Matta Marissa S, Janikowski Timothy P
Queens College - CUNY, Queens, NY, USA.
University at Buffalo - SUNY, Buffalo, NY, USA.
Subst Abuse. 2022 Jul 12;16:11782218221111843. doi: 10.1177/11782218221111843. eCollection 2022.
The risk factors for potential opioid misuse and abuse in patients receiving long-term opioid pain treatment have been a topic of interest in research for many years. There are differences among patients who receive long-term opioid pain treatment. These differences may or may not lead to opioid misuse. This study analyzes the different characteristics and predictors of prescription pain reliever misuse among respondents of the United States 2017 National Survey on Drug Use and Health. It examines the relationships of age, gender, income, perception of risk and availability of heroin, past substance use and alcohol use, the source of the pain relievers, and motivation to misuse pain relievers to pain reliever misuse and if these variables significantly predict pain reliever misuse. Data used in this study were analyzed through sequential multiple linear regression analyses. The significant positive predictors of prescription pain reliever misuse were being 26 or older, perceiving heroin as easily obtainable, and past methamphetamine use. The significant negative predictors of prescription pain reliever misuse were being 12 to 25 years old, perceiving heroin as a great risk, past alcohol use, and obtaining pain relievers from a friend or relative. The goal of this study was to increase the amount of knowledge regarding predictors of prescription opioid misuse to identify those who are at risk and decrease prescription opioid misuse and overdose rates in the United States.
长期接受阿片类药物疼痛治疗的患者中,潜在阿片类药物滥用和误用的风险因素多年来一直是研究关注的话题。接受长期阿片类药物疼痛治疗的患者存在差异。这些差异可能导致也可能不会导致阿片类药物滥用。本研究分析了美国2017年全国药物使用和健康调查受访者中处方止痛药滥用的不同特征和预测因素。它研究了年龄、性别、收入、对海洛因风险和可得性的认知、过去的物质使用和酒精使用、止痛药的来源以及滥用止痛药的动机与止痛药滥用之间的关系,以及这些变量是否能显著预测止痛药滥用。本研究中使用的数据通过顺序多元线性回归分析进行了分析。处方止痛药滥用的显著正预测因素是年龄在26岁及以上、认为海洛因容易获得以及过去使用过甲基苯丙胺。处方止痛药滥用的显著负预测因素是年龄在12至25岁之间、认为海洛因风险很大、过去饮酒以及从朋友或亲戚处获得止痛药。本研究的目的是增加关于处方阿片类药物滥用预测因素的知识量,以识别有风险的人群,并降低美国处方阿片类药物滥用和过量使用率。