Family member opioid prescriptions and opioid use disorder.

MedStar author(s):
Citation: Addictive Behaviors. 95:58-63, 2019 08.PMID: 30849719Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *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 AdultYear: 2019ISSN:
  • 0306-4603
Name of journal: Addictive behaviorsAbstract: 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.All authors: Ali MM, Cutler E, Henke RM, Mazer-Amirshahi M, Mutter R, O'Brien PL, Pines JMOriginally published: Addictive Behaviors. 95:58-63, 2019 Feb 28.Original year of publication: 2019Fiscal year: FY2019FY2019Digital Object Identifier: Date added to catalog: 2019-05-21
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Journal Article MedStar Authors Catalog Article Available 30849719

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.

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