Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Brief ReportBrief Report

The Impact of the COVID-19 Pandemic on Patient Disparities in Long-Term Opioid Therapy

Sebastian T. Tong, Zihan Zheng, Maria G. Prado, Imara I. West, Joseph W. LeMaster, Mary A. Hatch, Lili S. Szabo, Tracy M. Anastas, Kris Pui Kwan Ma and Kari A. Stephens
The Journal of the American Board of Family Medicine March 2024, 37 (2) 290-294; DOI: https://doi.org/10.3122/jabfm.2023.230359R1
Sebastian T. Tong
From the University of Washington, Seattle, WA (STT, ZZ, MGP, IIW, MAH, LSS, TMA, KPKM, KAS); University of Kansas Medical Center , Kansas City, KS (JWL).
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Zihan Zheng
From the University of Washington, Seattle, WA (STT, ZZ, MGP, IIW, MAH, LSS, TMA, KPKM, KAS); University of Kansas Medical Center , Kansas City, KS (JWL).
MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Maria G. Prado
From the University of Washington, Seattle, WA (STT, ZZ, MGP, IIW, MAH, LSS, TMA, KPKM, KAS); University of Kansas Medical Center , Kansas City, KS (JWL).
MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Imara I. West
From the University of Washington, Seattle, WA (STT, ZZ, MGP, IIW, MAH, LSS, TMA, KPKM, KAS); University of Kansas Medical Center , Kansas City, KS (JWL).
MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Joseph W. LeMaster
From the University of Washington, Seattle, WA (STT, ZZ, MGP, IIW, MAH, LSS, TMA, KPKM, KAS); University of Kansas Medical Center , Kansas City, KS (JWL).
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mary A. Hatch
From the University of Washington, Seattle, WA (STT, ZZ, MGP, IIW, MAH, LSS, TMA, KPKM, KAS); University of Kansas Medical Center , Kansas City, KS (JWL).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Lili S. Szabo
From the University of Washington, Seattle, WA (STT, ZZ, MGP, IIW, MAH, LSS, TMA, KPKM, KAS); University of Kansas Medical Center , Kansas City, KS (JWL).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Tracy M. Anastas
From the University of Washington, Seattle, WA (STT, ZZ, MGP, IIW, MAH, LSS, TMA, KPKM, KAS); University of Kansas Medical Center , Kansas City, KS (JWL).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kris Pui Kwan Ma
From the University of Washington, Seattle, WA (STT, ZZ, MGP, IIW, MAH, LSS, TMA, KPKM, KAS); University of Kansas Medical Center , Kansas City, KS (JWL).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kari A. Stephens
From the University of Washington, Seattle, WA (STT, ZZ, MGP, IIW, MAH, LSS, TMA, KPKM, KAS); University of Kansas Medical Center , Kansas City, KS (JWL).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    Figure 1.

    Two-way interactions between (A) early pandemic versus prepandemic and (B) late pandemic versus prepandemic and patient demographic characteristics for receipt of long-term opioid therapy.

Tables

  • Figures
    • View popup
    Table 1.

    Characteristics of Patients with Chronic Pain Related Diagnoses and Long-Term Opioid Therapy Prescriptions

