Quantifying the Burden of Opioid Use Disorder and Non-fatal Opioid Overdose in American Indian and Alaskan Native Populations Using the Cerner Real-World Data™ Database.

Autor: Qeadan F; Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, IL, USA. fqeadan@luc.edu., Madden EF; Department of Family Medicine and Public Health Sciences, Wayne State University, Detroit, MI, USA., English K; Albuquerque Area Southwest Tribal Epidemiology Center, Albuquerque, NM, USA., Venner KL; Department of Psychology, Center On Alcohol, Substance Use, And Addiction (CASAA), University of New Mexico, Albuquerque, NM, USA., Tingey B; Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, IL, USA., Egbert J; Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, IL, USA., Hipol FAS; Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT, USA.
Jazyk: angličtina
Zdroj: Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2024 Aug 14. Date of Electronic Publication: 2024 Aug 14.
DOI: 10.1007/s40615-024-02084-z
Abstrakt: Objective: This study evaluated the prevalence and incidence of opioid use disorder (OUD), rates of opioid overdose (OD), and rates of non-fatal (NF) OD in American Indian/Alaskan Native (AI/AN) populations.
Methods: We used de-identified patient data from Oracle Cerner Real-World Data™. Rates were estimated over time, and stratified by sex, age, marital status, insurance, and region. Mann-Kendall trend tests and Theil-Sen slopes assessed changes over time for each group while autoregressive modeling assessed differences between groups.
Results: The study identified trends in OUD and OD among 700,225 AI/AN patients aged 12 and above. Between 2012 and 2022, there was a significant upward trend in both OUD and OD rates (p < 0.05) , with OUD diagnosed in 1.75% and OD in 0.38% of the population. The Western region of the US exhibited the highest rates of OUD and OD. The 35-49 age group showed the highest rates of OUD, while the 12-34 age group had the highest rates of OD. Marital status analysis revealed higher rates of OUD and OD among separated, widowed, or single patients. Additionally, individuals with Medicare or Medicaid insurance demonstrated the highest rates of OUD and OD.
Conclusion: Results show that rates of OUD, OD, and NF OD continue to rise among AI/AN individuals, with some regional and demographic variation. Our study provides foundational estimates of key AI/AN populations bearing greater burdens of opioid-related morbidity that federal, state, and tribal organizations can use to direct and develop targeted resources that can improve the health and well-being of AI/AN communities.
(© 2024. W. Montague Cobb-NMA Health Institute.)
Databáze: MEDLINE
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