{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:59:06Z","timestamp":1753876746252,"version":"3.41.2"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T00:00:00Z","timestamp":1744070400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30-AG024832"],"award-info":[{"award-number":["P30-AG024832"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Little is known about how individual health conditions and residential characteristics jointly shape the risk of opioid use disorder (OUD) among older adults. This study examines hypotheses drawn from the collective resources and relative deprivation models to fill this gap.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Applying the cases\/controls matching technique to the 2018\u20132021 Medicare Fee-for-Service Part A and Part B claims data, this study constructs a case-control data set containing 92,244 older (65+) beneficiaries with OUD and 372,310 older beneficiaries without OUD. The beneficiary-level information is merged with characteristics of residential counties drawn from the 2016\u20132020 American Community Survey. Interaction terms between the beneficiary\u2019s health conditions and county features, namely concentrated disadvantage and residential instability, are used to test the hypotheses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The multilevel logistic regression results support the relative deprivation hypothesis as gaps in the predicted probability of having OUD for older adults with more versus fewer health conditions narrow in areas with more concentrated disadvantage. Older beneficiaries with poor health have a lower risk of OUD when living in socioeconomically disadvantaged counties than in affluent counties. Results also show that poor mental health and physical conditions are positively associated with the risk of OUD, and including county-level characteristics does not alter the relationships found at the beneficiary level.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Older adults\u2019 residential environment not only contributes to the risk of OUD but also moderates the relationships between health conditions and the risk of OUD. It is critical to consider the residential environment when developing interventions to reduce OUD among older adults.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geronb\/gbaf069","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T16:52:11Z","timestamp":1744131131000},"source":"Crossref","is-referenced-by-count":0,"title":["Features of Residential Counties and Individual Health Conditions for Opioid Use Disorder Among Older Medicare Beneficiaries"],"prefix":"10.1093","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4271-4584","authenticated-orcid":false,"given":"Tse-Chuan","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Sociology, University at Albany, State University of New York , Albany, New York ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Strully","sequence":"additional","affiliation":[{"name":"Department of Sociology, University at Albany, State University of New York , Albany, New York ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Shoff","sequence":"additional","affiliation":[{"name":"Independent Consultant, Baltimore, Maryland ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heeyoung","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Sociology, University at Albany, State University of New York , Albany, New York ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,4,8]]},"reference":[{"issue":"2","key":"2025061009520052300_CIT0001","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1111\/1475-6773.13113","article-title":"County-level access to opioid use disorder medications in Medicare Part D (2010-2015)","volume":"54","author":"Abraham","year":"2019","journal-title":"Health Services Research"},{"key":"2025061009520052300_CIT0002","first-page":"10","volume-title":"Self-medication with over-the-counter drugs among elderly adults","author":"Amoako","year":"2003"},{"issue":"1","key":"2025061009520052300_CIT0003","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1146\/annurev.so.18.080192.000311","article-title":"Social stress - theory and research","volume":"18","author":"Aneshensel","year":"1992","journal-title":"Annual Review of Sociology"},{"issue":"8","key":"2025061009520052300_CIT0004","doi-asserted-by":"publisher","first-page":"1153","DOI":"10.1017\/S104161021700271X","article-title":"Relationships between the neighborhood environment and depression in older adults: A systematic review and meta-analysis","volume":"30","author":"Barnett","year":"2018","journal-title":"International Psychogeriatrics"},{"issue":"2","key":"2025061009520052300_CIT0005","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1093\/geronb\/gbn018","article-title":"Neighborhood characteristics and disability in older adults","volume":"64","author":"Beard","year":"2009","journal-title":"Journals