Racial/ethnic differences in trends in heroin use and heroin-related risk behaviors among nonmedical prescription opioid users

被引:52
|
作者
Martins, Silvia S. [1 ]
Santaella-Tenorio, Julian [1 ]
Marshall, Brandon D. L. [2 ]
Maldonado, Adriana [1 ]
Cerda, Magdalena [1 ]
机构
[1] Columbia Univ, Dept Epidemiol, New York, NY 10025 USA
[2] Brown Univ, Dept Epidemiol, Providence, RI 02912 USA
基金
美国国家卫生研究院;
关键词
Heroin; Race/ethnicity; Heroin-risk behaviors; Nonmedical use of prescription opioids; National Survey on Drug Use and Health; UNITED-STATES; DRUG-USE; ABUSE; RACE/ETHNICITY; PREVALENCE; PHARMACIES; MISUSE; FACE; CARE;
D O I
10.1016/j.drugalcdep.2015.03.020
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: This study examines changing patterns of past-year heroin use and heroin-related risk behaviors among individuals with nonmedical use of prescription opioids (NMUPO) by racial/ethnic groups in the United States. Methods: We used data from the National Survey on Drug Use and Health (NSDUH) from 2002 to 2005 and 2008 to 2011, resulting in a total sample of N= 448,597. Results: Past-year heroin use increased among individuals with NMUPO and increases varied by frequency of past year NMUPO and race/ethnicity. Those with NMUPO in the 2008-2011 period had almost twice the odds of heroin use as those with NMUPO in the 2002-2005 period (OR = 1.89, 95%CI: 1.50, 2.39), with higher increases in non-Hispanic (NH) Whites and Hispanics. In 2008-2011, the risk of past year heroin use, ever injecting heroin, past-year heroin abuse or dependence, and the perception of availability of heroin increased as the frequency of NMUPO increased across respondents of all race/ethnicities. Conclusion: Individuals with NMUPO, particularly non-Hispanic Whites, are at high risk of heroin use and heroin-related risk behaviors. These results suggest that frequent nonmedical users of prescription opioids, regardless of race/ethnicity, should be the focus of novel public health efforts to prevent and mitigate the harms of heroin use. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:278 / 283
页数:6
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