Chronic discomfort is typical in the United States and prescribed opioid analgesics use for noncancer discomfort has improved significantly in the previous two decades, possibly accounting for the present opioid addiction epidemic. Co-morbid drug use in these prescribed opioid analgesics is typical, but there are couple of information on polysubstance use patterns.


We explored patterns of use of cigarette, alcohol, and illicit drugs in HIV-infected men and women with chronic discomfort who had been prescribed opioid analgesics.


We performed a secondary information evaluation of screening interviews performed as element of a parent randomized trial of monetary incentives to enhance HIV outcomes amongst drug customers. In a comfort sample of men and women with HIV and chronic discomfort, we collected self-report information on demographic characteristics discomfort patterns of opioid analgesic use (each prescribed and illicit) cigarette, alcohol, and illicit drug use (including  cannabis, heroin, and cocaine) inside the previous 30 days and present remedy for drug use and HIV.


Just about half of the sample of men and women with HIV and chronic discomfort reported present prescribed opioid analgesic use (N = 372, 47.1%). Illicit drug use was typical (N = 505, 63.9%), and  cannabis was the most generally applied illicit substance (N = 311, 39.four%). In multivariate analyses, only  cannabis use was substantially connected with decrease odds of prescribed opioid analgesic use (adjusted odds ratio = .57 95% self-confidence interval: .38-.87). Conclusions/Value: Our information recommend that new healthcare cannabis legislation could minimize the have to have for opioid analgesics for discomfort management, which could enable to address adverse events connected with opioid analgesic use.