PMID- 31033084 OWN - NLM STAT- MEDLINE DCOM- 20201118 LR - 20240327 IS - 1360-0443 (Electronic) IS - 0965-2140 (Print) IS - 0965-2140 (Linking) VI - 114 IP - 12 DP - 2019 Dec TI - Changes in associations of prescription opioid use disorder and illegal behaviors among adults in the United States from 2002 to 20. PG - 2150-2159 LID - 10.1111/add.14638 [doi] AB - BACKGROUND AND AIMS: In the United States, the availability of prescription opioids has decreased in recent years. Whether there have been corresponding changes in the likelihood of people with prescription opioid use disorder (POUD) to engage in illegal behaviors related to drug use remains unknown. We examined changes in prevalence of illegal behaviors between people with and without POUD over time, and how transactions for obtaining opioids have changed among people with POUD over time. DESIGN: Temporal trend analysis of repeated cross-sectional data. SETTING: United States household dwelling population from all 50 states and District of Columbia. PARTICIPANTS: Adult subsamples from the 2002-14 National Survey of Drug Use and Health (n = 5393 people with POUD; n = 486 768 people without POUD). MEASUREMENTS: Outcome variables were selected illegal behaviors and sources of opioids used non-medically. POUD was defined using the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria. Time was treated as a continuous variable. The variable of interest for each illegal behavior analysis was the interaction between POUD diagnosis and time. Covariates included age, sex and race/ethnicity. FINDINGS: During the 13-year period examined, the adjusted interaction odds ratio (AIOR) describing the change in association between POUD and selling illicit drugs increased by a factor of 2.41 [95% confidence interval (CI) = 1.56-3.71, P < 0.001]. Similar trends were noted for stealing (AIOR = 2.12, 95% CI = 1.31-3.44, P = 0.002) and for life-time history of arrest (AIOR = 1.53, 95% CI = 1.06-2.19, P = 0.021). People with POUD became less likely to receive opioids for free from friends and family [adjusted odds ratio (AOR) = 0.42, 95% CI = 0.25-0.71, P = 0.001] and more likely to buy them from friends and family (AOR = 3.29, 95% CI = 1.76-6.13, P < 0.001) from 2005 to 2014. CONCLUSIONS: In the United States, against a backdrop of a decreasing prescription opioid supply, rates of some crimes potentially related to drug use increased among people with prescription opioid use disorder compared with those without prescription opioid use disorder from 2002 to 2014. CI - (c) 2019 Society for the Study of Addiction. FAU - Mintz, Carrie M AU - Mintz CM AUID- ORCID: 0000-0001-5291-9690 AD - Department of Psychiatry, Washington University in St Louis School of Medicine, St Louis, MO, USA. FAU - Hartz, Sarah M AU - Hartz SM AD - Department of Psychiatry, Washington University in St Louis School of Medicine, St Louis, MO, USA. FAU - Borodovsky, Jacob T AU - Borodovsky JT AUID- ORCID: 0000-0001-7112-5677 AD - Department of Psychiatry, Washington University in St Louis School of Medicine, St Louis, MO, USA. FAU - Bierut, Laura J AU - Bierut LJ AD - Department of Psychiatry, Washington University in St Louis School of Medicine, St Louis, MO, USA. FAU - Grucza, Richard A AU - Grucza RA AUID- ORCID: 0000-0002-8191-6875 AD - Department of Psychiatry, Washington University in St Louis School of Medicine, St Louis, MO, USA. LA - eng GR - U24 AG021886/AG/NIA NIH HHS/United States GR - K12 DA041449/DA/NIDA NIH HHS/United States GR - R21 DA044744/DA/NIDA NIH HHS/United States GR - R21AA02568901/NH/NIH HHS/United States GR - R21 AA025689/AA/NIAAA NIH HHS/United States GR - R21 AA024888/AA/NIAAA NIH HHS/United States GR - R01 DA036583/DA/NIDA NIH HHS/United States GR - T32 DA007261/DA/NIDA NIH HHS/United States GR - U10 AA008401/AA/NIAAA NIH HHS/United States GR - UL1 TR002345/TR/NCATS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20190612 PL - England TA - Addiction JT - Addiction (Abingdon, England) JID - 9304118 RN - 0 (Analgesics, Opioid) SB - IM CIN - Addiction. 2019 Dec;114(12):2160-2161. PMID: 31701591 EIN - Addiction. 2021 Jan;116(1):214. PMID: 33394531 MH - Adolescent MH - Adult MH - Analgesics, Opioid/supply & distribution MH - Crime/*trends MH - *Criminal Behavior MH - Cross-Sectional Studies MH - Female MH - Health Surveys MH - Humans MH - Male MH - Middle Aged MH - Odds Ratio MH - Opioid-Related Disorders/*epidemiology MH - Prescription Drug Misuse/*trends MH - Prevalence MH - United States/epidemiology MH - Young Adult PMC - PMC6819203 MID - NIHMS1026325 OTO - NOTNLM OT - Crime OT - drug policy OT - illegal behavior OT - non-medical opioid source OT - opioid use disorder OT - prescription opioid use disorder EDAT- 2019/04/30 06:00 MHDA- 2020/11/20 06:00 PMCR- 2020/12/01 CRDT- 2019/04/30 06:00 PHST- 2018/11/07 00:00 [received] PHST- 2019/02/11 00:00 [revised] PHST- 2019/04/23 00:00 [accepted] PHST- 2019/04/30 06:00 [pubmed] PHST- 2020/11/20 06:00 [medline] PHST- 2019/04/30 06:00 [entrez] PHST- 2020/12/01 00:00 [pmc-release] AID - 10.1111/add.14638 [doi] PST - ppublish SO - Addiction. 2019 Dec;114(12):2150-2159. doi: 10.1111/add.14638. Epub 2019 Jun 12.