Individual and County-Level Factors Associated with Use of Multiple Prescribers and Multiple Pharmacies to Obtain Opioid Prescriptions in CaliforniaReportar como inadecuado




Individual and County-Level Factors Associated with Use of Multiple Prescribers and Multiple Pharmacies to Obtain Opioid Prescriptions in California - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Use of multiple prescribers and pharmacies is a means by which some individuals misuse opioids. Community characteristics may be important determinants of the likelihood of this phenomenon independent of individual-level factors. This was a retrospective cohort study with individual-level data derived from California-s statewide prescription drug monitoring program PDMP and county-level socioeconomic status SES data derived from the United States Census. Zero-truncated negative binomial ZTNB regression was used to model the association of individual factors age, gender, drug schedule and drug dose type and county SES factors ethnicity, adult educational attainment, median household income, and physician availability with the number of prescribers and the number of pharmacies that an individual used during a single year 2006. The incidence rates of new prescriber use and new pharmacy use for opioid prescriptions declined across increasing age groups. Males had a lower incidence rate of new prescriber use and new pharmacy use than females. The total number of licensed physicians and surgeons in a county was positively, linearly, and independently associated with the number of prescribers and pharmacies that individuals used for prescription opioids. In summary, younger age, female gender, and living in counties with more licensed physicians and surgeons were associated with use of more prescribers and-or more pharmacies for obtaining prescription opioids.



Autor: Huijun Han, Philip H. Kass , Barth L. Wilsey, Chin-Shang Li

Fuente: http://plos.srce.hr/



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