New US data reveals significant disparities among groups, regions regarding prescriptionopioid use PLOSONE
show, the prevalence of POU is about 9% lower in 2020 compared with 2019, net of all other covariates, in the general population , as well as among those with CP; the decline is not statistically significant in the subgroup of adults with HICP although the point estimate is also in the downward direction.show large differences by region, but no differences by rurality.
In contrast, there is no POU difference across the rural/urban continuum in any of the three analytic samples. Robustness checks find no rural/urban difference in POU in any of the four census regions, either.Taking into account the distribution of other covariates, POU is highest for Americans 45–64, in all three analytic samples, and statistically comparable among those 18–44 and 65+.
In contrast, net of all characteristics, income is not associated with POU in any of the three analytic subgroups. The role of education is also somewhat complex and nonlinear. In the general population, adults with a high school diploma have comparable POU as their college-educated counterparts, while all others with less than high school but also those with postsecondary schooling short of a bachelor’s degree have significantly higher POU.
Overall, thus, POU prevalence is highest in the South and among those who are middle-aged, food insecure, and not employed. POU prevalence is lowest in the Northeast and among immigrants and adults without health insurance.Recent research has documented changes in prescription opioid use among US adults over the past decade: prescription rates have declined overall [
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