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Association Between Opioid Prescribing Rates and Health Outcomes

  • Wesley G. Jennings
  • Nicholas Perez
  • Chris Delcher
  • Yanning Wang
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Part of the SpringerBriefs in Criminology book series (BRIEFSCRIMINOL)

Abstract

This chapter utilizes health data, data from California’s PBSS, and U.S. Census data from 2012–2017 to examine the associations between the county-level opioid prescribing rate and opioid-related health outcomes, while controlling for multiple community characteristics (demographics, population density, housing, income, employment, and health) in all 58 California counties. Utilizing a series of Poisson regression models, the association between the opioid prescribing rate and three different health outcomes (emergency room visits, hospitalizations, and overdose deaths involving opioids) were examined-. The results suggest that the 2012–2017 opioid prescribing rate was significantly associated with opioid-involved emergency room visit rates, hospitalization rates, and overdose death rates, even when controlling for each type of community characteristics.

Keywords

Opioids Drugs Overdoses Emergency rooms Prescriptions Counties Epidemic 

References

  1. Baumblatt, J. A. G., Wiedeman, C., Dunn, J. R., Schaffner, W., Paulozzi, L. J., & Jones, T. F. (2014). High-risk use by patients prescribed opioids for pain and its role in overdose deaths. JAMA Internal Medicine, 174(5), 796–801.CrossRefGoogle Scholar
  2. Bohnert, A. S., Valenstein, M., Bair, M. J., Ganoczy, D., McCarthy, J. F., Ilgen, M. A., & Blow, F. C. (2011). Association between opioid prescribing patterns and opioid overdose-related deaths. JAMA, 305(13), 1315–1321.CrossRefGoogle Scholar
  3. Boscarino, J. A., Kirchner, H. L., Pitcavage, J. M., Nadipelli, V. R., Ronquest, N. A., Fitzpatrick, M. H., & Han, J. J. (2016). Factors associated with opioid overdose: a 10-year retrospective study of patients in a large integrated health care system. Substance Abuse and Rehabilitation, 7, 131–141.Google Scholar
  4. Braden, J. B., Russo, J., Fan, M.-Y., Edlund, M. J., Martin, B. C., DeVries, A., & Sullivan, M. D. (2010). Emergency department visits among recipients of chronic opioid therapy. Archives of Internal Medicine, 170(16), 1425–1432.CrossRefGoogle Scholar
  5. Dilokthornsakul, P., Moore, G., Campbell, J. D., Lodge, R., Traugott, C., Zerzan, J., et al. (2016). Risk factors of prescription opioid overdose among Colorado Medicaid beneficiaries. The Journal of Pain, 17(4), 436–443.CrossRefGoogle Scholar
  6. Dunn, K. M., Saunders, K. W., Rutter, C. M., Banta-Green, C. J., Merrill, J. O., Sullivan, M. D., et al. (2010). Overdose and prescribed opioids: Associations among chronic non-cancer pain patients. Annals of Internal Medicine, 152(2), 85.CrossRefGoogle Scholar
  7. Ekstrom, M. P., Bornefalk-Hermansson, A., Abernethy, A. P., & Currow, D. C. (2014). Safety of benzodiazepines and opioids in very severe respiratory disease: National prospective study. BMJ (Clinical Research Ed.), 348, g445.Google Scholar
  8. Hall, A. J., Logan, J. E., Toblin, R. L., Kaplan, J. A., Kraner, J. C., Bixler, D., et al. (2008). Patterns of abuse among unintentional pharmaceutical overdose fatalities. Journal of the American Medical Association, 300(22), 2613–2620.CrossRefGoogle Scholar
  9. Osgood, D. W. (2000). Poisson-based regression analysis of aggregate crime rates. Journal of Quantitative Criminology, 16, 21–43.CrossRefGoogle Scholar
  10. Park, T. W., Saitz, R., Ganoczy, D., Ilgen, M. A., & Bohnert, A. S. B. (2015). Benzodiazepine prescribing patterns and deaths from drug overdose among U.S. veterans receiving opioid analgesics: Case-cohort study. BMJ (Clinical Research Ed.), 350, h2698.Google Scholar
  11. Romeiser, J. L., Labriola, J., & Meliker, J. R. (2019). Geographic patterns of prescription opioids and opioid overdose deaths in New York State, 2013–2015. Drug and Alcohol Dependence, 195, 94–100.CrossRefGoogle Scholar
  12. Spooner, L., Fernandes, K., Martins, D., Juurlink, D., Mamdani, M., Paterson, J. M., et al. (2016). High-dose opioid prescribing and opioid-related hospitalization: a population-based study. PloS one, 11(12), e0167479.CrossRefGoogle Scholar
  13. U.S. Census Bureau (2017). Quick facts: California. Retrieved from https://www.census.gov/quickfacts/ca.

Copyright information

© The Author(s), under exclusive license to Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Wesley G. Jennings
    • 1
  • Nicholas Perez
    • 2
  • Chris Delcher
    • 3
  • Yanning Wang
    • 4
  1. 1.Department of Legal StudiesUniversity of MississippiUniversityUSA
  2. 2.School of Criminology, Criminal Justice, and Emergency ManagementCalifornia State University SystemLong BeachUSA
  3. 3.Department of Pharmacy Practice and ScienceUniversity of KentuckyLexingtonUSA
  4. 4.Department of Health Outcomes and Biomedical InformaticsUniversity of FloridaGainesvilleUSA

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