| 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 |
| Langues: | Anglais |
| Discipline : | EPI (Epidémiologie / Epidemiology) |
| Mots-clés : |
Thésaurus Géographique ETATS-UNISThésaurus TOXIBASE OPIOIDES ; HEROINE ; SURDOSE ; EVOLUTION ; ADULTE ; MORBIDITE ; FACTEUR DE RISQUE ; POLYCONSOMMATION ; PREVALENCE ; ENQUETE |
| Résumé : |
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. Highlights: 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 |
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