Finding the Hidden Risk Profiles of the United States Opioid Epidemic: Using a Person-Centered Approach on a National Dataset of Noninstitutionalized Adults Reporting Opioid Misuse

Montiel Ishino, Francisco A.; Gilreath, Tamika; Williams, Faustine

doi:10.3390/ijerph17124321

Submit to this Journal Review for this Journal Edit a Special Issue

Article Menu

...

Open AccessArticle

Finding the Hidden Risk Profiles of the United States Opioid Epidemic: Using a Person-Centered Approach on a National Dataset of Noninstitutionalized Adults Reporting Opioid Misuse

Francisco A. Montiel Ishino

^1,*,†

Tamika Gilreath

^2,† and

Faustine Williams

^1,†

Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, 7201 Wisconsin Ave, Ste.533G6, Bethesda, Rockville, MD 20814, USA

Transdisciplinary Center for Health Equity Research, Department of Health Education, College of Education and Human Development, Texas A&M University, 4243 TAMU, 311F Blocker Building, College Station, TX 77843, USA

Author to whom correspondence should be addressed.

^†

Authors contributed equally to this work.

Int. J. Environ. Res. Public Health 2020, 17(12), 4321; https://doi.org/10.3390/ijerph17124321

Received: 12 May 2020 / Revised: 15 June 2020 / Accepted: 16 June 2020 / Published: 17 June 2020

(This article belongs to the Collection Social Determinants of Mental Health)

View Full-Text Download PDF

Browse Figures

Citation Export

Abstract

Opioid misuse can lead to use disorder and other adverse outcomes. Identifying sociodemographic risk profiles and understanding misuse patterns in combination with health indicators can inform prevention science and clinical practice. A latent class analysis of opioid misuse was conducted on noninstitutionalized United States civilians aged 18 and older that reported opioid dependence or abuse in the 2017 National Survey of Drug Use and Health (n = 476; weighted n = 2,018,922). Opioid misuse was based on heroin and/or prescription pain reliever use, and associated determinants of health and mental health indicators. Five misuse profiles were identified: (1) single heroin or prescription misuse with high-income; (2) female prescription pain reliever misuse with psychological distress and suicidality; (3) younger polyopioid misuse with the highest proportion of Hispanics and heroin use; (4) older polyopioid misuse with the highest proportion of non-Hispanic blacks and disability; and (5) older non-Hispanic white male exclusive dual heroin and/or prescription misuse (27%, 20%, 38%, 10%, and 5% of sample, respectively). The identified risk profiles can inform public health practice to develop interventions for acute and immediate response by providing etiological evidence and to inform prevention and intervention efforts along the continuum from opioid initiation to use disorder. View Full-Text

Keywords: latent class analysis; analgesics; opioid; social determinants of health; person-centered approach

▼ Show Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Share and Cite

MDPI and ACS Style

Montiel Ishino, F.A.; Gilreath, T.; Williams, F. Finding the Hidden Risk Profiles of the United States Opioid Epidemic: Using a Person-Centered Approach on a National Dataset of Noninstitutionalized Adults Reporting Opioid Misuse. Int. J. Environ. Res. Public Health 2020, 17, 4321. https://doi.org/10.3390/ijerph17124321

AMA Style

Montiel Ishino FA, Gilreath T, Williams F. Finding the Hidden Risk Profiles of the United States Opioid Epidemic: Using a Person-Centered Approach on a National Dataset of Noninstitutionalized Adults Reporting Opioid Misuse. International Journal of Environmental Research and Public Health. 2020; 17(12):4321. https://doi.org/10.3390/ijerph17124321

Chicago/Turabian Style

Montiel Ishino, Francisco A., Tamika Gilreath, and Faustine Williams. 2020. "Finding the Hidden Risk Profiles of the United States Opioid Epidemic: Using a Person-Centered Approach on a National Dataset of Noninstitutionalized Adults Reporting Opioid Misuse" International Journal of Environmental Research and Public Health 17, no. 12: 4321. https://doi.org/10.3390/ijerph17124321

Find Other Styles

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Metrics

Abstract views Pdf views Html views

Article Menu

Finding the Hidden Risk Profiles of the United States Opioid Epidemic: Using a Person-Centered Approach on a National Dataset of Noninstitutionalized Adults Reporting Opioid Misuse

Abstract

Share and Cite

Article Metrics

Article Access Statistics

Article Access Map by Country/Region

Further Information

Guidelines

MDPI Initiatives

Follow MDPI