|Titre :||Trends in non-medical prescription opioids and heroin co-use among adults, 2003-2014 (2018)|
|Auteurs :||S. MITAL ; M. WINDLE ; H. L. F. COOPER ; N. D. CRAWFORD|
|Type de document :||Article : Périodique|
|Dans :||Addictive Behaviors (Vol.86, November 2018)|
|Article en page(s) :||17-23|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASEOPIOIDES ; HEROINE ; SURDOSE ; EVOLUTION ; ADULTE ; MORBIDITE ; FACTEUR DE RISQUE ; POLYCONSOMMATION ; PREVALENCE ; ENQUETE
Background: Patterns in non-medical prescription opioid (NMPO) and heroin use have recently shifted, with evidence that NMPO-only users transition to NMPO and heroin co-use. Co-use is associated with increased risk of morbidity and overdose, highlighting the need for further investigation. This study aims to quantify, describe, and explore trends in co-use.
Methods: Using data from the 2003-2014 National Surveys on Drug Use and Health, we compared co-use to NMPO- and heroin-only use across demographic, substance use and mental health characteristics with chi-squared tests. Logistic regression models assessed trends in opioid use overall, and among co-users.
Results: From 2003 to 2014, the prevalence of all opioid use (NMPO-only, heroin-only, and co-use) and NMPO-only use decreased 6.08% (p Discussion: The increased prevalence of co-use and differences across demographic, substance use, and mental health characteristics highlight the need for targeted prevention and response interventions for this emerging, high-risk group.
We assess nationally-representative data on trends in NMPO, heroin and co-use use.
From 2003 to 2014, prevalence of NMPO declined slightly while heroin and co-use increased.
Co-use of NMPO and heroin grew 248.17% from 2003 to 2014.
Prevalence of and growth in co-use differs by demographic, drug use and mental health sub-groups.
|Domaine :||Autres substances / Other substances ; Drogues illicites / Illicit drugs|
|Affiliation :||Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA, USA|