The Complex Relationships Among Race/Ethnicity, Social Determinants, and Prescription Opioid Utilization Lanlan Xu, IMPAQ International.

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Presentation transcript:

The Complex Relationships Among Race/Ethnicity, Social Determinants, and Prescription Opioid Utilization Lanlan Xu, IMPAQ International

Acknowledgement/Disclaimer: Co-author: Asako Moriya, Staff Fellow, AHRQ Disclaimer: The views expressed in this presentation are those of the authors, and no official endorsement by the Department of Health and Human Services or the Agency for Healthcare Research and Quality is intended or should be inferred.

Learning Objective: Learning Objective 1: Learning Objective 2: To recognize racial and ethnic differences in prescription opioid utilization in the US Learning Objective 2: To identify underlying contributing factors for racial and ethnic differences in prescription opioid utilization

Overview: The Faces of the Opioid Epidemic 130+ people a day die from opioid-related drug overdoses Image Source: https://www.familyrecoverysolutionsflorida.com/heroin-addiction-florida/

Overview: Opioid Overdose Death Rates per 100,000 Steadily climbing since 1999 Accelerating rates starting in 2013 Source: Kaiser Family Foundation, State Health Facts. Rates displayed are age-adjusted rates per 100,000 population.

The Evidence: Differences Among Racial/Ethnic Groups Compared to Non-Hispanic Whites, ethnic minorities have: Outpatient opioid pain prescriptions Poverty Uninsurance Poor Health Sources: Miller, G. E. and Moriya, A. S. Any Use and Frequent Use of Opioids among Non-Elderly Adults in 2015-2016, by Socioeconomic Characteristics . September 2018. Statistical Brief #516. Agency for Healthcare Research and Quality, Rockville, MD. Authors’ analysis of 2013-2016 MEPS.

The Evidence: Outpatient Opioid Pain Prescriptions Having outpatient opioid pain prescriptions is associated with: $ Lower income Public-only health insurance Poorer health status Source: Miller and Moriya (2018).

The Evidence: Group Differences in Risk Factors How much of racial/ethnicity differences in opioid use can be explained by group differences in risk factors Individual Risk Factors Community Risk Factors & The analysis is well underway and the results can be shared once presented to the Assistant Secretary of HHS.

Health Policy Implications: NON-HEALTH RISK FACTORS RACIAL/ETHNIC RISK FACTORS Does addressing the opioid epidemic require a concerted effort across agencies? Does addressing the opioid epidemic require tailored programs for different racial/ethnic groups?

Why This Matters: Explaining disparities in opioid utilization helps policy makers and programs. Enhancing Understanding Better Program Targeting

Contact Information: Lanlan Xu Senior Research Associate, IMPAQ International Email: lxu@impaqint.com IMPAQ Health: http://www.impaqint.com/practice-areas/impaq-health