Abstract：
Background: Chronic non-cancer pain affects 20% of Americans. This is significantly impacted by the ongoing opioid crisis and reduced opioid dispensing. Public perceptions additionally shape pain management strategies. Purpose: This study explores public attitudes toward prescription opioids for chronic non-cancer pain. We aim to understand how public attitudes are influenced by the evolving opioid crisis and shifting opioid use patterns. Methods: In Michigan, 823 adults participated in a Qualtrics survey on attitudes toward nonmedical and medical prescription opioid use. Multivariable logistic regression was performed to identify factors associated with beliefs that doctors prescribe opioids for too long (Model 1) and chronic pain patients should transition to alternative treatments (Model 2). Results: About half (49.4%) of respondents believed doctors keep patients on prescription opioids for too long, while two-thirds (65.7%) agreed chronic pain patients should be tapered off medications. Knowing someone who misused opioids and perceptions of substance use (e.g. perceived risk of prescription opioid misuse, stigma toward chronic pain patients, perceived prevalence of prescription opioid misuse, and awareness of fentanyl) were associated with greater odds of believing doctors keep patients on opioids too long. Demographics (age and education), substance use histories and perceptions (e.g. perceived risk and stigma) were associated with greater odds of believing patients should be tapered off their medication. Conclusions: These findings inform strategies to correct public misperceptions, emphasizing the importance of personal experience, perceived risks, and stigmatization of chronic pain patients. This insight can guide effective pain management for those with chronic non-cancer pain.
摘要：
背景：慢性非癌性疼痛影响20%的美国人。这受到持续的阿片类药物危机和阿片类药物分配减少的显著影响。公众的看法还影响了疼痛管理策略。目的：本研究探讨了公众对处方阿片类药物治疗慢性非癌性疼痛的态度。我们的目标是了解不断发展的阿片类药物危机和阿片类药物使用模式的变化如何影响公众的态度。方法：在密歇根州，823名成年人参加了一项关于对非医疗和医疗处方阿片类药物使用态度的Qualtrics调查。进行了多变量逻辑回归，以确定与医生处方阿片类药物时间过长（模型1）和慢性疼痛患者应过渡到替代疗法（模型2）的信念相关的因素。结果：大约一半（49.4%）的受访者认为医生让患者服用阿片类药物的时间过长，而三分之二(65.7%)的人同意慢性疼痛患者应该逐渐减少药物治疗。了解滥用阿片类药物的人和对物质使用的看法（例如，认为处方阿片类药物滥用的风险，对慢性疼痛患者的污名，处方阿片类药物滥用的感知患病率，和对芬太尼的认识）与相信医生让患者长时间服用阿片类药物的可能性更大有关。人口统计学（年龄和教育），药物使用史和认知(例如感知风险和污名)与相信患者应该逐渐减少药物治疗的更大几率相关.结论：这些发现为纠正公众误解的策略提供了信息，强调个人经验的重要性，感知风险，以及对慢性疼痛患者的污名化。这种见解可以指导慢性非癌症疼痛患者的有效疼痛管理。
