Assignment: Week7 Opioid Abuse

Assignment: Week7 Opioid Abuse

Assignment: Week7 Opioid Abuse

Assignment: Week7 Opioid Abuse

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Week 7 discussion Discussion Part One As an Advanced Practice Nurse, you will care for patients who are at risk for opioid abuse or addiction. Please research and present the incidence of opioid abuse specific to your geographic area and provide evidence of risk, relative risk, and odds ratio in relation to opioid abuse, and if specific risks have been identified for a specific population(s). Discussion Part Two Please identify one local prevention or screening program tied specifically to opioid abuse / addiction and provide a brief overview of the purpose, program, and ongoing surveillance or evaluation of success. Discussion Part Three Please provide a summary of the case or information you have discussed this week and how you will incorporate these findings in your practice as an APRN.Between 2015 and 2016, our review found only eight articles addressing gender differences in prescription opioid use mostly opioid misuse in North America among individuals with chronic pain. Risk factors included depression, pain, and poly-drug use. In addition to that review, we had the opportunity to further address gender differences in, and risk factors for, prescription opioid use through a community engagement program, HealthStreet. Among the sample (n=8,525, Mage = 43.7 years, 58.6% female), approximately half reported use of prescription opioids. Women were significantly more likely to report lifetime use (54.9% vs 42.2%; p <.0001) and report cancer compared to men, yet, women with cancer had a significantly reduced risk of using opioids compared to men with cancer (OR: 0.46; 95% CI, 0.36–0.59).

Current opinion in psychiatry
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Gender differences in prescription opioid use

Mirsada Serdarevic, Catherine W Striley, and Linda B Cottler

Additional article information

Abstract

Purpose of review

Recent literature focused on prescription opioids has neglected gender differences in use. Here we evaluated the recent literature (since 2015) examining gender differences in prescription opioid use.

Recent findings

Between 2015 and 2016, our review found only eight articles addressing gender differences in prescription opioid use mostly opioid misuse in North America among individuals with chronic pain. Risk factors included depression, pain, and poly-drug use. In addition to that review, we had the opportunity to further address gender differences in, and risk factors for, prescription opioid use through a community engagement program, HealthStreet. Among the sample (n=8,525, Mage = 43.7 years, 58.6% female), approximately half reported use of prescription opioids. Women were significantly more likely to report lifetime use (54.9% vs 42.2%; p <.0001) and report cancer compared to men, yet, women with cancer had a significantly reduced risk of using opioids compared to men with cancer (OR: 0.46; 95% CI, 0.36–0.59).

Summary

Only a few recently published studies analyzed gender differences related to prescription opioid use. Findings from the literature and our data suggest women are more likely to use prescription opioids compared to men. There is limited information on gender differences in opioid use risk factors and outcomes and more research in this area is warranted.

Keywords: gender differences, prescription opioids, opioid use

INTRODUCTION

The prevalence of opioid use globally among adults is 0.7%, representing approximately 33 million users (1). Prescription opioid use has become a public health concern due to an increase in morbidity and mortality (2), especially in the United States where opioid related deaths have quadrupled since 1999 (3). Every day, approximately 91 people die from opioid overdose (4) and over 1,000 people are treated for prescription opioid misuse in the

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