Nonprescription use of pain relievers by middle-aged and elderly community-living adults: National Survey on Drug Use and Health.

Nonprescription use of pain relievers by middle-aged and elderly community-living adults: National Survey on Drug Use and Health.
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DOI:
10.1111/j.1532-5415.2009.02306.x
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发表时间:
2009-07
影响因子:
6.3
通讯作者:
Wu LT
Wu LT
中科院分区:
医学1区
文献类型:
--
作者:
Blazer DG;Wu LT

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To estimate the frequency, distribution, and correlates of non-prescription use of pain relievers among middle aged and elderly persons in the United States. Cross-sectional data analysis of a national community survey. The 2005 and 2006 National Surveys on Drug Use and Health (NSDUH). 10,953 respondents 50 years of age and older (6,717 respondents 50-64 years of age and 4,236 respondents 65+ years of age). Social and demographic variables, detailed assessment of non-prescription use (and abuse) of prescription pain relievers (e.g., acetaminophen with codeine, morphine), substance use, major depression, self-reported medical illnesses, and self-rated health. Non-prescription use of prescription pain relievers was reported by 1.4% of the sample during the past year. Combinations of acetaminophen with hydrocodone or propoxyphene were the most commonly used drugs. Use was associated with younger age (Odds Ratio, OR = 2.39, 95% CI = 1.31–4.36), American Indian/Alaska native (OR = 8.78, 95% CI = 2.50–30.85) and use of marijuana (OR = 7.07, 95% CI = 3.99–12.53). Less than 10% of non-prescription users were abusing these medications or dependent upon them. In a representative sample of middle aged and older adults, non-prescription use of prescription pain relievers is relatively uncommon. Nevertheless, the much higher use among middle aged adults suggests that as this cohort ages, the problem may increase among the elderly.
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