Historique
Article de Périodique
A recent history of opioid use in the US: Three decades of change (2019)
Auteur(s) :
DAYER, L. E. ;
PAINTER, J. T. ;
MCCAIN, K. ;
KING, J. ;
CULLEN, J. ;
FOSTER, H. R.
Année
2019
Page(s) :
331-339
Langue(s) :
Anglais
Domaine :
Autres substances / Other substances ; Drogues illicites / Illicit drugs
Discipline :
SAN (Santé publique / Public health)
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
OPIOIDES
;
EVOLUTION
;
HISTOIRE
;
PRODUIT ILLICITE
;
OPIACES
;
HEROINE
;
CULTUREL
;
SANTE PUBLIQUE
;
PRESCRIPTION MEDICALE
;
TYPE D'USAGE
;
SURDOSE
;
MORTALITE
Résumé :
BACKGROUND: The opioid epidemic in the United States is a problem that has developed over decades. While clinical, regulatory, and legislative changes have been implemented to combat this issue, changes will not be immediate. Moreover, the changes that have been carried out may have unintended negative consequences such as increased use of illicit opioids (e.g., heroin and synthetics) and challenges in effective and appropriate pain management.
OBJECTIVES: This review focuses on the last three decades and presents key changes the United States has seen in the use of opioids.
CONCLUSIONS/IMPORTANCE: There have been numerous policy changes and programs aimed at decreasing opioid use and abuse in the United States; however, it will take a major shift in the mindset of clinicians, the general public, and policy makers to alleviate this epidemic.
OBJECTIVES: This review focuses on the last three decades and presents key changes the United States has seen in the use of opioids.
CONCLUSIONS/IMPORTANCE: There have been numerous policy changes and programs aimed at decreasing opioid use and abuse in the United States; however, it will take a major shift in the mindset of clinicians, the general public, and policy makers to alleviate this epidemic.
Affiliation :
Department of Pharmacy Practice, University of Arkansas for Medical Sciences College of Pharmacy, Little Rock, Arkansas, USA