PMID- 30727792
OWN - NLM
STAT- MEDLINE
DCOM- 20200316
LR  - 20200316
IS  - 1532-2491 (Electronic)
IS  - 1082-6084 (Print)
IS  - 1082-6084 (Linking)
VI  - 54
IP  - 7
DP  - 2019
TI  - Sex differences in the prevalence and correlates of emergency department 
      utilization among adults with prescription opioid use disorder.
PG  - 1178-1190
LID - 10.1080/10826084.2019.1568495 [doi]
AB  - BACKGROUND: The emergency department (ED) is well-suited as an opportunity to 
      increase treatment access for prescription opioid use disorder (POUD). We 
      examined sex differences in ED utilization among individuals with POUD to 
      understand potential sex-specific treatment barriers and needs. METHODS: Data 
      from the 2005-2014 National Surveys on Drug use and Health were analyzed to 
      examine the prevalence and correlates of past-year ED utilization among male and 
      female adults aged 18 or older with POUD (n = 4412). RESULTS: Overall, 58.2% of 
      adults with POUD reported past-year ED utilization. Adjusted logistic regression 
      revealed that females (vs. males) with POUD were more likely to report past-year 
      ED utilization. Among females with POUD, older age, lower income, obtaining 
      opioids from a physician, major depressive episode, and greater POUD severity 
      were associated with increased odds of ED utilization. Among males with POUD, 
      public insurance and obtaining opioids from a physician were associated with ED 
      utilization. A larger proportion of males with POUD reporting ED use had multiple 
      substance use disorders than those with no ED use. Treatment history (lifetime or 
      past-year) for alcohol, drugs, or opioid use was associated with increased odds 
      of ED use among males and females with POUD. Conclusions/Importance: Males and 
      females with POUD presenting to the ED may have distinct predisposing, enabling, 
      and need-related correlates. Sex-specific screening and intervention strategies 
      may be useful to maximize the utility of the ED to address POUD.
FAU - John, William S
AU  - John WS
AD  - a Department of Psychiatry and Behavioral Sciences , Duke University Medical 
      Center , Durham , North Carolina , USA.
FAU - Wu, Li-Tzy
AU  - Wu LT
AD  - a Department of Psychiatry and Behavioral Sciences , Duke University Medical 
      Center , Durham , North Carolina , USA.
AD  - b Department of Medicine, Division of General Internal Medicine , Duke University 
      Medical Center , Durham , North Carolina , USA.
AD  - c Duke Clinical Research Institute , Duke University Medical Center , Durham , 
      North Carolina , USA.
AD  - d Center for Child and Family Policy, Sanford School of Public Policy , Duke 
      University , Durham , North Carolina , USA.
LA  - eng
GR  - R01 MD007658/MD/NIMHD NIH HHS/United States
GR  - UG1 DA040317/DA/NIDA NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20190206
PL  - England
TA  - Subst Use Misuse
JT  - Substance use & misuse
JID - 9602153
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Emergency Service, Hospital/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Opioid-Related Disorders/drug therapy/*psychology
MH  - Patient Acceptance of Health Care/*statistics & numerical data
MH  - Prevalence
MH  - Risk Factors
MH  - *Sex Characteristics
MH  - Young Adult
PMC - PMC6483831
MID - NIHMS1520214
OTO - NOTNLM
OT  - National Survey on Drug Use and Health
OT  - Opioid
OT  - emergency department
OT  - opioid use disorder
EDAT- 2019/02/08 06:00
MHDA- 2020/03/17 06:00
PMCR- 2020/02/06
CRDT- 2019/02/08 06:00
PHST- 2019/02/08 06:00 [pubmed]
PHST- 2020/03/17 06:00 [medline]
PHST- 2019/02/08 06:00 [entrez]
PHST- 2020/02/06 00:00 [pmc-release]
AID - 10.1080/10826084.2019.1568495 [doi]
PST - ppublish
SO  - Subst Use Misuse. 2019;54(7):1178-1190. doi: 10.1080/10826084.2019.1568495. Epub 
      2019 Feb 6.