Department of Anesthesiology and Pain Medicine, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.
Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Reg Anesth Pain Med. 2024 May 7;49(5):339-345. doi: 10.1136/rapm-2023-104495.
While civilian opioid prescriptions have seen a dramatic decline in recent years, there are few studies investigating trends in opioid prescription in the active duty military population. We evaluated oral opioid prescribing patterns to active duty military personnel in the Military Health System (MHS) from 2017 to 2020 to determine the incidence of opioid prescriptions as well as demographic and military-specific risk factors for receiving an oral opioid prescription.
The MHS Data Repository was queried from 2017 to 2020 to identify all outpatient oral opioid prescriptions to active duty military personnel in August of each year as well as demographic information on the study population. Data were evaluated in a logistic regression model, and ORs of receiving an oral opioid prescription were calculated for each factor.
The proportion of active duty military personnel receiving an oral opioid prescription declined from 2.71% to 1.26% (53% relative reduction) over the study period. Within the logistic regression model, female military personnel were significantly more likely to receive opioid prescriptions compared with men, and there was a stepwise increase in likelihood of an opioid prescription with increasing age. Army and Marine personnel, personnel without a history of military deployment and those stationed within the continental USA were significantly more likely to receive an opioid prescription.
The substantial decrease in oral opioid prescriptions to active duty military personnel mirrors data published in the civilian community. The identified risk factors for receiving an opioid prescription may be potential targets for future interventions to further decrease prescribing.
近年来，民用阿片类药物处方数量急剧下降，但很少有研究调查现役军人中阿片类药物处方的趋势。我们评估了 2017 年至 2020 年军事卫生系统（MHS）中现役军人口服阿片类药物的开方模式，以确定阿片类药物处方的发生率以及接受口服阿片类药物处方的人口统计学和军事特定风险因素。
从 2017 年到 2020 年，从 MHS 数据存储库中查询了每年 8 月所有现役军人的门诊口服阿片类药物处方以及研究人群的人口统计学信息。数据在逻辑回归模型中进行评估，并计算了每个因素接受口服阿片类药物处方的比值比（OR）。
在研究期间，接受口服阿片类药物处方的现役军人比例从 2.71%降至 1.26%（相对减少 53%）。在逻辑回归模型中，与男性相比，女性军人接受阿片类药物处方的可能性明显更高，并且随着年龄的增加，接受阿片类药物处方的可能性呈逐步增加。陆军和海军人员、没有军事部署史的人员以及驻扎在美国大陆的人员接受阿片类药物处方的可能性显著更高。
现役军人口服阿片类药物处方的大量减少与在平民社区发表的数据相符。接受阿片类药物处方的确定风险因素可能是未来减少处方的潜在干预目标。
