School of Nursing and Health Sciences, Merrimack College, North Andover, Massachusetts, United States of America.
Solomont School of Nursing, University of Massachusetts Lowell, Lowell, Massachusetts, United States of America.
PLoS One. 2023 Aug 22;18(8):e0290104. doi: 10.1371/journal.pone.0290104. eCollection 2023.
Increasing numbers of opioid-overdose deaths have been witnessed among Hispanics and other underserved populations in Massachusetts. Puerto Rican adults (PRs) have a disproportionately higher prevalence of chronic diseases than non-Hispanic White adults-conditions linked to increased prescription opioid use and misuse. Stress indicators, including low acculturation, low social support, and perceived discrimination, have been recognized as correlates of chronic diseases. However, little research has been undertaken on how these socio-cultural factors relate to persistent prescription opioid use among PRs. This study evaluated the prevalence of prescription opioid use and socio-cultural factors associated with persistent prescription opioid use among PRs.
Data from the prospective population-based Boston Puerto Rican Health Study, at baseline, ~2-year, and ~ 6-year follow-up, were used to estimate prescription opioid use prevalence and its associations with acculturation, social support, and perceived discrimination. Analyses were conducted using multivariable binary logistic regression modeling.
The study sample was comprised of 798 PRs (age 56.5 ± 7.5y) with data at all three-time points. A high prevalence of prescription opioid use was observed and was associated with lower household income. PRs with experiences of perceived discrimination had higher odds of persistent prescription opioid use (y/n; OR = 2.85, 95% CI: 1.46-5.58). No significant associations were found between acculturation, social support, and persistent prescription opioid use.
Our study reported a high prevalence of prescription opioid use in PRs, with persistent prescription opioid use significantly associated with perceived discrimination. Future programs to limit discrimination practices may reduce persistent prescription opioid use and opioid-related complications among PRs.
在马萨诸塞州，西班牙裔和其他服务不足的人群中，阿片类药物过量死亡的人数不断增加。波多黎各成年人（PRs）比非西班牙裔白人成年人患有更多的慢性疾病-这些疾病与处方类阿片类药物使用和滥用的增加有关。压力指标，包括低文化适应、低社会支持和感知歧视，已被认为是慢性疾病的相关因素。然而，关于这些社会文化因素如何与 PR 持续使用处方类阿片类药物有关的研究甚少。本研究评估了 PR 中处方类阿片类药物使用的流行情况以及与持续使用处方类阿片类药物相关的社会文化因素。
使用前瞻性基于人群的波士顿波多黎各健康研究的数据，在基线、2 年和6 年随访时，估计处方类阿片类药物的使用情况及其与文化适应、社会支持和感知歧视的关系。使用多变量二元逻辑回归模型进行分析。
研究样本由 798 名 PRs 组成（年龄 56.5±7.5 岁），所有三个时间点均有数据。观察到高处方类阿片类药物使用率，与家庭收入较低有关。经历过感知歧视的 PRs 持续使用处方类阿片类药物的可能性更高（是/否；OR=2.85，95%CI：1.46-5.58）。文化适应、社会支持与持续使用处方类阿片类药物之间无显著相关性。
我们的研究报告了 PR 中处方类阿片类药物使用的高流行率，持续使用处方类阿片类药物与感知歧视显著相关。未来限制歧视行为的计划可能会减少 PR 中持续使用处方类阿片类药物和与阿片类药物相关的并发症。
