Social determinants of health and healthcare utilization among prescription opioid users: A cross-sectional propensity scoring analysis

IF 3.7 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2025-09-22 DOI:10.1016/j.outlook.2025.102543

Katherine M. Cahir BSN, RN, CCRN , Thistle I. Elias DrPH, MPA , Paul W. Scott PhD , Heeyoung Lee PhD, PMHNP-BC, FAAN

{"title":"Social determinants of health and healthcare utilization among prescription opioid users: A cross-sectional propensity scoring analysis","authors":"Katherine M. Cahir BSN, RN, CCRN , Thistle I. Elias DrPH, MPA , Paul W. Scott PhD , Heeyoung Lee PhD, PMHNP-BC, FAAN","doi":"10.1016/j.outlook.2025.102543","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The opioid crisis continues to pose a significant public health challenge, with the use of prescription opioids contributing to healthcare burdens and disparities.</div></div><div><h3>Purpose</h3><div>Guided by the National Institute on Minority Health and Health Disparities (NIMHD) Research Framework, this study examined the differences in social determinants of health (SDoH) and healthcare utilization between people who use prescription opioids (PPOU) and those who do not.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional analysis of data from the 2021 Medical Expenditure Panel Survey (<em>n</em> = 1,716) and applied propensity score matching to adjust for sociodemographic and clinical factors.</div></div><div><h3>Discussion</h3><div>Factors such as housing instability, life dissatisfaction, stress, and transportation barriers were associated with higher healthcare utilization, highlighting the complex impact of SDoH.</div></div><div><h3>Conclusion</h3><div>PPOU face disproportionate challenges related to SDoH and experience greater healthcare utilization. Nurse-led, integrated care models may enhance continuity of care, reduce fragmentation, and help address disparities among PPOU.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 6","pages":"Article 102543"},"PeriodicalIF":3.7000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing Outlook","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0029655425001964","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Background

The opioid crisis continues to pose a significant public health challenge, with the use of prescription opioids contributing to healthcare burdens and disparities.

Purpose

Guided by the National Institute on Minority Health and Health Disparities (NIMHD) Research Framework, this study examined the differences in social determinants of health (SDoH) and healthcare utilization between people who use prescription opioids (PPOU) and those who do not.

Methods

We conducted a cross-sectional analysis of data from the 2021 Medical Expenditure Panel Survey (n = 1,716) and applied propensity score matching to adjust for sociodemographic and clinical factors.

Discussion

Factors such as housing instability, life dissatisfaction, stress, and transportation barriers were associated with higher healthcare utilization, highlighting the complex impact of SDoH.

Conclusion

PPOU face disproportionate challenges related to SDoH and experience greater healthcare utilization. Nurse-led, integrated care models may enhance continuity of care, reduce fragmentation, and help address disparities among PPOU.

查看原文本刊更多论文

处方阿片类药物使用者健康和医疗保健利用的社会决定因素：横断面倾向评分分析

阿片类药物危机继续构成重大的公共卫生挑战，处方阿片类药物的使用加剧了医疗负担和差距。目的：在国家少数民族健康与健康差异研究所（NIMHD）研究框架的指导下，本研究调查了使用处方阿片类药物（PPOU）和不使用处方阿片类药物的人之间健康的社会决定因素（SDoH）和医疗保健利用的差异。方法对来自2021年医疗支出小组调查（n = 1,716）的数据进行横断面分析，并应用倾向评分匹配来调整社会人口统计学和临床因素。住房不稳定、生活不满、压力和交通障碍等因素与较高的医疗保健利用率相关，突出了SDoH的复杂影响。结论ppou面临着与SDoH相关的不成比例的挑战，并且具有更高的医疗利用率。护士主导的综合护理模式可以提高护理的连续性，减少碎片化，并有助于解决PPOU之间的差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.