Predictors of Postdeployment Prescription Opioid Receipt and Long-term Prescription Opioid Utilization Among Army Active Duty Soldiers

Military Medicine
Rachel Sayko AdamsMary Jo Larson

Abstract

Little is known about long-term prescription opioid utilization in the Military Health System. The objectives of this study were to examine predictors of any prescription opioid receipt, and predictors of long-term opioid utilization among active duty soldiers in the year following deployment. The analytic sample consisted of Army active duty soldiers returning from deployment to Operation Enduring Freedom, Operation Iraqi Freedom, or Operation New Dawn in fiscal years 2008-2014 (N = 540,738). The Heckman probit procedure was used to jointly examine predictors of any opioid prescription receipt and long-term opioid utilization (i.e., an episode of 90 days or longer where days-supply covered at least two-thirds of days) in the postdeployment year. Predictors were based on diagnoses and characteristics of opioid prescriptions. More than one-third of soldiers (34.8%, n = 188,211) had opioid receipt, and among those soldiers, 3.3% had long-term opioid utilization (or 1.1% of the cohort, n = 6,188). The largest magnitude predictors of long-term opioid utilization were receiving a long-acting opioid within the first 30 days of the episode, diagnoses of chronic pain (no specified source), back/neck pain, or peripheral/central nervous ...Continue Reading

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Citations

Jul 25, 2019·Journal of Neurotrauma·Rachel Sayko AdamsKristen Dams-O'Connor
Feb 23, 2020·Military Medicine·Zygmunt F DembekAiguo Wu
Dec 29, 2020·The Journal of the American Dental Association·Patrick RichardMary Jo Larson
Jan 21, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Mayada SaadounMary Jo Larson

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