Date of Conferral

2022

Degree

Doctor of Public Health (DrPH)

School

Health Services

Advisor

Sanggon Nam

Abstract

Abstract The United States faces numerous challenges associated with the ongoing opioid crisis. Although the opioid epidemic is complex, opioid overuse affects users’ health and has a far-reaching impact on socioeconomic well-being. This study employed a quantitative cross-sectional design using secondary data from a 2018 national survey of working-age individuals ages 18 to 45. Multivariate regression analysis was used to examine the associations between opioid overuse and socioeconomic status, health status, and perceived need for substance abuse treatment. The addiction career concept and chronic illness model theory were used to analyze these correlations. The findings indicated that people with higher incomes are less likely to report overusing opioids than people with lower incomes. There was no significant correlation between employment status and opioid overuse. Mental health was a strong predictor of opioid overuse, but there was no association between race and opioid overuse. These results provide knowledge on environmental and behavioral predictors of opioid overuse. If a community is cognizant of how addiction works, the risk factors of addiction, potential harm, and signs and symptoms, they can make informed decisions regarding opioids and create positive factors to counteract the risk factors of addiction. The findings have potential implications for positive social change by creating awareness in the community, allowing for the development of programs for early interventions, treatments, and prevention campaigns. These programs may reduce cases of opioid overuse and potentially lead to improved health and socioeconomic well-being.

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