Binge Drinking and Prescription Opioid Misuse in the U.S., 2012–2014

Prescription opioids were responsible for approximately 17,000 deaths in the U.S. in 2016. One in five prescription opioid deaths also involve alcohol. Drinkers who misuse prescription opioids (i.e., use without a prescription or use only for the experience or feeling it causes) are at a heightened...

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Bibliographic Details
Published in:American journal of preventive medicine 2019-08, Vol.57 (2), p.197-208
Main Authors: Esser, Marissa B., Guy, Gery P., Zhang, Kun, Brewer, Robert D.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Alcohol use
Analgesics, Opioid - adverse effects
Binge Drinking - complications
Binge Drinking - trends
Child
Cigarettes
Drinking behavior
Drug abuse
Drug overdose
Drug Overdose - epidemiology
Female
Humans
Male
Marijuana
Middle Aged
Narcotics
Opioids
Overdoses
Polls & surveys
Prescription Drug Misuse - mortality
Prescription Drug Misuse - statistics & numerical data
Prevalence
Sex Factors
Sociodemographics
Substance abuse
United States - epidemiology
Young Adult
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Summary:Prescription opioids were responsible for approximately 17,000 deaths in the U.S. in 2016. One in five prescription opioid deaths also involve alcohol. Drinkers who misuse prescription opioids (i.e., use without a prescription or use only for the experience or feeling it causes) are at a heightened risk of overdose. However, little is known about the relationship between drinking patterns and prescription opioid misuse. Data were analyzed from 160,812 individuals (aged ≥12 years) who responded to questions about prescription opioid misuse and alcohol consumption in the 2012, 2013, or 2014 National Survey on Drug Use and Health (analyzed in 2017–2018). The prevalence of self-reported past-30-days prescription opioid misuse was assessed by sociodemographic characteristics, other substance use (i.e., cigarettes, marijuana), and drinking patterns. Multiple logistic regression analyses were used to calculate AORs. From 2012 to 2014, 1.6% (95% CI=1.5, 1.7) of all individuals aged ≥12 years (estimated 4.2 million) and 3.5% (95% CI=3.3, 3.8) of binge drinkers (estimated 2.2 million) reported prescription opioid misuse. Prescription opioid misuse was more common among binge drinkers than among nondrinkers (AOR=1.7, 95% CI=1.5, 1.9). Overall, the prevalence of prescription opioid misuse increased significantly with binge drinking frequency (p-value
ISSN:0749-3797
1873-2607
DOI:10.1016/j.amepre.2019.02.025