TY - JOUR
KW - Aged
KW - Eligibility Determination
KW - Fee-for-Service Plans
KW - Humans
KW - Medicaid
KW - Medicare
KW - Opioid-Related Disorders/epidemiology
KW - United States/epidemiology
AU - C. Shoff
AU - T. C. Yang
AU - B. A. Shaw
A1 - 
AB - INTRODUCTION: Opioid use disorder has grown rapidly over the years and is a public health crisis in the U.S. Although opioid use disorder is widely studied, relatively little is known about it among older adults. The goal of this study is to gain a better understanding of opioid use disorder among older Medicare beneficiaries over time and across several sociodemographic dimensions. METHODS: Data from the 2013-2018 Centers for Medicare & Medicaid Services Master Beneficiary Summary Files were analyzed in 2020 to examine the trends in opioid use disorder prevalence among Fee-for-Service Medicare beneficiaries aged ≥65 years. Utilizing the overarching opioid use disorder flag, trends in opioid use disorder prevalence were examined for the following sociodemographic dimensions: age, sex, race/ethnicity, and dual eligibility status (i.e., enrolled in both Medicare and Medicaid owing to low income). Chi-square tests were used to compare opioid use disorder prevalence across groups. RESULTS: Since 2013, estimated rates of opioid use disorder among older adults have increased by >3-fold overall in the U.S. Estimated opioid use disorder is more prevalent among the young-old (i.e., ages 65-69 years) beneficiaries than among other older adults, and dually eligible beneficiaries have consistently shared a heavier burden of opioid use disorder than Medicare-only beneficiaries. Regarding race/ethnicity, Blacks and American Indians/Alaskan Natives are more vulnerable to opioid use disorder than other groups. CONCLUSIONS: The descriptive trends between 2013 and 2018 indicate that estimated opioid use disorder prevalence has increased greatly over the study period in all sociodemographic subgroups of older adults, highlighting an urgent challenge for public health professionals and gerontologists.
AD - Centers for Medicare & Medicaid Services, Baltimore, Maryland. Electronic address: carla.shoff@cms.hhs.gov.; Department of Sociology, University at Albany, Albany, New York.; Department of Health Policy, Management, and Behavior, School of Public Health, University at Albany, Rensselaer, New York.
BT - American Journal of Preventive Medicine
C5 - Financing & Sustainability; Healthcare Disparities; Opioids & Substance Use
CP - 6
DO - 10.1016/j.amepre.2021.01.010
IS - 6
JF - American Journal of Preventive Medicine
LA - eng
M1 - Journal Article
N2 - INTRODUCTION: Opioid use disorder has grown rapidly over the years and is a public health crisis in the U.S. Although opioid use disorder is widely studied, relatively little is known about it among older adults. The goal of this study is to gain a better understanding of opioid use disorder among older Medicare beneficiaries over time and across several sociodemographic dimensions. METHODS: Data from the 2013-2018 Centers for Medicare & Medicaid Services Master Beneficiary Summary Files were analyzed in 2020 to examine the trends in opioid use disorder prevalence among Fee-for-Service Medicare beneficiaries aged ≥65 years. Utilizing the overarching opioid use disorder flag, trends in opioid use disorder prevalence were examined for the following sociodemographic dimensions: age, sex, race/ethnicity, and dual eligibility status (i.e., enrolled in both Medicare and Medicaid owing to low income). Chi-square tests were used to compare opioid use disorder prevalence across groups. RESULTS: Since 2013, estimated rates of opioid use disorder among older adults have increased by >3-fold overall in the U.S. Estimated opioid use disorder is more prevalent among the young-old (i.e., ages 65-69 years) beneficiaries than among other older adults, and dually eligible beneficiaries have consistently shared a heavier burden of opioid use disorder than Medicare-only beneficiaries. Regarding race/ethnicity, Blacks and American Indians/Alaskan Natives are more vulnerable to opioid use disorder than other groups. CONCLUSIONS: The descriptive trends between 2013 and 2018 indicate that estimated opioid use disorder prevalence has increased greatly over the study period in all sociodemographic subgroups of older adults, highlighting an urgent challenge for public health professionals and gerontologists.
PY - 2021
SN - 1873-2607; 0749-3797; 0749-3797
SP - 850
EP - 855
EP - 
T1 - Trends in Opioid Use Disorder Among Older Adults: Analyzing Medicare Data, 2013-2018
T2 - American Journal of Preventive Medicine
TI - Trends in Opioid Use Disorder Among Older Adults: Analyzing Medicare Data, 2013-2018
U1 - Financing & Sustainability; Healthcare Disparities; Opioids & Substance Use
U2 - 33812694
U3 - 10.1016/j.amepre.2021.01.010
VL - 60
VO - 1873-2607; 0749-3797; 0749-3797
Y1 - 2021
Y2 - Jun
ER -