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Vijayaraghavan M, Penko J, Bangsberg DR, Miaskowski C, Kushel MB. Opioid Analgesic Misuse in a Community-Based Cohort of HIV-Infected Indigent Adults. JAMA Intern Med. 2013;173(3):235–237. doi:10.1001/jamainternmed.2013.1576
Author Affiliations: Moores Cancer Center, University of California, San Diego (Dr Vijayaraghavan); Division of General Internal Medicine, San Francisco General Hospital, San Francisco, California (Ms Penko and Dr Kushel); Departments of Medicine (Ms Penko and Dr Kushel) and Physiological Nursing (Dr Miaskowski), University of California, San Francisco; Department of Medicine, Division of Infectious Disease, Massachusetts General Hospital Center for Global Health, Boston (Dr Bangsberg); Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard Medical School, Charlestown (Dr Bangsberg); Department of Global Health and Social Medicine, Harvard Medical School (Dr Bangsberg); and Department of Global Health and Population, Harvard School of Public Health, Boston (Dr Bangsberg).
Opioid analgesic misuse has risen in conjunction with increased rates of opioid prescribing. The association may be due to increased misuse among individuals receiving prescribed opioids or among those acquiring diverted opioids.1 Individuals with pain and co-occurring mental health or substance use disorders are at an increased risk for misuse.2,3 Despite guidelines recommending caution,4 health care providers prescribe opioids to individuals with these disorders at higher rates than they do to individuals without them.5 Few studies have examined misuse among high-risk, community-based populations. We conducted a longitudinal study of a community-sampled cohort of human immunodeficiency (HIV)-infected indigent adults, selected without regard to pain status or receipt of prescribed opioids, to examine rates of and factors associated with opioid analgesic misuse.
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