TY - JOUR
KW - Analgesics, Opioid/therapeutic use
KW - Humans
KW - Opioid-Related Disorders/drug therapy/epidemiology
KW - Primary Health Care
KW - Rural Population
KW - Social Determinants of Health
KW - United States/epidemiology
KW - Opioids
KW - SBIRT
KW - primary care
KW - rural
KW - social determinants
AU - D. L. Albright
AU - K. Johnson
AU - K. Laha-Walsh
AU - J. McDaniel
AU - S. McIntosh
A1 - 
AB - Opioid use and misuse are a widespread problem across the United States. Identifying and targeting social determinants of opioid use may help to identify predictive factors to influence intervention and policy. The purpose of this study was to identify social determinants of opioid use frequency among patients seeking primary care in rural Alabama healthcare facilities. This survey-based study focused on a patient population located in rural west Alabama surveyed for a screening, brief intervention, and referral to treatment program. The screening tool contained demographic information and questions regarding the social determinants of health and opioid use, among others. Adjusted incidence rate ratios (IRRs) for the relationship between social determinants of health and opioid use frequency (in days/month) were estimated in Poisson regression models. Eleven percent of the population self-reported opioid use in the past 30 days. Three social determinants of health measured (level of education, housing stability, and employment status) were identified as having a significant association with the frequency of opioid use. Targeting certain social determinants of health may allow for further predictive interventions to mitigate opioid misuse and potential fatality or mortality.
AD - School of Social Work, University of Alabama, Tuscaloosa, Alabama, USA.; School of Social Work, University of Alabama, Tuscaloosa, Alabama, USA.; School of Social Work, University of Alabama, Tuscaloosa, Alabama, USA.; Department of Public Health and Recreation Professions, Southern Illinois University, Carbondale, Illinois, USA.; School of Social Work, University of Alabama, Tuscaloosa, Alabama, USA.
BT - Social work in public health
C5 - Healthcare Disparities; Opioids & Substance Use
CP - 6
CY - United States
DO - 10.1080/19371918.2021.1939831
IS - 6
JF - Social work in public health
LA - eng
M1 - Journal Article
N2 - Opioid use and misuse are a widespread problem across the United States. Identifying and targeting social determinants of opioid use may help to identify predictive factors to influence intervention and policy. The purpose of this study was to identify social determinants of opioid use frequency among patients seeking primary care in rural Alabama healthcare facilities. This survey-based study focused on a patient population located in rural west Alabama surveyed for a screening, brief intervention, and referral to treatment program. The screening tool contained demographic information and questions regarding the social determinants of health and opioid use, among others. Adjusted incidence rate ratios (IRRs) for the relationship between social determinants of health and opioid use frequency (in days/month) were estimated in Poisson regression models. Eleven percent of the population self-reported opioid use in the past 30 days. Three social determinants of health measured (level of education, housing stability, and employment status) were identified as having a significant association with the frequency of opioid use. Targeting certain social determinants of health may allow for further predictive interventions to mitigate opioid misuse and potential fatality or mortality.
PP - United States
PY - 2021
SN - 1937-190X; 1937-190X
SP - 723
EP - 731
EP - 
T1 - Social Determinants of Opioid Use among Patients in Rural Primary Care Settings
T2 - Social work in public health
TI - Social Determinants of Opioid Use among Patients in Rural Primary Care Settings
U1 - Healthcare Disparities; Opioids & Substance Use
U2 - 34167439
U3 - 10.1080/19371918.2021.1939831
VL - 36
VO - 1937-190X; 1937-190X
Y1 - 2021
Y2 - Aug 18
ER -