TY - JOUR
KW - Adult
KW - Analgesics, Opioid/therapeutic use
KW - Benzodiazepines
KW - Hallucinogens
KW - Humans
KW - Opioid-Related Disorders/epidemiology
KW - Practice Patterns, Physicians'
KW - Primary Health Care
KW - Rural Health Services
KW - United States
AU - D. L. Albright
AU - J. McDaniel
AU - K. Laha-Walsh
AU - B. Morrison
AU - S. McIntosh
A1 - 
AB - OBJECTIVE: Opioid use is a continuing problem for the United States. Individuals who use opioids have a high risk of misuse, especially with prescription opioids. Substances that are often used in combination with opioids include methamphetamines, sedatives, and benzodiazepines, as well as tobacco, alcohol, and marijuana, but not in a medical setting. We sought to determine (a) the relationship between various drugs (eg, methamphetamine, benzodiazepines) and opioid use, as well as (b) the relationship between polysubstance use and opioid use. DESIGN: We created a screening instrument that requested the patients seeking medical care at Federally Qualified Health Centers (FQHC) and Veterans Affairs (VA) hospitals in West Alabama self-report their substance usage. SETTING: This study took place in outpatient primary care settings (FQHCs and VA hospitals) in west Alabama. PARTICIPANTS: De-identified electronic health records for 346 adults were obtained from consenting medical facilities. Missing data were found in 33 of the records obtained. The final usable sample for this study was 311. MAIN OUTCOME MEASURE: The screening tool was comprised of five sections: demographics, tobacco use, alcohol abuse, drug use, and mental health. The primary outcome measure of this study was the number of days of opioid use in the past 30 days. RESULTS: Thirteen individuals (4.18 percent) reported opioid use in the last 30 days. While polysubstance or dual sub-stance use was not in the majority of the participant responses, the significant substances that were used in conjunction with opioids were methamphetamine, hallucinogens, and benzodiazepines. CONCLUSIONS: Individuals who are polysubstance users have a higher likelihood of opioid use. Interventions that target opioid use would serve the population stronger by including screenings and potential treatments for polysubstance use additionally.
AD - Hill Crest Foundation Endowed Chair, Mental Health Research, School of Social Work, University of Ala-bama, Tuscaloosa, Alabama.; Assistant Professor, Public Health, Southern Illinois University, Carbondale, Illinois.; School of Social Work, University of Alabama, Tuscaloosa, Alabama.; Director of Wellness and Health Promotion Services, Student Health Services, Southern Illinois University, Car-bondale, Illinois.; Vital Project Director, SBIRT Team, School of Social Work, Tuscaloosa, Alabama.
BT - Journal of opioid management
C5 - Opioids & Substance Use; Healthcare Disparities
CP - 4
CY - United States
DO - 10.5055/jom.2020.0582
IS - 4
JF - Journal of opioid management
LA - eng
M1 - Journal Article
N2 - OBJECTIVE: Opioid use is a continuing problem for the United States. Individuals who use opioids have a high risk of misuse, especially with prescription opioids. Substances that are often used in combination with opioids include methamphetamines, sedatives, and benzodiazepines, as well as tobacco, alcohol, and marijuana, but not in a medical setting. We sought to determine (a) the relationship between various drugs (eg, methamphetamine, benzodiazepines) and opioid use, as well as (b) the relationship between polysubstance use and opioid use. DESIGN: We created a screening instrument that requested the patients seeking medical care at Federally Qualified Health Centers (FQHC) and Veterans Affairs (VA) hospitals in West Alabama self-report their substance usage. SETTING: This study took place in outpatient primary care settings (FQHCs and VA hospitals) in west Alabama. PARTICIPANTS: De-identified electronic health records for 346 adults were obtained from consenting medical facilities. Missing data were found in 33 of the records obtained. The final usable sample for this study was 311. MAIN OUTCOME MEASURE: The screening tool was comprised of five sections: demographics, tobacco use, alcohol abuse, drug use, and mental health. The primary outcome measure of this study was the number of days of opioid use in the past 30 days. RESULTS: Thirteen individuals (4.18 percent) reported opioid use in the last 30 days. While polysubstance or dual sub-stance use was not in the majority of the participant responses, the significant substances that were used in conjunction with opioids were methamphetamine, hallucinogens, and benzodiazepines. CONCLUSIONS: Individuals who are polysubstance users have a higher likelihood of opioid use. Interventions that target opioid use would serve the population stronger by including screenings and potential treatments for polysubstance use additionally.
PP - United States
PY - 2020
SN - 1551-7489; 1551-7489
SP - 283
EP - 289
EP - 
T1 - Polysubstance abuse associated with more frequent opioid use among patients in rural primary care settings
T2 - Journal of opioid management
TI - Polysubstance abuse associated with more frequent opioid use among patients in rural primary care settings
U1 - Opioids & Substance Use; Healthcare Disparities
U2 - 32885836
U3 - 10.5055/jom.2020.0582
VL - 16
VO - 1551-7489; 1551-7489
Y1 - 2020
Y2 - Jul/Aug
ER -