TY - JOUR
AU - A. Iyanda
AU - R. Adeleke
AU - O. Iyanda
A1 - 
AB - BACKGROUND: Emergency room (ER) use reflects acute healthcare burden, but the roles of chronic health conditions (CHCs), substance use disorders (SUDs), drug use disorders (DUDs), and mental health conditions (MHCs) remain underexplored across populations. METHODS: Using nationally representative survey data (N = 226,838; weighted = 1,243,120,763), we applied survey-weighted logistic regression to examine predictors of ER visits. Covariates included CHCs, SUDs, DUDs, severity levels of these orders, MHCs, race/ethnicity, education, employment, residence, and body mass index. RESULTS: Adults with ≥ 1 CHC were more likely to visit the ER (OR = 1.72; 95 % CI: 1.60-1.85). DUD significantly increased ER use (OR = 1.70; 95 % CI: 1.54-1.88), while overall SUD was not significant after adjustment (OR = 1.05; 95 % CI: 0.98-1.12). Severe SUD elevated ER use even without CHCs (OR = 1.89; 95 % CI: 1.67-2.13). African Americans had higher odds of ER visits (OR = 1.28; 95 % CI: 1.21-1.36), and Native American/Alaska Natives were more likely to report DUD (OR = 1.55; 95 % CI: 1.31-1.82). Lower educational attainment (OR = 1.22; 95 % CI: 1.16-1.28) and unemployment (OR = 1.34; 95 % CI: 1.25-1.43) were linked to higher risks. MHCs predicted ER use (OR = 1.63; 95 % CI: 1.53-1.74) and substance-related disorders. CONCLUSIONS: CHCs, DUD severity, and MHCs are strong predictors of ER utilization. Disparities among African Americans and Native American/Alaska Natives highlight the need for integrated care addressing chronic illness, behavioral health, and substance use-particularly for socioeconomically and racially marginalized groups.
AD - Division of Social Work, Prairie View A&M University, Texas, USA.; Department of Geography and Environmental Management, University of Waterloo, Waterloo, Canada.; Department of Social Work, Prairie View A&M University, Texas, USA.
AN - 41312192
BT - Addict Behav Rep
C5 - Opioids & Substance Use
DA - Dec
DO - 10.1016/j.abrep.2025.100639
DP - NLM
ET - 20251101
JF - Addict Behav Rep
LA - eng
N2 - BACKGROUND: Emergency room (ER) use reflects acute healthcare burden, but the roles of chronic health conditions (CHCs), substance use disorders (SUDs), drug use disorders (DUDs), and mental health conditions (MHCs) remain underexplored across populations. METHODS: Using nationally representative survey data (N = 226,838; weighted = 1,243,120,763), we applied survey-weighted logistic regression to examine predictors of ER visits. Covariates included CHCs, SUDs, DUDs, severity levels of these orders, MHCs, race/ethnicity, education, employment, residence, and body mass index. RESULTS: Adults with ≥ 1 CHC were more likely to visit the ER (OR = 1.72; 95 % CI: 1.60-1.85). DUD significantly increased ER use (OR = 1.70; 95 % CI: 1.54-1.88), while overall SUD was not significant after adjustment (OR = 1.05; 95 % CI: 0.98-1.12). Severe SUD elevated ER use even without CHCs (OR = 1.89; 95 % CI: 1.67-2.13). African Americans had higher odds of ER visits (OR = 1.28; 95 % CI: 1.21-1.36), and Native American/Alaska Natives were more likely to report DUD (OR = 1.55; 95 % CI: 1.31-1.82). Lower educational attainment (OR = 1.22; 95 % CI: 1.16-1.28) and unemployment (OR = 1.34; 95 % CI: 1.25-1.43) were linked to higher risks. MHCs predicted ER use (OR = 1.63; 95 % CI: 1.53-1.74) and substance-related disorders. CONCLUSIONS: CHCs, DUD severity, and MHCs are strong predictors of ER utilization. Disparities among African Americans and Native American/Alaska Natives highlight the need for integrated care addressing chronic illness, behavioral health, and substance use-particularly for socioeconomically and racially marginalized groups.
PY - 2025
SN - 2352-8532
SP - 100639
ST - Compounding risks of chronic health conditions and substance use disorder on healthcare burden in the USA: Analysis of NSDUH data (2021-2023)
T1 - Compounding risks of chronic health conditions and substance use disorder on healthcare burden in the USA: Analysis of NSDUH data (2021-2023)
T2 - Addict Behav Rep
TI - Compounding risks of chronic health conditions and substance use disorder on healthcare burden in the USA: Analysis of NSDUH data (2021-2023)
U1 - Opioids & Substance Use
U3 - 10.1016/j.abrep.2025.100639
VL - 22
VO - 2352-8532
Y1 - 2025
ER -