Department of Sociology, University of Toronto, Canada.
Department of Sociology and Criminology & Law, University of Florida, United States.
Addict Behav. 2024 Feb;149:107890. doi: 10.1016/j.addbeh.2023.107890. Epub 2023 Oct 12.
Opioid misuse, including prescription opioid misuse, remains a significant public health concern impacting various ethnoracial groups in the United States, including non-Hispanic Black Americans. This study provides more recent evidence on prescription opioid misuse among Black Americans.
We used data from the 2019 National Survey on Drug Use and Health to examine the prevalence and determinants of prescription opioid misuse among Black American adults aged 18 and older. We compared these findings to non-Hispanic White American adults.
The prevalence rate of past-year prescription opioid misuse was very similar among Black (3.4%) and White respondents (3.8%). Adjusted multivariate logistic regression analyses found no significant racial differences in prescription opioid misuse. Religious importance and rurality were negatively associated with misuse only among Black respondents. Depressive episodes, other drug use, age, and risk-taking behaviors were associated with prescription opioid misuse among both Black and White respondents.
Black and White Americans remain at risk for prescription opioid-related problems. Religiosity and rurality require further investigation to understand how they may impact misuse among Black Americans.
阿片类药物滥用，包括处方阿片类药物滥用，仍然是一个严重的公共卫生问题，影响着美国的各种族裔群体，包括非西班牙裔黑人。本研究提供了关于美国黑人中处方阿片类药物滥用的最新证据。
我们使用了 2019 年全国毒品使用和健康调查的数据，调查了 18 岁及以上美国黑人成年人中处方阿片类药物滥用的流行率及其决定因素。我们将这些发现与非西班牙裔白人成年人进行了比较。
过去一年中，黑人（3.4%）和白人（3.8%）受访者的处方阿片类药物滥用率非常相似。调整后的多变量逻辑回归分析发现，处方阿片类药物滥用在种族上没有显著差异。宗教重要性和农村地区仅与黑人受访者的滥用呈负相关。抑郁发作、其他药物使用、年龄和冒险行为与黑人和白人受访者的处方阿片类药物滥用有关。
黑人和白人美国人仍然面临与处方阿片类药物相关问题的风险。宗教信仰和农村地区需要进一步研究，以了解它们如何影响美国黑人的滥用情况。
