TY  - BOOK
AU  - Mazer-Amirshahi, Maryann
TI  - Factors associated with potentially problematic opioid prescriptions among individuals with private insurance and medicaid
SN  - 0306-4603
PY  - 2019///
KW  - *Analgesics, Opioid/tu [Therapeutic Use]
KW  - *Inappropriate Prescribing/sn [Statistics & Numerical Data]
KW  - *Insurance, Health/sn [Statistics & Numerical Data]
KW  - *Medicaid/sn [Statistics & Numerical Data]
KW  - *Opioid-Related Disorders/ep [Epidemiology]
KW  - Adolescent
KW  - Adult
KW  - African Americans
KW  - Age Factors
KW  - Arthritis/dt [Drug Therapy]
KW  - Arthritis/ep [Epidemiology]
KW  - Back Pain/dt [Drug Therapy]
KW  - Back Pain/ep [Epidemiology]
KW  - Emergency Service, Hospital/sn [Statistics & Numerical Data]
KW  - European Continental Ancestry Group
KW  - Female
KW  - Health Maintenance Organizations
KW  - Hispanic Americans
KW  - Humans
KW  - Male
KW  - Mental Disorders/ep [Epidemiology]
KW  - Middle Aged
KW  - Migraine Disorders/dt [Drug Therapy]
KW  - Migraine Disorders/ep [Epidemiology]
KW  - Preferred Provider Organizations
KW  - Risk Factors
KW  - Sex Factors
KW  - United States/ep [Epidemiology]
KW  - Young Adult
KW  - MedStar Washington Hospital Center
KW  - Emergency Medicine
KW  - Journal Article
N2  - 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
UR  - https://dx.doi.org/10.1016/j.addbeh.2019.06.005
UR  - https://dx.doi.org/10.1016/j.addbeh.2019.06.005
ER  -