|Titre :||Changes in US lifetime heroin use and heroin use disorder prevalence from the 2001-2002 to 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions (2017)|
|Auteurs :||S. S. MARTINS ; A. SARVET ; J. SANTAELLA-TENORIO ; T. SAHA ; B. F. GRANT ; D. S. HASIN|
|Type de document :||Article : Périodique|
|Dans :||JAMA Psychiatry (Vol.74, n°5, May 2017)|
|Article en page(s) :||445-455|
|Note générale :||Editorial: Madras B. K. The surge of opioid use, addiction, and overdoses responsibility and response of the US health care system. JAMA Psychiatry, 2017; 74(5): p. 441-442.|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASEHEROINE ; EVOLUTION ; PREVALENCE ; ENQUETE ; MORBIDITE ; OPIOIDES ; MEDICAMENTS ; ETHNIE ; PROFIL SOCIO-DEMOGRAPHIQUE
IMPORTANCE: Heroin use is an urgent concern in the United States. Little is know about the course of heroin use, heroin use disorder, and associated factors.
OBJECTIVE: To examine changes in the lifetime prevalence, patterns, and associated demographics of heroin use and use disorder from 2001-2002 to 2012-2013 in 2 nationally representative samples of the US adult general population.
DESIGN, SETTING, AND PARTICIPANTS: This survey study included data from 43 093 respondents of the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) and 36 309 respondents of the 2012-2013 NESARC-III. Data were analyzed from February 2 to September 15, 2016.
MAIN OUTCOMES AND MEASURES: Lifetime heroin use and DSM-IV heroin use disorder.
RESULTS: Among the 79 402 respondents (43.3% men; 56.7% women; mean [SD] age, 46.1 [17.9] years), prevalence of heroin use and heroin use disorder significantly increased from 2001-2002 to 2012-2013 (use: 0.33%[SE, 0.03%] vs 1.6%[SE, 0.08%]; disorder: 0.21% [SE, 0.03%] vs 0.69% [SE, 0.06%]; P CONCLUSIONS AND RELEVANCE: The prevalence of heroin use and heroin use disorder increased significantly, with greater increases among white individuals. The nonmedical use of prescription opioids preceding heroin use increased among white individuals, supporting a link between the prescription opioid epidemic and heroin use in this population. Findings highlight the need for educational campaigns regarding harms related to heroin use and the need to expand access to treatment in populations at increased risk for heroin use and heroin use disorder.
|Domaine :||Drogues illicites / Illicit drugs|
|Refs biblio. :||75|
|Affiliation :||Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA|