and to facilitate appropriate disposal of unused opioids.
English
0306-4603
10.1016/j.addbeh.2019.02.024 [doi] S0306-4603(18)31407-2 [pii]
*Analgesics, Opioid/tu [Therapeutic Use]
*Family
*Opioid-Related Disorders/ep [Epidemiology]
*Prescription Drug Diversion/sn [Statistics & Numerical Data]
Adolescent
Adult
Age Factors
Child
Female
Humans
Male
Middle Aged
Retrospective Studies
Spouses
Substance-Related Disorders/ep [Epidemiology]
Young Adult
MedStar Washington Hospital Center
Emergency Medicine
Journal Article
Copyright (c) 2019. Published by Elsevier Ltd. It is recognized that family members are a major source of diverted opioids. Yet it is not known how family member opioid prescriptions predict the development of an opioid use disorder (OUD).We conducted an observational study using commercial health care claims to investigate the association between a family member opioid prescription and an individual having an OUD-related claim in a large sample of patients with commercial insurance. We found that individuals had higher odds of having an OUD when a family member had an opioid prescription. This effect was magnified in spouses and employees compared with adolescents and young adult dependents. In addition, adult dependents with a pre-existing non-OUD substance use disorder had higher odds of having an OUD when a family member also had an opioid prescription. Given the high risk of opioid-related morbidity and mortality, more attention should be given to safeguard opioid diversion and to facilitate appropriate disposal of unused opioids.
English
0306-4603
10.1016/j.addbeh.2019.02.024 [doi] S0306-4603(18)31407-2 [pii]
*Analgesics, Opioid/tu [Therapeutic Use]
*Family
*Opioid-Related Disorders/ep [Epidemiology]
*Prescription Drug Diversion/sn [Statistics & Numerical Data]
Adolescent
Adult
Age Factors
Child
Female
Humans
Male
Middle Aged
Retrospective Studies
Spouses
Substance-Related Disorders/ep [Epidemiology]
Young Adult
MedStar Washington Hospital Center
Emergency Medicine
Journal Article