title: Prescription opioid initiation, correlates, and consequences among a sample of OEF/OIF military personnel.
abstract: Prescription opioid (PO) misuse represents a major health risk for many service members and veterans. This paper examines the pathways to misuse among a sample of U.S. veterans who recently returned from Iraq and Afghanistan to low-income, predominately minority sections of New York City. Recreational PO misuse was not common on deployment. Most PO misusers initiated use subsequent to PO use for pain management, an iatrogenic pathway. However, most PO users did not misuse them. Veterans that misused POs were more likely to have other reintegration problems including drug and alcohol use disorders, traumatic brain injury (TBI), unemployment, and homelessness.
authors.affiliation: National Development and Research Institutes, Inc., New York, USA. golub@ndri.org
authors.forename: Andrew
authors.initials: A
authors.lastname: Golub
authors.forename: Alex S
authors.initials: AS
authors.lastname: Bennett
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D055826:Afghan Campaign 2001-; D001930:Brain Injuries / Q000150:complications / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006306:Health Surveys; D006703:Ill-Housed Persons / Q000523:psychology; D006801:Humans; D054542:Iraq War, 2003-2011; D008297:Male; D008889:Military Personnel / Q000523:psychology / Q000706:statistics & numerical data*; D009519:New York City / Q000453:epidemiology; D009293:Opioid-Related Disorders / Q000150:complications / Q000453:epidemiology / Q000523:psychology*; D059408:Pain Management / Q000009:adverse effects / Q000523:psychology*; D011203:Poverty / Q000523:psychology; D055553:Prescription Drugs / Q000009:adverse effects*; D015995:Prevalence; D019966:Substance-Related Disorders / Q000150:complications / Q000453:epidemiology / Q000523:psychology*; D014478:Unemployment; D014481:United States / Q000453:epidemiology; D014728:Veterans / Q000523:psychology
chemical_list: D055553:Prescription Drugs