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Correlates of Nonmedical Use of Hydromorphone and Hydrocodone: Results from a National Household Sur

Correlates of Nonmedical Use of Hydromorphone and Hydrocodone: Results from a National Household Sur

  1. Quantum Dude
    ABSTRACT. Over the past decade, the misuse and abuse of opioid medications in the United
    States has risen dramatically. Although data show a substantial variation in the nonmedical use of
    individual opioids, relatively little is known about risk factors for the nonmedical use of specific
    opioid products. This study compared the prevalence and correlates of the nonmedical use of oral
    immediate-release hydromorphone (marketed under the brand name of Dilaudid), versus that of
    hydrocodone combination products using a nationally representative sample of the civilian
    noninstitutionalized United States population aged 12 years or older. Data were from the 2003 National
    Survey on Drug Use and Health. An estimated 31.3 million individuals reported lifetime
    nonmedical use of an opioid analgesic. Of these, 2.9 percent reported lifetime nonmedical use of
    Dilaudid, and 51.9 percent reported lifetime nonmedical use of hydrocodone combination products
    exclusive of nonmedical Dilaudid use. Nonmedical Dilaudid users were likely to be older,
    Caucasian, and to have reported a higher lifetime prevalence of heroin, cocaine and injection drug
    use, as well as nonmedical use of other opioids. Nonmedical Dilaudid users were at higher risk for
    engaging in more serious substance abuse-related behaviors than those who reported lifetime
    nonmedical use of hydrocodone combination products.