Comparison of the prevalence of opioid use among U.S. adults with cardiac conditions before and during the COVID-19 pandemic

Limited data are available on the prevalence of prescription opioid use among patients with cardiac conditions who were exposed to increased risks of cardiac events including myocardial failure and cardiac arrest. According to the U.S. National Health Interview Survey, we evaluated the prevalence of...

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Main Authors: Lvkan Weng, Jingxuan Huang, Yanan Lou, Haoting Shi, Yuantong Ma, Siyu Gu, Ne Qiang, Shuxun Wang, Lan Wu, Mu He, Lei Xu, Lefei Han
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1127636/full
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author Lvkan Weng
Jingxuan Huang
Yanan Lou
Haoting Shi
Yuantong Ma
Siyu Gu
Ne Qiang
Shuxun Wang
Lan Wu
Mu He
Lei Xu
Lefei Han
author_facet Lvkan Weng
Jingxuan Huang
Yanan Lou
Haoting Shi
Yuantong Ma
Siyu Gu
Ne Qiang
Shuxun Wang
Lan Wu
Mu He
Lei Xu
Lefei Han
author_sort Lvkan Weng
collection DOAJ
description Limited data are available on the prevalence of prescription opioid use among patients with cardiac conditions who were exposed to increased risks of cardiac events including myocardial failure and cardiac arrest. According to the U.S. National Health Interview Survey, we evaluated the prevalence of opioid use in patients with cardiac conditions who reported prescription opioid use in the past 12 months and 3 months in 2019 and 2020, respectively, and further estimated the prevalence of opioid use for acute pain or chronic pain. We also analyzed the stratified prevalence by demographical characteristics. Our results showed that there was no statistically significant change in the prevalence of opioid use in the past 12 months (26.5% in 2019 vs. 25.7% in 2020) or the past 3 months (66.6% in 2019 vs. 62.5% in 2020) before and during the COVID-19 pandemic. However, there was a significant decline in the prevalence of opioid use for acute pain, from 64.2% (95% confidence interval [CI] 57.6% to 70.3%) in 2019 to 49.6% (95% CI 40.1% to 59.0%) in 2020 (P = 0.012), particularly in the subgroups of men, non-Hispanic white people, adults with education below high school, those with an income-to-poverty ratio ranging from 1.0 to 1.9, and those covered with health insurance. Our findings suggest that monitoring opioid use in the era of living with COVID-19 is important, which will help inform healthcare providers to develop care strategies to reduce health loss for vulnerable individuals.
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spelling doaj.art-1e622b201b154ac2a507ebe80dea34382023-02-20T13:10:47ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-02-011110.3389/fpubh.2023.11276361127636Comparison of the prevalence of opioid use among U.S. adults with cardiac conditions before and during the COVID-19 pandemicLvkan Weng0Jingxuan Huang1Yanan Lou2Haoting Shi3Yuantong Ma4Siyu Gu5Ne Qiang6Shuxun Wang7Lan Wu8Mu He9Lei Xu10Lefei Han11Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaImmune Therapy Institute, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaSchool of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaSchool of Global Health, Chinese Center for Tropical Diseases, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Global Health, Chinese Center for Tropical Diseases, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Global Health, Chinese Center for Tropical Diseases, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Mathematics and Physics, Xi'an Jiaotong-Liverpool University, Suzhou, ChinaSchool of Mathematics and Physics, Xi'an Jiaotong-Liverpool University, Suzhou, ChinaShanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Global Health, Chinese Center for Tropical Diseases, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaLimited data are available on the prevalence of prescription opioid use among patients with cardiac conditions who were exposed to increased risks of cardiac events including myocardial failure and cardiac arrest. According to the U.S. National Health Interview Survey, we evaluated the prevalence of opioid use in patients with cardiac conditions who reported prescription opioid use in the past 12 months and 3 months in 2019 and 2020, respectively, and further estimated the prevalence of opioid use for acute pain or chronic pain. We also analyzed the stratified prevalence by demographical characteristics. Our results showed that there was no statistically significant change in the prevalence of opioid use in the past 12 months (26.5% in 2019 vs. 25.7% in 2020) or the past 3 months (66.6% in 2019 vs. 62.5% in 2020) before and during the COVID-19 pandemic. However, there was a significant decline in the prevalence of opioid use for acute pain, from 64.2% (95% confidence interval [CI] 57.6% to 70.3%) in 2019 to 49.6% (95% CI 40.1% to 59.0%) in 2020 (P = 0.012), particularly in the subgroups of men, non-Hispanic white people, adults with education below high school, those with an income-to-poverty ratio ranging from 1.0 to 1.9, and those covered with health insurance. Our findings suggest that monitoring opioid use in the era of living with COVID-19 is important, which will help inform healthcare providers to develop care strategies to reduce health loss for vulnerable individuals.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1127636/fullCOVID-19 pandemicopioid useprevalencesurvey studycardiac patients
spellingShingle Lvkan Weng
Jingxuan Huang
Yanan Lou
Haoting Shi
Yuantong Ma
Siyu Gu
Ne Qiang
Shuxun Wang
Lan Wu
Mu He
Lei Xu
Lefei Han
Comparison of the prevalence of opioid use among U.S. adults with cardiac conditions before and during the COVID-19 pandemic
Frontiers in Public Health
COVID-19 pandemic
opioid use
prevalence
survey study
cardiac patients
title Comparison of the prevalence of opioid use among U.S. adults with cardiac conditions before and during the COVID-19 pandemic
title_full Comparison of the prevalence of opioid use among U.S. adults with cardiac conditions before and during the COVID-19 pandemic
title_fullStr Comparison of the prevalence of opioid use among U.S. adults with cardiac conditions before and during the COVID-19 pandemic
title_full_unstemmed Comparison of the prevalence of opioid use among U.S. adults with cardiac conditions before and during the COVID-19 pandemic
title_short Comparison of the prevalence of opioid use among U.S. adults with cardiac conditions before and during the COVID-19 pandemic
title_sort comparison of the prevalence of opioid use among u s adults with cardiac conditions before and during the covid 19 pandemic
topic COVID-19 pandemic
opioid use
prevalence
survey study
cardiac patients
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1127636/full
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