1. Determinants of prescription opioid use: population‐based evidence from Finland
- Author
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Christian Hakulinen, Hannu Karhunen, Petri Böckerman, Terhi Maczulskij, Mika Haapanen, Helsinki Inequality Initiative (INEQ), Department of Psychology and Logopedics, and Psychosocial factors and health
- Subjects
Adult ,Male ,Adolescent ,515 Psychology ,prescription drugs ,socio-economic status ,prevalence ,Population ,030508 substance abuse ,Medicine (miscellaneous) ,Logistic regression ,Drug Prescriptions ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Odds Ratio ,medicine ,Humans ,030212 general & internal medicine ,Medical prescription ,education ,Socioeconomic status ,Finland ,education.field_of_study ,opioid use ,Codeine ,business.industry ,1. No poverty ,opioids ,Odds ratio ,Middle Aged ,3142 Public health care science, environmental and occupational health ,Confidence interval ,population-based ,3. Good health ,Analgesics, Opioid ,Psychiatry and Mental health ,Socioeconomic Factors ,Opioid ,8. Economic growth ,Female ,0305 other medical science ,business ,medicine.drug ,Demography - Abstract
BACKGROUND AND AIMS Previous studies have shown that prescription opioid use is more common in socio-economically disadvantaged communities in the United States. This study examined the area and individual-level determinants of prescription opioid use in Finland during the period 1995-2016. DESIGN Logistic regression analysis using nation-wide data on filled opioid-related prescriptions dispensed at Finnish pharmacies and covered by National Health Insurance. Opioid consumption was linked, using personal identification codes, to population-based data maintained by Statistics Finland, which records individual background and area-level characteristics. SETTING AND PARTICIPANTS Working-age population aged between 15 and 64 years in Finland during the periods 1995-2007 (n = 4 315 409) and 2009-16 (n = 4 116 992). MEASUREMENTS Annual prescription opioid use was measured using defined daily doses (DDD) and whether people used opioids during a year. FINDINGS Prescription opioid use increased in Finland from 1995 to 2016 (from less than 1 to 7%), but the increase was explained by the change in the treatment of codeine-based opioids in National Health Insurance. The area-level unemployment rate was positively correlated with the share of opioid users at the municipal level (r = 0.36; P
- Published
- 2020