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Age and gender trends in long-term opioid analgesic use for noncancer pain

Author

Listed:
  • Campbell, C.I.
  • Weisner, C.
  • LeResche, L.
  • Ray, G.T.
  • Saunders, K.
  • Sullivan, M.D.
  • Banta-Green, C.J.
  • Merrill, J.O.
  • Silverberg, M.J.
  • Boudreau, D.
  • Satre, D.D.
  • Von Korff, M.

Abstract

Objectives.We describe age and gender trends in long-term use of prescribed opioids for chronic noncancer pain in 2 large health plans. Methods. Age- and gender-standardized incident (beginning in each year) and prevalent (ongoing) opioid use episodes were estimated with automated health care data from 1997 to 2005. Pro?les of opioid use in 2005 by age and gender were also compared. Results. From 1997 to 2005, age-gender groups exhibited a total percentage increase ranging from 16% to 87% for incident long-term opioid use and from 61% to 135% for prevalent long-term opioid use. Women had higher opioid use than did men. Older women had the highest prevalence of long-term opioid use (8%-9% in 2005). Concurrent use of sedative-hypnotic drugs and opioids was common, particularly among women. Conclusions. Risks and bene?ts of long-term opioid use are poorly understood, particularly among older adults. Increased surveillance of the safety of long-term opioid use is needed in community practice settings.

Suggested Citation

  • Campbell, C.I. & Weisner, C. & LeResche, L. & Ray, G.T. & Saunders, K. & Sullivan, M.D. & Banta-Green, C.J. & Merrill, J.O. & Silverberg, M.J. & Boudreau, D. & Satre, D.D. & Von Korff, M., 2010. "Age and gender trends in long-term opioid analgesic use for noncancer pain," American Journal of Public Health, American Public Health Association, vol. 100(12), pages 2541-2547.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.180646_6
    DOI: 10.2105/AJPH.2009.180646
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    Cited by:

    1. Ljiljana Trtica Majnarić & Thomas Wittlinger & Dunja Stolnik & František Babič & Zvonimir Bosnić & Stjepan Rudan, 2020. "Prescribing Analgesics to Older People: A Challenge for GPs," IJERPH, MDPI, vol. 17(11), pages 1-17, June.
    2. Alice Fiddian-Green & Aline Gubrium & Calla Harrington & Elizabeth A. Evans, 2022. "Women-Reported Barriers and Facilitators of Continued Engagement with Medications for Opioid Use Disorder," IJERPH, MDPI, vol. 19(15), pages 1-17, July.
    3. Jianan Zhao & Yun Chen & Ting Han & Stephen Westland, 2020. "Designing Effective Warnings about Addiction on the Patient Information Leaflet of Over-the-Counter Codeine Sold in England to University Students," IJERPH, MDPI, vol. 17(15), pages 1-17, July.
    4. Jessica Y. Ho, 2020. "Cycles of Gender Convergence and Divergence in Drug Overdose Mortality," Population and Development Review, The Population Council, Inc., vol. 46(3), pages 443-470, September.
    5. Valentina Orlando & Sara Mucherino & Ilaria Guarino & Francesca Guerriero & Ugo Trama & Enrica Menditto, 2020. "Gender Differences in Medication Use: A Drug Utilization Study Based on Real World Data," IJERPH, MDPI, vol. 17(11), pages 1-10, June.
    6. Yang, Tse-Chuan & Shoff, Carla & Kim, Seulki, 2022. "Social isolation, residential stability, and opioid use disorder among older Medicare beneficiaries: Metropolitan and non-metropolitan county comparison," Social Science & Medicine, Elsevier, vol. 292(C).
    7. Padmaja Ayyagari, 2016. "Prescription drug coverage and chronic pain," International Journal of Health Economics and Management, Springer, vol. 16(2), pages 189-200, June.

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