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Sociodemographic and Clinical Predictors of Prescription Opioid Use in a Longitudinal Community-Based Cohort Study of Middle-Aged and Older Adults
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3 2022
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Source: J Aging Health. 34(2):213-220
[PDF-330.59 KB]
Details:
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Alternative Title:J Aging Health
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Personal Author:
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Description:Objectives:
Identifying factors associated with opioid use in middle-aged and older adults is a fundamental step in the mitigation of potentially unnecessary opioid consumption and opioid-related harms.
Methods:
Using longitudinal data on a community-based cohort of adults aged 50–90 years residing in Johnston County, North Carolina, we examined sociodemographic and clinical factors in non-opioid users (n=786) at baseline (2006–2010) as predictors of opioid use at follow-up (2013–2015). Variables included age, sex, race, obesity, educational attainment, employment status, household poverty rate, marital status, depressive symptoms, social support, pain catastrophizing, pain sensitivity, insurance status, and polypharmacy.
Results:
At follow-up, 13% of participants were using prescription opioids. In the multivariable model, high pain catastrophizing (adjusted odds ratio; 95% confidence interval=2.14;1.33−3.46), polypharmacy (2.08;1.23−3.53), and history of depressive symptoms (2.00;1.19−3.38) were independent markers of opioid use.
Discussion:
Findings support assessment of these modifiable factors during clinical encounters in patients ≥50 years old with chronic pain.
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Pubmed ID:34404244
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Pubmed Central ID:PMC8854450
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Funding:
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Volume:34
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Issue:2
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