Poster about Beliefs, opinions, and attitudes towards the use of opioids. A nationwide study in the Spanish general population.16th World Congress on Pain - IASP

1. ciated with the acceptance of treatment
with opioids
Beliefs, opinions, and attitudes towards the use of opioids.
A nationwide study in the Spanish general population
Failde I1
, De Sola H1
, Salazar A1
, Dueñas M2
, Ojeda B1
, Sanchez-Magro I3
1
Prev. Med. and Public Health Area. Observatory of Pain, Grünenthal Foundation-University of Cadiz.. 2
Salus Infirmorum Faculty of Nursing, University of Cadiz. 3
Medical Department-Grünental Fundation.
To evaluate beliefs, opinions, and attitudes towards the use of
opioids in the Spanish general population.
Design: A nationwide. Cross-sectional study.
Subjects: N= 1299 Spanish subjects ≥18 years old.
Data collection: Computer Assisted Telephone Interviews.
Variables: Data on beliefs, knowledge, level of contact, fears,
opinions, and attitudes towards opioids.
Statistical Analysis:
- Descriptive analysis
-Multivariate logistic regression model. To analyze the factors
associates with acceptance of treatment with opioids. asso-
47.3% 50.7%
Average age= 50.4 (DT=15.9)
5,9%
20,2%
45,9%
28,1%
0,0%
5,0%
10,0%
15,0%
20,0%
25,0%
30,0%
35,0%
40,0%
45,0%
50,0%
No education
received
Primary studies Secondary studies or
Vacationaltraining
University studies
Educational Level
14,2%
5,5%
64,9%
11,3%
6,0% 5,7%
0,0%
10,0%
20,0%
30,0%
40,0%
50,0%
60,0%
70,0%
Knowledgeof opioids
36,0%
51,2%
8,9% 3,8%
0,0%
10,0%
20,0%
30,0%
40,0%
50,0%
60,0%
No contact They know someone
who have taken them
They have been taken
them in the past
They are taking them
atthe momentof the
interview
Level of contact
0,0% 10,0% 20,0% 30,0% 40,0% 50,0% 60,0% 70,0% 80,0%
Strongly disagree and disagree
Agree and strongle agree
Don't know
Strongly disagree and disagree
Agree and strongle agree
Don't know
Strongly disagree and disagree
Agree and strongle agree
Don't know
Strongly disagree and disagree
Agree and strongle agree
Don't know
Strongly disagree and disagree
Agree and strongle agree
Don't know
Strongly disagree and disagree
Agree and strongle agree
Don't know
Strongly disagree and disagree
Agree and strongle agree
Don't know
Strongly disagree and disagree
Agree and strongle agree
Don't know
Strongly disagree and disagree
Agree and strongle agree
Don't know
Opioidsproduce
tolerance
Thereisariskof
beingunableto
giveupthe
treatment
Opioidsproduce
somnolenceand
sedation
Opioidsproduce
constipation
Opioidsproduce
nausea
Opioidsproduce
nervousness
Itisonlyforthe
terminallyill
Theirprescriptionis
associatedwith
seriousdisease
itisusedasthelast
treatmentoption
64,2%
8,7%
27,1%
54,4%
10,3%
35,6%
38,9%
13,5%
47,6%
41,4%
11,7%
46,9%
0,0%
10,0%
20,0%
30,0%
40,0%
50,0%
60,0%
70,0%
Not at all
ora little
Some Quite a
lot ora
lot
Not at all
or a little
Some Quite a
lot ora
lot
Not at all
ora little
Some Quite a
lot or a
lot
Not at all
ora little
Some Quite a
lot ora
lot
Death Becomingaddicted Side effects Not gettingthe results
expected
Fear
Results
Characteristics of the sample OpinionsBeliefs, knowledges & fears Factors associated with the acceptance
of treatment with opioids
Conclusion
Most of the Spanish population associated the Opioids with
“pain”, “illegal drugs”, and “legal drugs”.
No other opioids were as known as Morphine was.
85% would accept a treatment with opioids if prescribed by a
physician. The main reason is the trust in their physicians.
The fear to side effects and thinking that opioids are related
to a severe illness were associated to the rejection of a treat-
ment with opioids. On the other hand, the knowledge of
opiods is related to the acceptance to take a treatment with
opioids.Acknowledgments: This work was supported by the External Chair of Pain, collaboration between the University of Cádiz and the Grünenthal Foundation. The Grünenthal Foundation is a private non-profitable organization that promotes the dissemination of scientific knowledge and supports research.
Aim of Investigation
Methods
64,4%
31,5%
12,7%
43,1%
0,0%
10,0%
20,0%
30,0%
40,0%
50,0%
60,0%
70,0%
I trust in my
physicians
I believe this
legaldrug may
help
I can not see a
razon no to
take it
I do not see an
alternative
Reason to accept a treatment
with opioids
Variables
Would you accept a treatment with opioids?
(N =1222).
Wald Estatistic OR CI 95% p-value
Fear to the side effects:
- Not at all or a little *
- Some
- Quite a lot or a lot
1.735
26.304
0.679
0.359
(0.382;1.208)
(0.242;0.531)
0.188
0.000
Association with severe ill-
ness:
- Strongly disagree and
disagree *
- Agree and strongly agree 5.742 0.570 (0.359;0.903) 0.017
Knowledge of opioids:
- No *
- Yes 3.565 1.384 (0.988;1.939) 0.059
Homer-Lemeshow: χ2 =0.284 ; df= 5; p-value = 0.998; *=Reference category
Background
The Opiophobia represents a problem to the adherence to a
treatment with opioids.
Lately, a tendency to overuse and misuse has been described in
some countries.
Attitudes
Beliefs
Poster Number: 40
Thursday, September 29, 2016
9:30-10:30 AM