Behavioral, mental, and physical health characteristics and opioid medication misuse among community pharmacy patients: A latent class analysis

Gerald Cochran, Valerie Hruschak, Jennifer L. Bacci, Kenneth Hohmeier, Ralph Tarter

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background Community pharmacists are well-positioned to address the US opioid medication crisis, which has created a need to detect misuse risk in order to provide optimal patient care. Objectives This study sought to identify community pharmacy patient subgroups at risk for opioid medication misuse. Methods This study was a cross-sectional survey that examined behavioral, mental, and physical health characteristics among patients filling opioid pain medications. A convenience sample of adult patients filling opioid pain medications who were not receiving cancer treatment were screened in 2 urban and 2 rural community pharmacies in southwestern Pennsylvania. Patient subgroups were identified using latent class analysis. Latent class regression analysis was used to examine the association between subgroup membership and misuse. Results A total of 333 patients completed the survey (response rate 71.4%). Latent class analysis results showed that a 3-class solution best fit the data, which were labeled: mental health (8.4%, n = 28), poor health (79.6%, n = 265), and hazardous alcohol use (12%, n = 40). Individuals within the mental health subgroup had an increased risk for opioid medication misuse (Odds Ratio = 6.23, 95% CI = 5.13–7.33). Conclusion These findings demonstrate heterogeneity of this population receiving prescribed opioids and the potential to identify subgroups with high misuse risk. These findings also support routine screening of patients filling opioid medications and suggest the need for evidence-based patient-centered intervention development.

Original languageEnglish (US)
Pages (from-to)1055-1061
Number of pages7
JournalResearch in Social and Administrative Pharmacy
Volume13
Issue number6
DOIs
StatePublished - Nov 1 2017

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Pharmacies
Opioid Analgesics
Mental Health
Health
Pain
Oncology
Rural Population
Population Characteristics
Pharmacists
Regression analysis
Patient Care
Screening
Cross-Sectional Studies
Odds Ratio
Regression Analysis
Alcohols
Neoplasms

All Science Journal Classification (ASJC) codes

  • Pharmacy
  • Pharmaceutical Science

Cite this

Behavioral, mental, and physical health characteristics and opioid medication misuse among community pharmacy patients : A latent class analysis. / Cochran, Gerald; Hruschak, Valerie; Bacci, Jennifer L.; Hohmeier, Kenneth; Tarter, Ralph.

In: Research in Social and Administrative Pharmacy, Vol. 13, No. 6, 01.11.2017, p. 1055-1061.

Research output: Contribution to journalArticle

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