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Racial/ethnic differences in trends in heroin use and heroin-related risk behaviors among nonmedical prescription opioid users.


ABSTRACT: This study examines changing patterns of past-year heroin use and heroin-related risk behaviors among individuals with nonmedical use of prescription opioids (NMUPO) by racial/ethnic groups in the United States.We used data from the National Survey on Drug Use and Health (NSDUH) from 2002 to 2005 and 2008 to 2011, resulting in a total sample of N = 448,597.Past-year heroin use increased among individuals with NMUPO and increases varied by frequency of past year NMUPO and race/ethnicity. Those with NMUPO in the 2008-2011 period had almost twice the odds of heroin use as those with NMUPO in the 2002-2005 period (OR = 1.89, 95%CI: 1.50, 2.39), with higher increases in non-Hispanic (NH) Whites and Hispanics. In 2008-2011, the risk of past year heroin use, ever injecting heroin, past-year heroin abuse or dependence, and the perception of availability of heroin increased as the frequency of NMUPO increased across respondents of all race/ethnicities.Individuals with NMUPO, particularly non-Hispanic Whites, are at high risk of heroin use and heroin-related risk behaviors. These results suggest that frequent nonmedical users of prescription opioids, regardless of race/ethnicity, should be the focus of novel public health efforts to prevent and mitigate the harms of heroin use.

SUBMITTER: Martins SS 

PROVIDER: S-EPMC4447574 | biostudies-literature | 2015 Jun

REPOSITORIES: biostudies-literature

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Racial/ethnic differences in trends in heroin use and heroin-related risk behaviors among nonmedical prescription opioid users.

Martins Silvia S SS   Santaella-Tenorio Julian J   Marshall Brandon D L BD   Maldonado Adriana A   Cerdá Magdalena M  

Drug and alcohol dependence 20150402


<h4>Background</h4>This study examines changing patterns of past-year heroin use and heroin-related risk behaviors among individuals with nonmedical use of prescription opioids (NMUPO) by racial/ethnic groups in the United States.<h4>Methods</h4>We used data from the National Survey on Drug Use and Health (NSDUH) from 2002 to 2005 and 2008 to 2011, resulting in a total sample of N = 448,597.<h4>Results</h4>Past-year heroin use increased among individuals with NMUPO and increases varied by freque  ...[more]

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