CAHSS Faculty Articles

Multiple Determinants of Specific Modes of Prescription Opioid Diversion

ORCID ID

0000-0002-4716-3398, 0000-0003-4027-7840, 0000-0002-1626-0881

ResearcherID

H-3010-2014, K-3072-2014

Publication Title

Journal of Drug Issues

ISSN

1945-1369

Publication Date

4-1-2011

Abstract

Numerous national surveys and surveillance programs have shown a substantial rise in the abuse of prescription opioids over the past 15 years. Accessibility of these drugs to non-patients is the result of their unlawful channeling from legal sources to the illicit marketplace (diversion). Empirical data on diversion remain absent from the literature. This paper examines abusers' sources of diverted drugs from two large studies: 1) a national sample of opioid treatment clients (N=1983), and 2) a South Florida study targeting diverse populations of opioid abusers (N=782). The most common sources of diverted medications were dealers, sharing/trading, legitimate medical practice (e.g., unknowing medical providers), illegitimate medical practice (e.g., pill mills), and theft, in that order. Sources varied by users' age, gender, ethnicity, risk-aversiveness, primary opioid of abuse, injection drug use, physical health, drug dependence, and either access to health insurance or relative financial wealth. Implications for prescription drug control policy are discussed.

DOI

10.1177/002204261104100207

Volume

41

Issue

2

First Page

283

Last Page

304

Link to Full Text
Peer Reviewed

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