Factors associated with potentially problematic opioid prescriptions among individuals with private insurance and medicaid.
Factors associated with potentially problematic opioid prescriptions among individuals with private insurance and medicaid.
- 2019
Copyright Published by Elsevier Ltd. If opioid analgesics are prescribed and used inappropriately, they can lead to addiction and other adverse effects. In this study, we (1) examine factors associated with potentially problematic opioid prescriptions and (2) quantify the link between potentially problematic prescriptions and the development of opioid use disorder. We found that older age; female sex; having back pain, arthritis, or migraine; hydrocodone prescription; previous pharmacotherapy for opioid use disorder; and frequent emergency department use were associated with problematic prescriptions among individuals with Medicaid and private insurance. Patients with commercial insurance and Medicaid who had potentially problematic opioid prescriptions were eight and three times more likely, respectively, to develop an opioid use disorder than patients without potentially problematic opioid prescriptions. Our findings help identify factors associated with problematic prescriptions and underscore the importance of targeted public health interventions.
English
0306-4603
10.1016/j.addbeh.2019.06.005 [doi] S0306-4603(19)30289-8 [pii]
*Analgesics, Opioid/tu [Therapeutic Use]
*Inappropriate Prescribing/sn [Statistics & Numerical Data]
*Insurance, Health/sn [Statistics & Numerical Data]
*Medicaid/sn [Statistics & Numerical Data]
*Opioid-Related Disorders/ep [Epidemiology]
Adolescent
Adult
African Americans
Age Factors
Arthritis/dt [Drug Therapy]
Arthritis/ep [Epidemiology]
Back Pain/dt [Drug Therapy]
Back Pain/ep [Epidemiology]
Emergency Service, Hospital/sn [Statistics & Numerical Data]
European Continental Ancestry Group
Female
Health Maintenance Organizations
Hispanic Americans
Humans
Male
Mental Disorders/ep [Epidemiology]
Middle Aged
Migraine Disorders/dt [Drug Therapy]
Migraine Disorders/ep [Epidemiology]
Preferred Provider Organizations
Risk Factors
Sex Factors
United States/ep [Epidemiology]
Young Adult
MedStar Washington Hospital Center
Emergency Medicine
Journal Article
Copyright Published by Elsevier Ltd. If opioid analgesics are prescribed and used inappropriately, they can lead to addiction and other adverse effects. In this study, we (1) examine factors associated with potentially problematic opioid prescriptions and (2) quantify the link between potentially problematic prescriptions and the development of opioid use disorder. We found that older age; female sex; having back pain, arthritis, or migraine; hydrocodone prescription; previous pharmacotherapy for opioid use disorder; and frequent emergency department use were associated with problematic prescriptions among individuals with Medicaid and private insurance. Patients with commercial insurance and Medicaid who had potentially problematic opioid prescriptions were eight and three times more likely, respectively, to develop an opioid use disorder than patients without potentially problematic opioid prescriptions. Our findings help identify factors associated with problematic prescriptions and underscore the importance of targeted public health interventions.
English
0306-4603
10.1016/j.addbeh.2019.06.005 [doi] S0306-4603(19)30289-8 [pii]
*Analgesics, Opioid/tu [Therapeutic Use]
*Inappropriate Prescribing/sn [Statistics & Numerical Data]
*Insurance, Health/sn [Statistics & Numerical Data]
*Medicaid/sn [Statistics & Numerical Data]
*Opioid-Related Disorders/ep [Epidemiology]
Adolescent
Adult
African Americans
Age Factors
Arthritis/dt [Drug Therapy]
Arthritis/ep [Epidemiology]
Back Pain/dt [Drug Therapy]
Back Pain/ep [Epidemiology]
Emergency Service, Hospital/sn [Statistics & Numerical Data]
European Continental Ancestry Group
Female
Health Maintenance Organizations
Hispanic Americans
Humans
Male
Mental Disorders/ep [Epidemiology]
Middle Aged
Migraine Disorders/dt [Drug Therapy]
Migraine Disorders/ep [Epidemiology]
Preferred Provider Organizations
Risk Factors
Sex Factors
United States/ep [Epidemiology]
Young Adult
MedStar Washington Hospital Center
Emergency Medicine
Journal Article