Use and Opinions of Prescription Opioids Among Older American Adults: Sociodemographic Predictors.
Objectives This study identifies sociodemographic predictors of prescription opioid use among older adults (age 65+) during the peak decade of U.S. opioid prescription, and tests whether pain level and Medicaid coverage mediate the association between low wealth and opioid use. Predictors of prescri...
| Published in: | Journals of Gerontology Series B: Psychological Sciences & Social Sciences Vol. 74; no. 6; pp. 1009 - 1020 |
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| Format: | Article |
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Oxford University Press / USA
Sep2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=138206974&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 138206974 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10795014 JGB jtl: Journals of Gerontology Series B: Psychological Sciences & Social Sciences issn: 10795014 maglogo: N pubinfo: dt: Sep2019 vid: 74 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 138206974 10.1093/geronb/gby093 ppf: 1009 ppct: 11 formats: tig: atl: Use and Opinions of Prescription Opioids Among Older American Adults: Sociodemographic Predictors. aug: au: Grol-Prokopczyk, Hanna affil: Department of Sociology, University at Buffalo, State University of New York su: United States Drugs Insurance Medicaid Narcotics Retirement Social classes Socioeconomic factors Analgesics Nonsteroidal anti-inflammatory agents Regression analysis Pain measurement sug: subj: Drugs Insurance Medicaid Narcotics Retirement Social classes Socioeconomic factors United States Pharmaceutical and medicine manufacturing Drugs and Druggists' Sundries Merchant Wholesalers Pharmaceuticals and pharmacy supplies merchant wholesalers All Other Insurance Related Activities Other Insurance Funds Third Party Administration of Insurance and Pension Funds Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Analgesics Nonsteroidal anti-inflammatory agents Regression analysis Pain measurement keyword: Health disparities Health insurance NSAIDs Opinions of drugs Socioeconomic status (SES) Health disparities Health insurance NSAIDs Opinions of drugs Socioeconomic status (SES) ab: Objectives This study identifies sociodemographic predictors of prescription opioid use among older adults (age 65+) during the peak decade of U.S. opioid prescription, and tests whether pain level and Medicaid coverage mediate the association between low wealth and opioid use. Predictors of prescription nonsteroidal anti-inflammatory drug (NSAID) use, and of opinions of both drug classes, are also examined. Method Regressions of opioid and NSAID use on sociodemographic characteristics, pain level, and insurance type were conducted using Health and Retirement Study 2004 core and 2005 Prescription Drug Study data (n = 3,721). Mediation analyses were conducted, and user opinions of drug importance, quality, and side effects were assessed. Results Low wealth was a strong, consistent predictor of opioid use. Both pain level and Medicaid coverage significantly, but only partially, mediated this association. Net of wealth, there were no significant associations between education and use of, or opinions of, either class of drugs. Discussion Among older American adults, the poorest are disproportionately likely to have been exposed to prescription opioid analgesics. Wealth, rather than education, drove social class differences in mid-2000s opioid use. Opioid-related policies should take into account socioeconomic contributors to opioid use, and the needs and treatment histories of chronic pain patients. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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