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Medical use, non-medical use and use disorders of benzodiazepines and prescription opioids in adults: Differences by insurance status.
Drug Alcohol Depend. 2019 11 01; 204:107573.DA

Abstract

OBJECTIVES

To report and analyze prevalence's of Benzodiazepines (BZDs) and Prescription Opioids (POs) use by insurance status and to investigate associations between insurance status and BZDs, POs and concurrent medical/non-medical use and use disorders.

METHODS

This study included 81,133 adults ages 18 and older from 2015 and 2016 National Survey on Drug Use and Health. Participants' self-reported past- year medical use, non-medical use and use disorders of BZDs and POs were assessed, along with their insurance status (Private/Military, Medicare, Medicaid, and Uninsured) and demographic characteristics.

RESULTS

In 2015-2016, 12.6% of adults reported using BZDs and 36.9% reported using POs in the past year. Among adults, 8.3% reported past-year use of both BZDs and POs; also, 1.9% and 3.8% reported non-medical use of BZDs and POs, respectively, and 0.9% reported non-medical use of both BZDs and POs. Medicaid-covered respondents had higher risk of BZDs (aRRR = 1.59, 95%CI = [1.45, 1.74]), POs (aRRR = 1.66, 95%CI = [1.54, 1.79]) and concurrent past-year medical use (aRRR = 2.11, 95%CI = [1.87, 2.38]), higher risk of BZDs non-medical use (aRRR = 1.40, 95%CI = [1.17, 1.68]) and BZD Use Disorders (aRRR = 2.60, 95%CI = [1.82, 3.72]), POs non-medical use (aRRR = 1.67, 95%CI = [1.45, 1.92]), PO use Disorders (aRRR = 4.12, 95%CI = [3.33, 5.11]) and concurrent non-medical use (aRRR = 1.52, 95%CI = [1.20, 1.92]) and Use Disorders (aRRR = 3.68, 95%CI = [1.93, 6.78]), compared to those with private insurance.

CONCLUSIONS

Future health policies should focus on reducing individual and co-prescription of BZDs and POs and providing different strategies of pain management.

Authors+Show Affiliations

Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Department of Epidemiology - Columbia University Mailman School of Public Health, New York, NY, United States. Electronic address: vstardelli@unifesp.br.Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil. Electronic address: marquesfidalgo@yahoo.com.Department of Epidemiology - Columbia University Mailman School of Public Health, New York, NY, United States. Electronic address: julian.santaella@gmail.com.Department of Epidemiology - Columbia University Mailman School of Public Health, New York, NY, United States. Electronic address: ssm2183@columbia.edu.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

31568936

Citation

Tardelli, Vítor Soares, et al. "Medical Use, Non-medical Use and Use Disorders of Benzodiazepines and Prescription Opioids in Adults: Differences By Insurance Status." Drug and Alcohol Dependence, vol. 204, 2019, p. 107573.
Tardelli VS, Fidalgo TM, Santaella J, et al. Medical use, non-medical use and use disorders of benzodiazepines and prescription opioids in adults: Differences by insurance status. Drug Alcohol Depend. 2019;204:107573.
Tardelli, V. S., Fidalgo, T. M., Santaella, J., & Martins, S. S. (2019). Medical use, non-medical use and use disorders of benzodiazepines and prescription opioids in adults: Differences by insurance status. Drug and Alcohol Dependence, 204, 107573. https://doi.org/10.1016/j.drugalcdep.2019.107573
Tardelli VS, et al. Medical Use, Non-medical Use and Use Disorders of Benzodiazepines and Prescription Opioids in Adults: Differences By Insurance Status. Drug Alcohol Depend. 2019 11 1;204:107573. PubMed PMID: 31568936.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Medical use, non-medical use and use disorders of benzodiazepines and prescription opioids in adults: Differences by insurance status. AU - Tardelli,Vítor Soares, AU - Fidalgo,Thiago Marques, AU - Santaella,Julian, AU - Martins,Silvia S, Y1 - 2019/09/21/ PY - 2019/05/22/received PY - 2019/08/16/revised PY - 2019/08/21/accepted PY - 2019/10/1/pubmed PY - 2020/8/4/medline PY - 2019/10/1/entrez KW - Benzodiazepines KW - Epidemiology KW - Insurance KW - Opioids KW - Prescription opioids SP - 107573 EP - 107573 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 204 N2 - OBJECTIVES: To report and analyze prevalence's of Benzodiazepines (BZDs) and Prescription Opioids (POs) use by insurance status and to investigate associations between insurance status and BZDs, POs and concurrent medical/non-medical use and use disorders. METHODS: This study included 81,133 adults ages 18 and older from 2015 and 2016 National Survey on Drug Use and Health. Participants' self-reported past- year medical use, non-medical use and use disorders of BZDs and POs were assessed, along with their insurance status (Private/Military, Medicare, Medicaid, and Uninsured) and demographic characteristics. RESULTS: In 2015-2016, 12.6% of adults reported using BZDs and 36.9% reported using POs in the past year. Among adults, 8.3% reported past-year use of both BZDs and POs; also, 1.9% and 3.8% reported non-medical use of BZDs and POs, respectively, and 0.9% reported non-medical use of both BZDs and POs. Medicaid-covered respondents had higher risk of BZDs (aRRR = 1.59, 95%CI = [1.45, 1.74]), POs (aRRR = 1.66, 95%CI = [1.54, 1.79]) and concurrent past-year medical use (aRRR = 2.11, 95%CI = [1.87, 2.38]), higher risk of BZDs non-medical use (aRRR = 1.40, 95%CI = [1.17, 1.68]) and BZD Use Disorders (aRRR = 2.60, 95%CI = [1.82, 3.72]), POs non-medical use (aRRR = 1.67, 95%CI = [1.45, 1.92]), PO use Disorders (aRRR = 4.12, 95%CI = [3.33, 5.11]) and concurrent non-medical use (aRRR = 1.52, 95%CI = [1.20, 1.92]) and Use Disorders (aRRR = 3.68, 95%CI = [1.93, 6.78]), compared to those with private insurance. CONCLUSIONS: Future health policies should focus on reducing individual and co-prescription of BZDs and POs and providing different strategies of pain management. SN - 1879-0046 UR - https://www.unboundmedicine.com/medline/citation/31568936/Medical_use_non_medical_use_and_use_disorders_of_benzodiazepines_and_prescription_opioids_in_adults:_Differences_by_insurance_status_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(19)30350-3 DB - PRIME DP - Unbound Medicine ER -