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High levels of self-reported prescription opioid use by HIV-positive individuals

Bibliographic Data

ID19440935
AuthorsAbigail Norris Turner (0000-0003-2463-6399, The Ohio State University), Courtney N Maierhofer (0000-0003-3126-2022, The Ohio State University), Courtney Maierhofer, Nicholas T Funderburg, Nicholas Funderburg (0000-0003-3113-1217, The Ohio State University), Brandon Snyder (The Ohio State University), Kristi Small (0000-0002-3784-881X, The Ohio State University), Jan Clark (The Ohio State University), José A Bazan (0000-0002-8405-7156, The Ohio State University), Nicole C Kwiek (The Ohio State University), Jesse J Kwiek (0000-0003-4277-8315, Florida State University, corresponding author)
Year2016
Volume28
Issue12
Pages1559-1565
Publication date2016-12-01
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2016.1198746
PMID27320493
OpenAlexW2461892802
LanguageEN
Citations received5
References cited21

Prescription medication use (other than antiretroviral therapy (ART)) is highly prevalent among people living with HIV. Prescription medications may be used medically or non-medically: non-medical use includes using more medication than prescribed, using medication prescribed to someone else, or using medication for a purpose other than its prescribed use. During 12 weeks in 2014-2015, we characterized medical and non-medical prescription medication use among HIV-positive patients attending an academic medical center (n = 149) and a community clinic (n = 105). Separately for the past year and the past month, these 254 participants self-reported their use of prescription opioids, sedatives, stimulants, anti-anxiety medications, antipsychotic medications, and erectile dysfunction medications. Respondents were largely male (91%), aged 40 or older (61%), identified as gay or bisexual (79%), and were men who have sex with men (85%). ART use was nearly universal (95%). Nearly half (43%) of participants reported medical use of prescription opioids; 11% of the opioid use was reported as non-medical use. Anti-anxiety medication use was also frequent, and differed by site: 41% of community-clinic responders reported medical use of anti-anxiety medications compared to 23% of hospital clinic respondents who reported medical use. Prescription sedative use was also approximately twice as high among community-clinic participants, with medical use reported by 43% of respondents and non-medical use by 12%; in comparison, at the hospital clinic, sedative use was reported by 18% (medical) and 7% (non-medical) of participants. Stimulant use was rare in both sites. No demographic characteristic was significantly associated with medical or non-medical use of any prescription medication. The current focus of many studies on only non-medical prescription medication use not only underestimates the widespread exposure of HIV-positive individuals to these drugs, but may also underestimate potential adverse effects of prescription medications in this population

Anxiety · Family medicine · Medical prescription · Psychiatry · Sedative · Self-medication · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Pharmacological Effects and Toxicity Studies

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Citations per year0.56
Citation span2017 - 2023 (7)
Highly citedNo

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