Association Between Community Characteristics and Opioid Prescribing Rates
- 12 Downloads
Past research has shown that certain community characteristics are associated with local opioid prescribing trends (Guy et al., MMWR-Morbid Mortal W, 66(26):697–704, 2017; see also: University of Kentucky College of Pharmacy, 2019). The current chapter utilizes U.S. Census data and data from the PBSS from 2012–2017 to examine the association between community characteristics (demographics, population density, housing, income, employment, and health) and the opioid prescribing rate in California counties. Utilizing a series of Poisson regression models, each category of community characteristics were bivariately tested for an association with opioid prescribing behavior, along with a multivariable model with all community characteristics entered simultaneously. The results suggest that each type of community characteristics was independently and significantly associated with the 2012–2017 opioid prescribing rate (averaged by quarter for each year). Furthermore, even when controlling for the other important measures, nearly all of these relationships maintained their significant and independent association with opioid prescribing rates.
KeywordsOpioids Drugs Substance use Prescriptions Counties Epidemic
- Allison, P. D. (1999). Multiple regression: A primer. Thousand Oaks: Pine Forge Press.Google Scholar
- California Department of Justice (2018). Controlled substance utilization review and evaluation system. Retrieved from https://oag.ca.gov/cures.
- California Department of Public Health (2018). California opioid overdose surveillance dashboard. Retrieved from https://discovery.cdph.ca.gov/CDIC/ODdash/
- Curtis, L. H., Stoddard, J., Radeva, J. I., Hutchinson, S., Dans, P. E., Wright, A., Woosley, R. L., & Schulman, K. A. (2006). Geographic variation in the prescription of Schedule II opioid analgesics among outpatients in the United States. Health Services Research, 41, 837–855.CrossRefGoogle Scholar
- Joynt, M., Train, M. K., Robbins, B. W., Halterman, J. S., Caiola, E., & Fortuna, R. J. (2013). The impact of neighborhood socioeconomic status and race on the prescribing of opioids in emergency departments throughout the United States. Journal of General Internal Medicine, 28(12), 1604–1610.CrossRefGoogle Scholar
- Liu, Y., Logan, J. E., Paulozzi, L. J., Zhang, K., & Jones, C. M. (2013). Potential misuse and inappropriate prescription practices involving opioid analgesics. The American Journal of Managed Care, 19(8), 648–665.Google Scholar
- National Institute on Drug Abuse (2018). California opioid summary. Retrieved from https://www.drugabuse.gov/drugs-abuse/opioids/opioid-summaries-by-state/california-opioid-summary.
- Shaw, C. R., & McKay, H. D. (1942). Juvenile delinquency and urban areas. Chicago: University of Chicago Press.Google Scholar
- Stein, B. D., Pacula, R. L., Gordon, A. J., Burns, R. M., Leslie, D. L., Sorbero, M. J., et al. (2015). Where is buprenorphine dispensed to treat opioid use disorders? The role of private offices, opioid treatment programs, and substance abuse treatment facilities in urban and rural counties. Milbank Quarterly, 93(3), 561–583.CrossRefGoogle Scholar
- U.S. Census Bureau (2017). Quick facts: California. Retrieved from https://www.census.gov/quickfacts/ca.