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Table 4 Multivariate logistic regression examining opioid misuse and/or use disorder: 2017–2018 NSDUH

From: A comprehensive multivariate model of biopsychosocial factors associated with opioid misuse and use disorder in a 2017–2018 United States national survey

 

Model 1

Sociodemographic Indicators

Model 2

Socioecological Indicator

Model 3

Health Indicators

Model 4

Other Substance Abuse or Dependence

AOR

95% CI

p-value

AOR

95% CI

p-value

AOR

95% CI

p-value

AOR

95% CI

p-value

Lower

Upper

Lower

Upper

Lower

Upper

Lower

Upper

Age

 18–25 years old

4.06

1.53

10.77

0.006

4.08

1.54

10.85

0.006

2.52

0.96

6.63

0.060

1.69

0.60

4.73

0.311

 26–34 years old

6.65

2.55

17.30

0.000

4.58

1.74

12.11

0.003

2.88

1.12

7.43

0.029

2.07

0.78

5.49

0.142

 35–49 years old

4.43

1.71

11.46

0.003

2.99

1.14

7.81

0.026

2.06

0.80

5.33

0.132

1.75

0.65

4.70

0.261

 50–64 years old

3.57

1.47

8.69

0.006

2.65

1.09

6.47

0.033

2.30

0.95

5.55

0.065

1.90

0.73

4.92

0.182

 65 years and older

ref.

ref.

ref.

ref.

Sex/Gender

 Male

1.45

1.13

1.85

0.004

1.02

0.82

1.27

0.855

1.26

1.00

1.59

0.055

1.17

0.90

1.52

0.241

 Female

ref.

ref.

ref.

ref.

Race/Ethnicity

 Non-Hispanic White

4.31

1.89

9.84

0.001

3.16

1.37

7.33

0.008

2.87

1.18

6.97

0.021

2.23

0.87

5.76

0.095

 Non-Hispanic Black/African American

1.90

0.72

5.00

0.189

1.40

0.53

3.74

0.493

1.46

0.52

4.09

0.463

1.47

0.49

4.42

0.482

 Native American/Alaska Native

3.87

1.47

10.19

0.007

2.49

0.93

6.63

0.067

2.53

0.91

7.01

0.074

1.65

0.53

5.10

0.376

 Native Hawaiian/Pacific Islander

1.66

0.31

8.88

0.547

1.55

0.30

7.98

0.592

1.47

0.27

7.95

0.647

1.06

0.19

5.75

0.949

 Non-Hispanic more than one race

4.60

1.67

12.67

0.004

2.99

1.04

8.63

0.043

2.40

0.79

7.27

0.119

1.95

0.60

6.33

0.258

 Hispanic

1.56

0.69

3.55

0.281

1.40

0.60

3.24

0.425

1.34

0.56

3.19

0.506

1.38

0.55

3.46

0.486

 Non-Hispanic Asian

ref.

ref.

ref.

ref.

Sexual Identity

 Lesbian or gay

1.04

0.59

1.83

0.887

0.99

0.55

1.78

0.978

0.71

0.40

1.27

0.243

0.56

0.28

1.09

0.088

 Bisexual

1.96

1.36

2.81

0.001

1.75

1.24

2.48

0.002

0.99

0.69

1.44

0.965

0.80

0.51

1.26

0.333

 Heterosexual, i.e., straight

ref.

ref.

ref.

ref.

Educational Attainment

 Less than high school

2.93

1.81

4.75

0.000

2.11

1.30

3.43

0.003

1.58

0.97

2.57

0.067

1.21

0.71

2.07

0.484

 High school grad

2.59

1.65

4.05

0.000

1.99

1.28

3.09

0.003

1.55

1.00

2.41

0.049

1.34

0.79

2.28

0.268

 Some college/associate’s degree

2.08

1.32

3.26

0.002

1.61

1.02

2.53

0.040

1.28

0.82

2.02

0.272

1.19

0.71

1.99

0.496

 College graduate

ref.

ref.

ref.

ref.

Population Density of Residence

 In a CBSA > 1 million

1.26

0.84

1.88

0.257

1.31

0.87

1.98

0.187

1.31

0.86

2.02

0.208

1.31

0.83

2.07

0.242

 In a CBSA < 1 million

1.15

0.79

1.67

0.450

1.18

0.81

1.71

0.392

1.14

0.78

1.68

0.483

1.16

0.78

1.73

0.450

 Not in a CBSA

ref.

ref.

ref.

ref.

Family Income

 Less than $20,000

2.24

1.53

3.28

0.000

1.84

1.26

2.67

0.002

1.06

0.73

1.56

0.741

0.83

0.55

1.27

0.390

 $20,000–$49,999

1.58

1.13

2.21

0.009

1.40

1.00

1.96

0.051

0.93

0.67

1.30

0.679

0.85

0.59

1.22

0.374

 $50,000–$74,999

1.32

0.91

1.92

0.145

1.22

0.83

1.79

0.311

1.01

0.68

1.49

0.966

0.91

0.59

1.40

0.649

 $75,000 or more

ref.

ref.

ref.

ref.

Employment Status

 Employed full/part-time

ref.

ref.

ref.

ref.

 Unemployed

3.02

2.17

4.21

0.000

2.80

2.02

3.88

0.000

1.89

1.34

2.65

0.000

1.47

0.99

2.16

0.054

 Retired

0.71

0.28

1.84

0.478

0.73

0.28

1.88

0.509

0.60

0.24

1.47

0.256

0.62

0.24

1.63

0.324

 Disabled

2.68

1.67

4.30

0.000

2.31

1.42

3.77

0.001

1.01

0.62

1.67

0.952

1.07

0.63

1.83

0.797

 Other

1.58

1.17

2.14

0.003

1.65

1.21

2.25

0.002

1.36

1.00

1.86

0.049

1.24

0.86

1.79

0.252

Arrested and Booked

   

5.40

4.26

6.84

0.000

4.19

3.34

5.25

0.000

2.58

1.98

3.37

0.000

Overall Health

 Fair/poor

        

4.58

2.89

7.26

0.000

3.71

2.19

6.29

0.000

 Good

        

4.06

2.76

5.96

0.000

3.43

2.20

5.34

0.000

 Very good

        

2.94

2.07

4.16

0.000

2.75

1.90

3.98

0.000

 Excellent

        

ref.

ref.

 

No Private Health Insurance

        

2.29

1.73

3.04

0.000

2.12

1.55

2.89

0.000

Serious Psychological Distress a

       

4.20

3.25

5.44

0.000

3.05

2.20

4.23

0.000

Suicidality in Past Year a

        

2.14

1.64

2.79

0.000

1.58

1.17

2.14

0.004

Nicotine Dependence a

            

3.01

2.30

3.93

0.000

Alcohol Dependence or Abuse a

            

1.40

1.02

1.92

0.038

Marijuana Dependence or Abuse a

            

2.24

1.40

3.58

0.001

Cocaine Dependence or Abuse a

            

3.92

2.14

7.17

0.000

Inhalant Dependence or Abuse a

            

1.80

0.23

14.23

0.571

Methamphetamine Dependence or Abuse a

           

3.32

1.96

5.64

0.000

Tranquilizer Dependence or Abuse a

            

16.72

9.75

28.65

0.000

Stimulant Dependence or Abuse a

            

2.45

1.03

5.87

0.044

Sedative Dependence or Abuse a

            

3.16

0.52

19.21

0.206

  1. Notes. ref reference group, AOR adjusted odds ratio, CI confidence interval
  2. aCompared to those not experiencing the condition