Impacts of social determinants of health on chronic opioid therapy for chronic non-cancer pain.
Minghui ChenTao LiPublished in: Pain management (2024)
Aim: We aimed to investigate the association between social determinants of health and chronic opioid therapy. Materials & methods: We conducted a retrospective analysis of electronic health records from five family medicine and internal medicine clinics in Oregon in 2020 and 2021. Our outcome variable was whether a patient was receiving chronic opioid therapy for chronic non-cancer pain. Our variables of interest included financial difficulty, insurance types, transportation barriers, currently married or living with a partner and organizations participation. Results: Our results showed that patients with financial difficulty were more likely to have chronic opioid therapy (OR: 2.69; 95% CI: 1.14, 6.33). Conclusion: Addressing patients' social determinants of health disadvantages is important for optimizing pain management.
Keyphrases
- pain management
- chronic pain
- public health
- healthcare
- mental health
- electronic health record
- stem cells
- physical activity
- primary care
- newly diagnosed
- squamous cell carcinoma
- neuropathic pain
- drug induced
- spinal cord injury
- hiv infected
- prognostic factors
- young adults
- climate change
- antiretroviral therapy
- hepatitis c virus
- squamous cell
- peritoneal dialysis
- hiv testing
- intimate partner violence