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Sexual Orientation Disparities in Prescription Opioid Misuse Among U.S. Adults.
- Source :
-
American journal of preventive medicine [Am J Prev Med] 2019 Jan; Vol. 56 (1), pp. 17-26. Date of Electronic Publication: 2018 Nov 19. - Publication Year :
- 2019
-
Abstract
- Introduction: The opioid epidemic in the U.S. continues to increase in severity, and misuse of prescription opioids is of particular concern since it commonly precedes heroin use. This study examined whether sexual orientation (i.e., sexual identity and sexual attraction) is a risk factor for prescription opioid misuse and use disorder among a nationally representative sample of adults in the U.S.<br />Methods: This study used data from adult participants (ages ≥18 years) in the 2015 National Survey on Drug Use and Health. Chi-square tests and logistic regression examined how sexual identity and sexual attraction relate to past-year and past-month prescription opioid misuse and past-year prescription opioid use disorder. Multivariable models examined associations controlling for demographic characteristics and other drug use. Gender-stratified analyses were also conducted. Data were analyzed in 2018.<br />Results: In multivariable analyses, compared with those identifying as heterosexual, bisexual individuals were at 1.53 (95% CI=1.20, 1.97) and 1.66 (95% CI=1.14, 2.42) higher odds of reporting past-year and past-month misuse, respectively. In stratified analyses, female bisexuals remained at high risk. Regarding sexual attraction, compared with being attracted to only the opposite sex, being attracted to mostly the opposite sex (AOR=2.15, 95% CI=1.77, 2.63) or being equally attracted to both sexes (AOR=1.78, 95% CI=1.38, 2.30) were associated with higher odds for past-year opioid misuse. In stratified analyses, these associations were limited to females.<br />Conclusions: Sexual orientation disparities in opioid misuse and use disorder among a nationally representative sample of U.S. adults was found.<br /> (Copyright © 2018 Elsevier Ltd. All rights reserved.)
- Subjects :
- Adolescent
Adult
Analgesics, Opioid adverse effects
Cross-Sectional Studies
Female
Health Surveys
Heterosexuality statistics & numerical data
Humans
Male
Middle Aged
Risk Factors
Sexual and Gender Minorities statistics & numerical data
United States
Young Adult
Analgesics, Opioid administration & dosage
Opioid-Related Disorders epidemiology
Prescription Drug Misuse statistics & numerical data
Sexual Behavior statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1873-2607
- Volume :
- 56
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- American journal of preventive medicine
- Publication Type :
- Academic Journal
- Accession number :
- 30467089
- Full Text :
- https://doi.org/10.1016/j.amepre.2018.07.032