Evidence map›Paper›PMID 41017040›Full record

ArticleThe Clinical journal of pain2025

Social Determinants of Health Among Individuals Receiving Opioids for Pain Management.

Lisa R Miller-Matero, Emily P Morris, Brittany Christopher, Celeste Pappas, Timothy Chrusciel, Joanne Salas, Lauren Wilson, Scott Secrest, Mark D Sullivan, Ryan W Carpenter and 3 more

Abstract read
In one paragraph

Article in The Clinical journal of pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Lisa R Miller-MateroBehavioral Health, Henry Ford Health, Detroit, MI.ORCID 0000-0002-7044-7831
Emily P MorrisBehavioral Health, Henry Ford Health, Detroit, MI.
Brittany ChristopherCenter for Health Policy and Health Services Research, Henry Ford Health.
Celeste PappasCenter for Health Policy and Health Services Research, Henry Ford Health.
Timothy ChruscielDepartment of Family and Community Medicine, Saint Louis University School of Medicine.
Joanne SalasDepartment of Family and Community Medicine, Saint Louis University School of Medicine.
Lauren WilsonDepartment of Family and Community Medicine, Saint Louis University School of Medicine.
Scott SecrestDepartment of Family and Community Medicine, Saint Louis University School of Medicine.
Mark D SullivanDepartment of Psychiatry and Behavioral Science, University of Washington School of Medicine, Seattle, WA.
Ryan W CarpenterDepartment of Psychology, Notre Dame University, Notre Dame, IN.
Patrick J LustmanDepartment of Psychiatry, Washington University School of Medicine, Seattle, WA.
Brian K AhmedaniBehavioral Health, Henry Ford Health, Detroit, MI.
Jeffrey F ScherrerDepartment of Family and Community Medicine, Saint Louis University School of Medicine.

Funding

Pathways from Chronic Prescription Opioid Use to New Onset Mood DisorderR01DA043811 · NIDA · SAINT LOUIS UNIVERSITY · PI SCHERRER, JEFFREY F. · 2019 to 2023
$3.2M
Developing a modified brief alcohol-focused intervention tailored for patients with alcohol use disorder in opioid agonist treatmentK23AA029729 · NIAAA · UNIVERSITY OF NOTRE DAME · PI Ryan W Carpenter · 2022 to 2026
$793k
NIAAA NIH HHS K23 AA029729NIDA NIH HHS R01 DA043811
6 · The paper itself

Abstract

objectiveIndividuals receiving opioids for pain management are at risk for negative outcomes. However, it is not clear whether social determinants of health (SDOH) predict outcomes a year after starting a prescription opioid. The purpose was to examine associations between SDOH with psychiatric-related, pain-related, and opioid-related outcomes at a 12-month follow-up.

methodsParticipants (N=783) with a new period of 30 to 90-day opioid use completed baseline and 12-month follow-up questionnaires regarding SDOH, depressive symptoms, pain severity, pain interference, and opioid use. Multivariate adjusted models estimated the association between SDOH and outcomes.

resultsParticipants had a mean age of 53.4 years (SD=11.9), 71.2% White race, and 69.9% women. Older age (OR=0.97; 0.95, 0.99) and Black race (OR=0.45; 0.27, 0.76) were inversely associated with depression, while being widowed/divorced/separated (OR=1.72; 1.01, 2.91) and lacking a college education (OR=2.43; 1.25, 4.73) were positively associated with depression. Women (OR=1.56; 1.12, 2.18) and lower income (OR=2.09; 1.14, 3.85) were associated with greater odds of opioid use, while unemployment was associated with lower odds of opioid use at 12 months (OR=0.55; 0.34, 0.89). Older age (OR=0.95; 0.91, 0.99) was inversely associated with opioid use concerns while disability (OR=4.59; 1.60, 13.11) was positively associated. DISCUSSION: Several SDOH variables were associated with poorer functioning at baseline and 12 months after individuals were prescribed an opioid. It may be useful for clinicians to screen for SDOH to identify higher-risk individuals.

Indexed as

Analgesics, OpioidPainPain ManagementSocial Determinants of HealthAdultAgedDepressionFemaleFollow-Up StudiesHumansMaleMiddle AgedPain MeasurementSurveys and QuestionnairesAnalgesics, Opioiddepressionopioid usepainracesocial determinants of health

Identifiers

PMID41017040
PMCPMC12603668

What OpenQuestion holds

Textmetadata
LicenceTDM
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.