Evidence map›Paper›PMID 34189246›Full record

ArticleAddictive behaviors reports2021

Associations between spouse and service member prescriptions for high-risk and long-term opioids: A dyadic study.

Alicia C Sparks, Sharmini Radakrishnan, Nida H Corry, Doug McDonald, Kenneth Carlson, Carlos E Carballo, Valerie Stander

Open access · goldAbstract read
In one paragraph

Article in Addictive behaviors reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Alicia C SparksDivision of Health and Environment, Abt Associates, Rockville, MD, United States.
Sharmini RadakrishnanDivision of Health and Environment, Abt Associates, Rockville, MD, United States.
Nida H CorryDivision of Health and Environment, Abt Associates, Rockville, MD, United States.
Doug McDonaldDivision of Health and Environment, Abt Associates, Rockville, MD, United States.
Kenneth CarlsonDivision of Health and Environment, Abt Associates, Rockville, MD, United States.
Carlos E CarballoDeployment Health Research Department, Naval Health Research Center, San Diego, CA, United States.
Valerie StanderDeployment Health Research Department, Naval Health Research Center, San Diego, CA, United States.
Naval Health Research Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEstimates suggest approximately 2.4% of service members, and 15% of service members who have engaged in recent combat, report misusing pain relievers in the past year. This study explores the extent to which military spouses' obtainment of opioids is associated with their service member partners' obtainment of opioid prescriptions, in addition to other factors such as service member health, state prescribing patterns, and sociodemographic characteristics.

methodsData were drawn from the Millennium Cohort Family Study, a large, longitudinal survey of married spouses of service members from all service branches, and archival data analyzed from 2018 to 2020. The dependent variables were spouse long-term opioid therapy and spouse opioid prescriptions that pose a high risk of adverse outcomes.

resultsSeven percent of spouse and service member dyads met the criteria for high-risk opioid use, generally because they had purchased a prescription for a ≥90 Morphine Milligram Equivalents daily dose (76.7% for spouses, 72.8% for service members). Strong associations were found between spouse and service member opioid therapies (OR = 5.53 for long-term; OR = 2.20 for high-risk).

conclusionsFindings suggest that reducing the number of long-term and high-risk opioid prescriptions to service members may subsequently reduce the number of similar prescriptions obtained by their spouses. Reducing the number of service members and spouses at risk for adverse events may prove to be effective in stemming the opioid epidemic and improve the overall health and safety of military spouses and thus, the readiness of the U.S. Armed Forces.

Indexed as

Mental HealthMilitaryOpioidPrescription opioidsService memberSpouseSubstance use

Identifiers

PMID34189246
PMCPMC8219988
OpenAlexW3172308508

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.