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

1Prev. Med. and Public Health Area. Observatory of Pain, Grünenthal Foundation-University of Cadiz.. 2Salus Infirmorum Faculty of Nursing, University of Cadiz. 3Medical 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 Vacational training

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%

Knowledge of 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 at the moment of 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

Opi

oids

pro

duce

to

lera

nce

Ther

e is

a r

isk

of

bein

g un

able

to

give

up

the

trea

tmen

t

Opi

oids

pro

duce

so

mno

lenc

e an

d se

datio

nO

pioi

ds p

rodu

ce

cons

tipat

ion

Opi

oids

pro

duce

na

usea

Opi

oids

pro

duce

ne

rvou

snes

sIt

is o

nly

for

the

term

inal

ly il

l

Thei

r pre

scri

ptio

n is

as

soci

ated

with

se

riou

s dis

ease

it

is u

sed

as th

e la

st

trea

tmen

t opt

ion

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 or a little

Some Quite a lot or a

lot

Not at all or a little

Some Quite a lot or a

lot

Not at all or a little

Some Quite a lot or a

lot

Not at all or a little

Some Quite a lot or a

lot

Death Becoming addicted Side effects Not getting the results expected

Fear

Results

Characteristics of the sample Opinions Beliefs, 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 legal drug 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