Prevalence and Predictors of Driving after Prescription Opioid Use in an Adult ED Sample.
Introduction: Prescription opioid use and driving is a public health concern given the risks associated with drugged driving, but the issue remains under-studied. We examined the prevalence and correlates of driving after taking prescription opioids (DAPO) among adults seeking emergency department (...
| Publicado en: | Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Vol. 21; no. 4; pp. 831 - 841 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Jul2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144676617&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144676617 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1936900X 8B61 jtl: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health issn: 1936900X maglogo: N pubinfo: dt: Jul2020 vid: 21 iid: 4 pid: 29816 pub: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health place: Orange, California artinfo: ui: 144676617 144676617 144676617 10.5811/westjem.2020.3.44844 144676617 ppf: 831 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Prevalence and Predictors of Driving after Prescription Opioid Use in an Adult ED Sample. aug: au: Dora-Laskey, Aaron D. Goldstick, Jason E. Arterberry, Brooke J. Roberts, Suni Jo Haffajee, Rebecca L. Bohnert, Amy S. B. Cunningham, Rebecca M. Carter, Patrick M. affil: University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan sug: subj: Prescriptions, Drug Analgesics, Opioid Adverse Effects Substance Use Disorders Psychosocial Factors Driving While Intoxicated Emergency Service Human Adult Middle Age Trauma Centers Surveys Depression Diagnosis Chronic Pain Diagnosis Substance Use Disorders Diagnosis Pain Measurement Descriptive Statistics Alcohol Abuse Sex Factors Age Factors Employment Status Insurance, Health Logistic Regression Models, Statistical Odds Ratio Confidence Intervals Prevalence Adult: 19-44 years Middle Aged: 45-64 years ab: Introduction: Prescription opioid use and driving is a public health concern given the risks associated with drugged driving, but the issue remains under-studied. We examined the prevalence and correlates of driving after taking prescription opioids (DAPO) among adults seeking emergency department (ED) treatment. Methods: Participants (aged 25-60) seeking ED care at a Level I trauma center completed a computerized survey. Validated instruments measured prescription opioid use, driving behaviors, and risky driving. Patients who reported past three-month prescription opioid use and drove at least twice weekly were administered an extended study survey measuring DAPO, depression, pain, and substance use. Results: Among participants completing the screening survey (n = 756; mean age = 42.8 [standard deviation {SD} =10.4]), 37.8% reported past three-month prescription opioid use (30.8% of whom used daily), and 14.7% reported past three-month DAPO. Of screened participants, 22.5% (n = 170) were eligible for the extended study survey. Unadjusted analyses demonstrated that participants reporting DAPO were more likely to use opioids daily (51.1% vs 15.9%) and had higher rates of opioid misuse (mean Current Opioid Misuse Measure score 3.4 [SD = 3.8] vs 1.1 [SD = 2.1]) chronic pain (80.7% vs 42.7%), and driving after marijuana or alcohol use (mean intoxicated driving score 2.1 [SD = 1.3] vs 0.3 [SD = 0.8]) compared to patients not reporting DAPO (all p<0.001). Adjusting for age, gender, employment, and insurance in a logistic regression model, participants reporting DAPO were more likely to report a chronic pain diagnosis (odds ratio [OR] = 3.77, 95% confidence interval [CI], 1.55-9.17), daily opioid use (OR = 3.81, 95% CI, 1.64-8.85), and higher levels of intoxicated driving (OR = 1.62, 95% CI, 1.07-2.45). Alcohol and marijuana use, depression, and opioid misuse were not associated with DAPO in adjusted analyses. Conclusion: Nearly one in six adult patients seeking ED care reported DAPO. The ED may be an important site for interventions addressing opioid-related drugged driving. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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