Gender-specific patterns for prescription opiate use in u.s. emergency departments
Tuesday, November 5, 2013
: 3:10 p.m. - 3:30 p.m.
Background: Non-medical use of prescription opiates is a major public health problem and a frequent cause of emergency department (ED) visits. Differences between men and women in a variety of aspects of alcohol and drug use suggest a gender-specific approach to screening and interventions may be most effective. Objective: To describe differences between men and women in ED presentations for prescription opiate misuse. Methods: We used data from the 2010 SAMHSA Drug Abuse Warning Network, a national surveillance system of U.S. hospitals. Adjusting for complex study design, we calculated descriptive statistics on visits involving prescription opiates. Associations between gender and specific combinations of drug misuse were examined using multivariable logistic regression, adjusting for age, race, and alcohol use. Results: Of 250,136 visits, 22% involved prescription opiates, 17% illicit drugs, 5% antidepressants, 4% stimulants, 14% anxiolytics. Overall prescription opiate use did not differ between men (23%, 95% CI 20-27) and women (21%, 95% CI 19-24); however, in multivariable analysis, male gender was associated with increased odds of using prescription opiates alone (aOR 1.13, 95% CI 1.02-1.25) or in combination with illicit drugs (aOR1.85, 95% CI 1.33-2.58) and decreased odds of using prescription opiates with antidepressants (aOR 0.53, 95% CI 0.40-0.71). Conclusions: In a national sample of drug-related ED visits, prescription opioid misuse was associated with antidepressant use in women and illicit drug use in men, supporting the notion of gender-based differences in motivations for and patterns of use. Future SBIRT to address prescription opiate misuse may benefit from a gender-specific approach.
Other professions or practice related to public health
Provision of health care to the public
Public health or related research
Describe differences between men and women who present to the emergency department with prescription opiate misuse.
Discuss how these differences may be applied to screening and interventions for drug use in the emergency department.
Keyword(s): Drug Abuse, Emergency Department/Room
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am supported by a NIDA K23 career development award to develop an intervention for women presenting to the emergency department with drug misuse. I am also co-founder and co-director of the Division of Women's Health in Emergency Care, which is devoted to studying gender differences in clinical outcomes.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.