{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["John WS"],"funding":["NIDA NIH HHS","NIMHD NIH HHS","U.S. National Institutes of Health","National Institute on Drug Abuse"],"pagination":["468-475"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC6329633"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["194"],"pubmed_abstract":["<h4>Background</h4>Current data suggest that opioid misuse or opioid use disorder (OUD) may be over represented among tobacco users. However, this association remains understudied in primary care settings. A better understanding of the extent of heterogeneity in opioid misuse among primary care patients who use tobacco may have implications for improved primary care-based screening, prevention, and intervention approaches.<h4>Methods</h4>Data were derived from a sample of 2000 adult (aged ≥18) primary care patients across 5 distinct clinics. Among past-year tobacco users (n = 882), we assessed the prevalence of opioid misuse and OUD by sociodemographic characteristics and past-year polysubstance use. Latent class analysis (LCA) was used to identify heterogeneous subgroups of tobacco users according to past-year polysubstance use patterns. Multinomial logistic regression was used to examine variables associated with LCA-defined class membership.<h4>Results</h4>Past-year tobacco use was reported by >84% of participants who reported past-year opioid misuse or OUD. Among those reporting past-year tobacco use, the prevalence of past-year opioid misuse and OUD was 14.0% and 9.5%, respectively. The prevalence of opioid misuse or OUD was highest among tobacco users who were male or unemployed. Three LCA-defined classes among tobacco users were identified including a tobacco-minimal drug use group (78.0%), a tobacco-cannabis use group (10.1%), and a tobacco-opioid/polydrug use group (11.9%). Class membership differed by sociodemographic characteristics.<h4>Conclusions</h4>Results from this study support the benefit of more comprehensive assessment of and/or monitoring for opioid misuse among primary care patients who use tobacco, particularly for those who are male, unemployed, or polydrug users."],"journal":["Drug and alcohol dependence"],"pubmed_title":["Prevalence and patterns of opioid misuse and opioid use disorder among primary care patients who use tobacco."],"pmcid":["PMC6329633"],"funding_grant_id":["UG1 DA013035","U10DA013727","UG1DA013035","UG1 DA013034","R01MD007658","UG1DA013034","R01 MD007658","UG1 DA040317","UG1DA040317","U10 DA013727"],"pubmed_authors":["John WS","McNeely J","Wu LT","Mannelli P","Zhu H","Schwartz RP","Subramaniam GA"],"additional_accession":[]},"is_claimable":false,"name":"Prevalence and patterns of opioid misuse and opioid use disorder among primary care patients who use tobacco.","description":"<h4>Background</h4>Current data suggest that opioid misuse or opioid use disorder (OUD) may be over represented among tobacco users. However, this association remains understudied in primary care settings. A better understanding of the extent of heterogeneity in opioid misuse among primary care patients who use tobacco may have implications for improved primary care-based screening, prevention, and intervention approaches.<h4>Methods</h4>Data were derived from a sample of 2000 adult (aged ≥18) primary care patients across 5 distinct clinics. Among past-year tobacco users (n = 882), we assessed the prevalence of opioid misuse and OUD by sociodemographic characteristics and past-year polysubstance use. Latent class analysis (LCA) was used to identify heterogeneous subgroups of tobacco users according to past-year polysubstance use patterns. Multinomial logistic regression was used to examine variables associated with LCA-defined class membership.<h4>Results</h4>Past-year tobacco use was reported by >84% of participants who reported past-year opioid misuse or OUD. Among those reporting past-year tobacco use, the prevalence of past-year opioid misuse and OUD was 14.0% and 9.5%, respectively. The prevalence of opioid misuse or OUD was highest among tobacco users who were male or unemployed. Three LCA-defined classes among tobacco users were identified including a tobacco-minimal drug use group (78.0%), a tobacco-cannabis use group (10.1%), and a tobacco-opioid/polydrug use group (11.9%). Class membership differed by sociodemographic characteristics.<h4>Conclusions</h4>Results from this study support the benefit of more comprehensive assessment of and/or monitoring for opioid misuse among primary care patients who use tobacco, particularly for those who are male, unemployed, or polydrug users.","dates":{"release":"2019-01-01T00:00:00Z","publication":"2019 Jan","modification":"2024-10-19T03:45:09.166Z","creation":"2020-05-22T01:30:56Z"},"accession":"S-EPMC6329633","cross_references":{"pubmed":["30513477"],"doi":["10.1016/j.drugalcdep.2018.11.011"]}}