Understanding Differences in Types of Opioid Prescriptions Across Time and Space: A Community

For the better part of the 21st century, opioid abuse and related consequences have beleaguered the United States. Effectively fighting the crisis may require a better understanding of potential differences among the types of opioids available as treating them as one homogeneous group may mask emerging trends and conflate more benign ones with those more troubling. The purpose of our study is to investigate changes in prescribing patterns of four groups of opioids (hydrocodone, oxycodone, fentanyl, and other) and how community-level factors explain their variation over time. We use a census tract–level data set with population, concentrated disadvantage, and prescription drug monitoring payment variables to address our goals. Findings show disparate prescribing patterns among the four types of opioids and considerable differences in the community factors that predict their change. Implications for future research and interventions follow