Prescription opioid dispensing and prescription opioid poisoning: Population data from Victoria, Australia 2006 to 2013
Abstract Objective: To describe recent trends in opioid prescribing and prescription opioid poisoning resulting in hospitalisation or death in Victoria, Australia. Method: This is a population‐based ecological study of residents of Victoria, 2006 – 14. Australian Bureau of Statistics residential pop...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-02-01
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| Series: | Australian and New Zealand Journal of Public Health |
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| Online Access: | https://doi.org/10.1111/1753-6405.12568 |
| _version_ | 1797763194131841024 |
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| author | Janneke Berecki‐Gisolf Behrooz Hassani‐Mahmooei Angela Clapperton Roderick McClure |
| author_facet | Janneke Berecki‐Gisolf Behrooz Hassani‐Mahmooei Angela Clapperton Roderick McClure |
| author_sort | Janneke Berecki‐Gisolf |
| collection | DOAJ |
| description | Abstract Objective: To describe recent trends in opioid prescribing and prescription opioid poisoning resulting in hospitalisation or death in Victoria, Australia. Method: This is a population‐based ecological study of residents of Victoria, 2006 – 14. Australian Bureau of Statistics residential population data were combined with Pharmaceutical Benefits Scheme (PBS) opioid prescription data, Victorian Admitted Episodes Data (VAED) and cause of death data. Results: Annual opioid dispensings increased by 78% in 2006 – 13, from 0.33 to 0.58 per population. Opioid use increased with age: in 2013, 14% of Victorian residents aged ≥65 years filled at least one oxycodone prescription. In 2006 – 14, prescription opioid related hospital admissions increased by 6.8% per year, from 107 to 187 /1,000,000 person‐years; 56% were due to intentional self‐poisoning. Annual deaths increased from 21 to 28 /1,000,000 persons, in 2007 – 11. Admissions and deaths peaked at 25–44 years. Conclusions: Although both opioid prescribing and poisoning have increased, there is discrepancy between the exposed group (dispensings increased with age) and those with adverse consequences (rates peaked at ages 25–44 years). Implications: A better understanding is needed of drivers of prescribing and adverse consequences. Together with monitoring of prescribing and poisoning, this will facilitate early detection and prevention of a public health problem. |
| first_indexed | 2024-03-12T19:39:03Z |
| format | Article |
| id | doaj.art-16d1397cb84d4194bffabe07823a48bf |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T19:39:03Z |
| publishDate | 2017-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-16d1397cb84d4194bffabe07823a48bf2023-08-02T03:58:06ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052017-02-01411859110.1111/1753-6405.12568Prescription opioid dispensing and prescription opioid poisoning: Population data from Victoria, Australia 2006 to 2013Janneke Berecki‐Gisolf0Behrooz Hassani‐Mahmooei1Angela Clapperton2Roderick McClure3Monash Injury Research Institute Monash University VictoriaInstitute for Safety, Compensation and Recovery Research Monash University VictoriaMonash Injury Research Institute Monash University VictoriaHarvard Injury Control Research Center Harvard School of Population Health Massachusetts USAAbstract Objective: To describe recent trends in opioid prescribing and prescription opioid poisoning resulting in hospitalisation or death in Victoria, Australia. Method: This is a population‐based ecological study of residents of Victoria, 2006 – 14. Australian Bureau of Statistics residential population data were combined with Pharmaceutical Benefits Scheme (PBS) opioid prescription data, Victorian Admitted Episodes Data (VAED) and cause of death data. Results: Annual opioid dispensings increased by 78% in 2006 – 13, from 0.33 to 0.58 per population. Opioid use increased with age: in 2013, 14% of Victorian residents aged ≥65 years filled at least one oxycodone prescription. In 2006 – 14, prescription opioid related hospital admissions increased by 6.8% per year, from 107 to 187 /1,000,000 person‐years; 56% were due to intentional self‐poisoning. Annual deaths increased from 21 to 28 /1,000,000 persons, in 2007 – 11. Admissions and deaths peaked at 25–44 years. Conclusions: Although both opioid prescribing and poisoning have increased, there is discrepancy between the exposed group (dispensings increased with age) and those with adverse consequences (rates peaked at ages 25–44 years). Implications: A better understanding is needed of drivers of prescribing and adverse consequences. Together with monitoring of prescribing and poisoning, this will facilitate early detection and prevention of a public health problem.https://doi.org/10.1111/1753-6405.12568prescription opioidsdrug overdosepharmacoepidemiology |
| spellingShingle | Janneke Berecki‐Gisolf Behrooz Hassani‐Mahmooei Angela Clapperton Roderick McClure Prescription opioid dispensing and prescription opioid poisoning: Population data from Victoria, Australia 2006 to 2013 Australian and New Zealand Journal of Public Health prescription opioids drug overdose pharmacoepidemiology |
| title | Prescription opioid dispensing and prescription opioid poisoning: Population data from Victoria, Australia 2006 to 2013 |
| title_full | Prescription opioid dispensing and prescription opioid poisoning: Population data from Victoria, Australia 2006 to 2013 |
| title_fullStr | Prescription opioid dispensing and prescription opioid poisoning: Population data from Victoria, Australia 2006 to 2013 |
| title_full_unstemmed | Prescription opioid dispensing and prescription opioid poisoning: Population data from Victoria, Australia 2006 to 2013 |
| title_short | Prescription opioid dispensing and prescription opioid poisoning: Population data from Victoria, Australia 2006 to 2013 |
| title_sort | prescription opioid dispensing and prescription opioid poisoning population data from victoria australia 2006 to 2013 |
| topic | prescription opioids drug overdose pharmacoepidemiology |
| url | https://doi.org/10.1111/1753-6405.12568 |
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