Opioid Analgesic Misuse in a Community-Based Cohort of HIV-lnfected Indigent Adults

摘要

Opioid analgesic misuse has risen in conjunction with increased rates of opioid prescribing. The association may be due to increased misuse among individuals receiving prescribed opioids or among those acquiring diverted opioids. Individuals with pain and co-occurring mental health or substance use disorders are at an increased risk for misuse. Despite guidelines recommending caution, health care providers prescribe opioids to individuals with these disorders at higher rates than they do to individuals without them. Few studies have examined misuse among high-risk, community-based populations. We conducted a longitudinal study of a community-sampled cohort of human immunodeficiency (HIV)-infected indigent adults, selected without regard to pain status or receipt of prescribed opioids, to examine rates of and factors associated with opioid analgesic misuse.