@article {4860,
	title = {Trends in Any and High-Dose Opioid Analgesic Receipt Among Aging Patients With and Without HIV.},
	journal = {AIDS and behavior},
	year = {2015},
	month = {2015 Sep 18},
	abstract = {Harms of opioid analgesics, especially high-dose therapy among individuals with comorbidities and older age, are increasingly recognized. However, trends in opioid receipt among HIV-infected patients are not well characterized. We examined trends, from 1999 to 2010, in any and high-dose (>=120~mg/day) opioid receipt among patients with and without HIV, by age strata, controlling for demographic and clinical correlates. Of 127,216 patients, 64~\% received at least one opioid prescription. Opioid receipt increased substantially among HIV-infected and uninfected patients over the study; high-dose therapy was more prevalent among HIV-infected patients. Trends in high-dose receipt stratified by three age groups revealed an increasing trend in each age strata, higher among HIV-infected patients. Correlates of any opioid receipt included HIV, PTSD and major depression. Correlates of high-dose receipt included HIV, PTSD, major depression and drug use disorders. These findings suggest a need for appropriate balance of risks and benefits, especially as these populations age.},
	issn = {1573-3254},
	doi = {10.1007/s10461-015-1197-5},
	author = {Becker, William C and Gordon, Kirsha and Jennifer Edelman, E and Kerns, Robert D and Crystal, Stephen and Dziura, James D and Fiellin, Lynn E and Gordon, Adam J and Goulet, Joseph L and Justice, Amy C and Fiellin, David A}
}
