Vital Signs: Demographic and Substance Use Trends Among Heroin Users — United States, 2002–2013
Top Cited Papers
- 10 July 2015
- journal article
- Vol. 64 (26), 719-725
Abstract
Heroin use and overdose deaths have increased significantly in the United States. Assessing trends in heroin use among demographic and particular substance-using groups can inform prevention efforts. FDA and CDC analyzed data from the National Survey on Drug Use and Health and National Vital Statistics System reported during 2002–2013. Trends in heroin use among demographic and substance using groups were compared for 2002–2004, 2005–2007, 2008–2010, and 2011–2013. A multivariable logistic regression model was used to identify characteristics associated with heroin abuse or dependence. Annual average rates of past-year heroin use increased from 1.6 per 1,000 persons aged ≥12 years in 2002–2004 to 2.6 per 1,000 in 2011–2013. Rates of heroin abuse or dependence were strongly positively correlated with rates of heroin-related overdose deaths over time. For the combined data years 2011–2013, the odds of past-year heroin abuse or dependence were highest among those with past-year cocaine or opioid pain reliever abuse or dependence. Heroin use has increased significantly across most demographic groups. The increase in heroin abuse or dependence parallels the increase in heroin-related overdose deaths. Heroin use is occurring in the context of broader poly-substance use. Further implementation of a comprehensive response that targets the wider range of demographic groups using heroin and addresses the key risk factors for heroin abuse and dependence is needed. Specific response needs include reducing inappropriate prescribing and use of opioids through early identification of persons demonstrating problematic use, stronger prescription drug monitoring programs, and other clinical measures; improving access to, and insurance coverage for, evidence-based substance abuse treatment, including medication-assisted treatment for opioid use disorders; and expanding overdose recognition and response training and access to naloxone to treat opioid pain reliever and heroin overdoses.Keywords
This publication has 9 references indexed in Scilit:
- National and State Treatment Need and Capacity for Opioid Agonist Medication-Assisted TreatmentAmerican Journal of Public Health, 2015
- Increases in Hepatitis C Virus Infection Related to Injection Drug Use Among Persons Aged ≤30 Years — Kentucky, Tennessee, Virginia, and West Virginia, 2006–20122015
- Community Outbreak of HIV Infection Linked to Injection Drug Use of Oxymorphone--Indiana, 2015.2015
- Drug-poisoning deaths involving heroin: United States, 2000-2013.2015
- Increases in Heroin Overdose Deaths — 28 States, 2010 to 20122014
- The Changing Face of Heroin Use in the United StatesJAMA Psychiatry, 2014
- Heroin use and heroin use risk behaviors among nonmedical users of prescription opioid pain relievers – United States, 2002–2004 and 2008–2010Drug and Alcohol Dependence, 2013
- Pharmaceutical Overdose Deaths, United States, 2010Published by American Medical Association (AMA) ,2013
- Intertwined Epidemics: National Demographic Trends in Hospitalizations for Heroin- and Opioid-Related Overdoses, 1993–2009PLOS ONE, 2013