    Patients with Chronic PainPatients Receiving Long-Term Opioid Therapy
    PrepandemicEarly PandemicLate PandemicPrepandemicEarly PandemicLate Pandemic
    Characteristicsn = 2,8325n = 2,2079n = 2,1016n = 1,513n = 1,176n = 1,248
    Age (years)
     <6518,849 (66.5%)14,278 (64.7%)13,056 (62.1%)996 (65.8%)790 (67.2%)805 (64.5%)
     >=659,476 (33.5%)7,801 (35.3%)7,960 (37.9%)517 (34.2%)386 (32.8%)443 (35.5%)
    Gender
     Female17,014 (60.1%)13,091 (59.3%)12,513 (59.5%)879 (58.1%)652 (55.4%)715 (57.3%)
     Male11,307 (39.9%)8,987 (40.7%)8,502 (40.5%)634 (41.9%)524 (44.6%)533 (42.7%)
    Race
     White21,539 (76.0%)16,676 (75.5%)15,833 (75.3%)1,175 (77.7%)892 (75.9%)913 (73.2%)
     American Indian or Alaska Native320 (1.1%)268 (1.2%)243 (1.2%)25 (1.7%)15 (1.3%)17 (1.4%)
     Asian1,921 (6.8%)1,546 (7.0%)1,517 (7.2%)38 (2.5%)34 (2.9%)41 (3.3%)
     Black or African American2,773 (9.8%)2,308 (10.5%)2,219 (10.6%)209 (13.8%)187 (15.9%)231 (18.5%)
     Native Hawaiian or Other Pacific Islander167 (0.6%)124 (0.6%)118 (0.6%)7 (0.5%)5 (0.4%)5 (0.4%)
     Mixed race235 (0.8%)209 (0.9%)192 (0.9%)21 (1.4%)20 (1.7%)22 (1.8%)
     Refused or unknown1,370 (4.8%)948 (4.3%)894 (4.3%)38 (2.5%)23 (2.0%)19 (1.5%)
    Ethnicity
     Hispanic or Latino3,716 (13.1%)3,021 (13.7%)2,893 (13.8%)86 (5.7%)57 (4.8%)67 (5.4%)
     Not Hispanic or Latino23,232 (82.0%)18,137 (82.1%)17,462 (83.1%)1,342 (88.7%)1,081 (91.9%)1,165 (93.3%)
     Refused or unknown1,377 (4.9%)921 (4.2%)661 (3.1%)85 (5.6%)38 (3.2%)16 (1.3%)
    Rurality
     Rural6,386 (22.5%)5,979 (27.1%)5,716 (27.2%)434 (28.7%)415 (35.3%)382 (30.6%)
     Urban21,591 (76.2%)15,977 (72.4%)15,192 (72.3%)1,054 (69.7%)745 (63.4%)854 (68.4%)
    Revised Charlson Comorbidity, mean (S.D.)1.80 (2.78)1.79 (2.88)1.76 (2.84)3.94 (4.10)4.22 (4.29)3.83 (3.90)
    • Time periods: Prepandemic included May 2019–February 2020; early pandemic included March 2020-December 2020; and late pandemic included January 2021–October 2021.

    • Rurality: This was calculated using the Rural-Urban Commuting Area Codes defining urban as 1.0, 1.1, 2.0, 2.1, 3.0, 4.1, 5.1, 7.1, 8.1 and 10.1, and other codes as rural.

    • Revised Charlson Comorbidity Index: The index is commonly used as a standardized measure of the burden of preexisting medical conditions in individuals and assigns a score for specific diseases based on their association with estimated yearly total costs of care that is then summed for an overall index score.

PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 37 (2)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 2
March-April 2024
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
The Impact of the COVID-19 Pandemic on Patient Disparities in Long-Term Opioid Therapy
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
1 + 4 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
The Impact of the COVID-19 Pandemic on Patient Disparities in Long-Term Opioid Therapy
Sebastian T. Tong, Zihan Zheng, Maria G. Prado, Imara I. West, Joseph W. LeMaster, Mary A. Hatch, Lili S. Szabo, Tracy M. Anastas, Kris Pui Kwan Ma, Kari A. Stephens
The Journal of the American Board of Family Medicine Mar 2024, 37 (2) 290-294; DOI: 10.3122/jabfm.2023.230359R1

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
The Impact of the COVID-19 Pandemic on Patient Disparities in Long-Term Opioid Therapy
Sebastian T. Tong, Zihan Zheng, Maria G. Prado, Imara I. West, Joseph W. LeMaster, Mary A. Hatch, Lili S. Szabo, Tracy M. Anastas, Kris Pui Kwan Ma, Kari A. Stephens
The Journal of the American Board of Family Medicine Mar 2024, 37 (2) 290-294; DOI: 10.3122/jabfm.2023.230359R1
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Research to Improve Clinical Care in Family Medicine: Big Data, Telehealth, Artificial Intelligence, and More
  • Google Scholar

More in this TOC Section

  • Factors Influencing Changing Scopes of Practice Among Contemporary Graduates of the Nation’s Largest Family Medicine Residency
  • Association of Social Needs with Diabetes Outcomes in an Older Population
  • Patient Perspectives on Delayed Specialty Follow-Up After a Primary Care Visit
Show more Brief Report

Similar Articles

Keywords

  • Chronic Pain
  • COVID-19
  • Healthcare Disparities
  • Idaho
  • Opioids
  • Pandemics
  • Primary Health Care
  • Substance Use Disorders
  • Washington

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire