• AIDS and behavior · Mar 2016

    Trends in Any and High-Dose Opioid Analgesic Receipt Among Aging Patients With and Without HIV.

    • William C Becker, Kirsha Gordon, E Jennifer Edelman, Robert D Kerns, Stephen Crystal, James D Dziura, Lynn E Fiellin, Adam J Gordon, Joseph L Goulet, Amy C Justice, and David A Fiellin.
    • Internal Medicine, West Haven VA Medical Center, VA Connecticut Healthcare System, Mail Stop 151B, 950 Campbell Avenue, West Haven, CT, 06516, USA. william.becker@yale.edu.
    • AIDS Behav. 2016 Mar 1; 20 (3): 679-86.

    AbstractHarms of opioid analgesics, especially high-dose therapy among individuals with comorbidities and older age, are increasingly recognized. However, trends in opioid receipt among HIV-infected patients are not well characterized. We examined trends, from 1999 to 2010, in any and high-dose (≥120 mg/day) opioid receipt among patients with and without HIV, by age strata, controlling for demographic and clinical correlates. Of 127,216 patients, 64 % received at least one opioid prescription. Opioid receipt increased substantially among HIV-infected and uninfected patients over the study; high-dose therapy was more prevalent among HIV-infected patients. Trends in high-dose receipt stratified by three age groups revealed an increasing trend in each age strata, higher among HIV-infected patients. Correlates of any opioid receipt included HIV, PTSD and major depression. Correlates of high-dose receipt included HIV, PTSD, major depression and drug use disorders. These findings suggest a need for appropriate balance of risks and benefits, especially as these populations age.

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