Individual and county-level factors associated with use of multiple prescribers and multiple pharmacies to obtain opioid prescriptions in California.
Individual and county-level factors associated with use of multiple prescribers and multiple pharmacies to obtain opioid prescriptions in California.
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DOI：
10.1371/journal.pone.0046246
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
Li CS
中科院分区：
文献类型：
--
作者：
Han H;Kass PH;Wilsey BL;Li CS
使用多个开处方者和药店是一些人滥用阿片类药物的一种手段。社区特征可能是独立于个人层面因素的这种现象的可能性的重要决定因素。这是一项回顾性队列研究，个人数据来自加州全州处方药监测项目（PDMP），县级社会经济地位（SES）数据来自美国人口普查。采用零截尾负二项回归（ZTNB）对个体因素（年龄、性别、药物时间表和药物剂量类型）和县经济社会地位因素（种族、成人教育程度、家庭收入中位数和医生可获得性）与个体在一年内（2006年）使用的开处方者数量和药店数量之间的关系进行建模。阿片类药物处方的新处方者使用和新药房使用的发生率在增加的年龄组中下降。男性新开处方者和新用药的发生率均低于女性。一个县有执照的内科医生和外科医生的总数与个人用于处方阿片类药物的开处方者和药店的数量呈正相关、线性相关和独立相关。总之，年龄较小、女性以及居住在拥有更多执业医师和外科医生的县与使用更多处方医师和/或更多药房获得处方阿片类药物相关。
Use of multiple prescribers and pharmacies is a means by which some individuals misuse opioids. Community characteristics may be important determinants of the likelihood of this phenomenon independent of individual-level factors. This was a retrospective cohort study with individual-level data derived from California's statewide prescription drug monitoring program (PDMP) and county-level socioeconomic status (SES) data derived from the United States Census. Zero-truncated negative binomial (ZTNB) regression was used to model the association of individual factors (age, gender, drug schedule and drug dose type) and county SES factors (ethnicity, adult educational attainment, median household income, and physician availability) with the number of prescribers and the number of pharmacies that an individual used during a single year (2006). The incidence rates of new prescriber use and new pharmacy use for opioid prescriptions declined across increasing age groups. Males had a lower incidence rate of new prescriber use and new pharmacy use than females. The total number of licensed physicians and surgeons in a county was positively, linearly, and independently associated with the number of prescribers and pharmacies that individuals used for prescription opioids. In summary, younger age, female gender, and living in counties with more licensed physicians and surgeons were associated with use of more prescribers and/or more pharmacies for obtaining prescription opioids.
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DOI：
10.1016/j.jpain.2008.10.008
发表时间：
2009-02
期刊：
The journal of pain
影响因子：
--
作者：
Chou R;Fanciullo GJ;Fine PG;Adler JA;Ballantyne JC;Davies P;Donovan MI;Fishbain DA;Foley KM;Fudin J;Gilson AM;Kelter A;Mauskop A;O'Connor PG;Passik SD;Pasternak GW;Portenoy RK;Rich BA;Roberts RG;Todd KH;Miaskowski C;American Pain Society-American Academy of Pain Medicine Opioids Guidelines Panel
通讯作者：
American Pain Society-American Academy of Pain Medicine Opioids Guidelines Panel
影响因子：
120.7
作者：
Hall, Aron J.;Logan, Joseph E.;Paulozzi, Leonard J.
通讯作者：
Paulozzi, Leonard J.
影响因子：
4.4
作者：
Franks, Peter;Tancredi, Daniel J.;Fiscella, Kevin
通讯作者：
Fiscella, Kevin
影响因子：
4.2
作者：
Crum, RM;LillieBlanton, M;Anthony, JC
通讯作者：
Anthony, JC
影响因子：
4.2
作者：
Green, Traci C.;Serrano, Jill M. Grimes;Licari, Andrea;Budman, Simon H.;Butler, Stephen F.
通讯作者：
Butler, Stephen F.