@article{ref1,
title="Co-occurring opioid and sedative use disorder: gender differences in use patterns and psychiatric co-morbidities in the United States",
journal="Journal of substance abuse treatment",
year="2020",
author="Ellis, Jennifer D. and Pittman, Brian P. and McKee, Sherry A.",
volume="114",
number="",
pages="e108012-e108012",
abstract="Non-medical use of both opioids and sedatives increases risk of overdose or accident. The purpose of the present study was to describe rates of co-use, to examine baseline characteristics and psychiatric conditions potentially associated with meeting criteria for co-occurring opioid use disorder and sedative use disorder, and to examine whether these relationships varied by gender. Participants were 330 individuals from the NESARC-III who met criteria for current opioid use disorder. Gender-stratified logistic regression analyses, accounting for the survey design, were used to identify psychiatric conditions associated with meeting criteria for co-occurring sedative use disorder. <br><br>RESULTS indicated that 16.4% of the sample also met criteria for sedative use disorder. Notably, 55.6% of the sample attained opioids through their own prescription. Of those with co-occurring sedative use disorder, 47.2% attained sedatives through their own prescription. Posttraumatic stress disorder (OR = 3.02, 95% CI = 1.40-6.51) and antisocial personality disorder (OR = 2.72, 95% CI = 1.37-5.41) were associated with co-occurring sedative use disorder among both men and women with opioid use disorder. Depressive disorders (OR = 2.12, 95% CI = 1.01-4.42) and schizotypal personality disorder (OR = 5.78, 95% CI = 2.48-13.49) were associated with co-occurring sedative use disorder in women only. <br><br>RESULTS of the present study highlight the importance of prescription monitoring, further research into gender-informed treatments, and implementation of treatments for substance use and co-occurring symptoms.<p /> <p>Language: en</p>",
language="en",
issn="0740-5472",
doi="10.1016/j.jsat.2020.108012",
url="http://dx.doi.org/10.1016/j.jsat.2020.108012"
}