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Older drivers taking opioid more likely to self-regulate, reduce driving

A new study from faculty at the Colorado School of Public Health at the University of Colorado Anschutz Medical Campus looks at the relationship between opioid use (medicines used for pain relief, including anesthesia) and driving among older adults.

The study’s results were published in the Journal of the American Board of Family Medicine.

“We chose to focus on older adults because they face an increased risk of experiencing chronic pain and are commonly prescribed opioid medication as a treatment,” said Emmy Betz, MD, MDH, emergency physician and researcher at the University of Colorado Anschutz Medical Campus.

“However, it’s known that the side effects of opioid medications can compromise driving abilities, and we wanted to find out more about the current relationship between the two among an older population,” Betz added.

The researchers examined data from the AAA Foundation for Traffic Safety’s Longitudinal Research on Aging Drivers (LongROAD) study, one of the largest and most comprehensive databases available on senior drivers incorporating 2,990 participants being followed for five years. Data presented the opportunity to examine opioid use in a large cohort of older drivers (65 to 79 years old).

“We’re hoping clinicians will use these findings in their conversations with older patients about opioid use and driving safety,” study co-author Carolyn DiGuiseppi, MD, PhD, adds.

The researchers found that out of the 2,949 LongROAD participants with medication data, 169 reported currently taking an opioid. These participants had a higher self-reported level of pain in the past seven days.

It’s noted, there was a 5.4 per cent increase in reported crashes or police action in the last year among opioid users versus non-users. However, older drivers who reported currently taking an opioid were more likely to self-regulate and reduce their driving and to report lower self-rated driving ability.

The data also showed complex relationships when looked at through socioeconomic factors. For example, older adults with lower incomes were more likely to use opioids, but this could be due to the lesser ability to access alternative pain control modalities such as massage, physical therapy and acupuncture.

“It’s encouraging that older adults appear to regulate their driving as a way to mitigate the negative effects of opioid medications. However, future research should look more closely at socioeconomic factors related to opioid use among older adults, as well as the effects of the painful medical conditions for which the opioids are being taken,” said Betz.

“The AAA Foundation and the LongROAD research team, which includes the University of Colorado, are working together to improve the safety and mobility of our older drivers,” said Dr David Yang, executive director of the AAA Foundation for Traffic Safety.

“This multi-year research program ensures we are able to develop effective countermeasures for this population,” Yang added.

(This story has been published from a wire agency feed without modifications to the text. Only the headline has been changed.)

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