of Gerontology, Series B: Psychological Sciences and Social Sciences"},{"issue":"3","key":"2025061009520052300_CIT0006","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1097\/JGP.0b013e318190b8ef","article-title":"The epidemiology of substance use and disorders among middle aged and elderly community adults: National Survey on Drug Use and Health","volume":"17","author":"Blazer","year":"2009","journal-title":"American Journal of Geriatric Psychiatry"},{"issue":"12","key":"2025061009520052300_CIT0007","doi-asserted-by":"publisher","first-page":"2473","DOI":"10.1016\/j.socscimed.2003.09.029","article-title":"Stress and physical health: The role of neighborhoods as mediating and moderating mechanisms","volume":"58","author":"Boardman","year":"2004","journal-title":"Social Science & Medicine (1982)"},{"key":"2025061009520052300_CIT0008","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1016\/j.socscimed.2017.07.005","article-title":"Neighborhood SES is particularly important to the cardiovascular health of low SES individuals","volume":"188","author":"Boylan","year":"2017","journal-title":"Social Science & Medicine (1982)"},{"issue":"6","key":"2025061009520052300_CIT0009","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1080\/1067828X.2020.1789526","article-title":"Self-medication-and substance use: A test of the hypothesis","volume":"28","author":"Broman","year":"2019","journal-title":"Journal of Child & Adolescent Substance Abuse"},{"issue":"1","key":"2025061009520052300_CIT0010","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1348\/014466604X23509","article-title":"Upward social comparison and self-concept: Inspiration and inferiority among art students in an advanced programme","volume":"44","author":"Burleson","year":"2005","journal-title":"British Journal of Social Psychology"},{"issue":"7","key":"2025061009520052300_CIT0011","doi-asserted-by":"publisher","first-page":"e40","DOI":"10.1093\/geronb\/gbx123","article-title":"Disablement in context: Neighborhood characteristics and their association with frailty onset among older adults","volume":"74","author":"Caldwell","year":"2019","journal-title":"Journals of Gerontology, Series B: Psychological Sciences and Social Sciences"},{"issue":"1","key":"2025061009520052300_CIT0012","doi-asserted-by":"publisher","first-page":"igz002","DOI":"10.1093\/geroni\/igz002","article-title":"Increasing rates of opioid misuse among older adults visiting emergency departments","volume":"3","author":"Carter","year":"2019","journal-title":"Innovation in Aging"},{"year":"2021","author":"Chronic Condition Warehouse","key":"2025061009520052300_CIT0013"},{"issue":"4","key":"2025061009520052300_CIT0014","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1016\/j.annepidem.2005.08.003","article-title":"Projecting drug use among aging baby boomers in 2020","volume":"16","author":"Colliver","year":"2006","journal-title":"Annals of Epidemiology"},{"issue":"1","key":"2025061009520052300_CIT0015","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1177\/002214650905000103","article-title":"Social disconnectedness, perceived isolation, and health among older adults","volume":"50","author":"Cornwell","year":"2009","journal-title":"Journal of Health and Social Behavior"},{"issue":"12","key":"2025061009520052300_CIT0016","doi-asserted-by":"publisher","first-page":"1043","DOI":"10.1007\/s40266-021-00893-z","article-title":"Problematic opioid use among older adults: Epidemiology, adverse outcomes and treatment considerations","volume":"38","author":"Dufort","year":"2021","journal-title":"Drugs & Aging"},{"issue":"3","key":"2025061009520052300_CIT0017","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1080\/08959420.2010.485511","article-title":"The baby boomer effect: Changing patterns of substance abuse among adults ages 55 and older","volume":"22","author":"Duncan","year":"2010","journal-title":"Journal of Aging & Social Policy"},{"issue":"7","key":"2025061009520052300_CIT0018","doi-asserted-by":"publisher","first-page":"1025","DOI":"10.1068\/a231025","article-title":"The modifiable areal unit problem in multivariate statistical-analysis","volume":"23","author":"Fotheringham","year":"1991","journal-title":"Environment and Planning A"},{"year":"2022,  10","author":"Freed","key":"2025061009520052300_CIT0019"},{"issue":"12","key":"2025061009520052300_CIT0020","doi-asserted-by":"publisher","first-page":"883","DOI":"10.1007\/s40266-014-0217-x","article-title":"Prevalence of self-medication and associated factors in an elderly population: A systematic review","volume":"31","author":"Jerez-Roig","year":"2014","journal-title":"Drugs & Aging"},{"issue":"5","key":"2025061009520052300_CIT0021","doi-asserted-by":"publisher","first-page":"508","DOI":"10.1001\/jamapsychiatry.2023.0310","article-title":"Association of receipt of opioid use disorder-related telehealth services and medications for opioid use disorder with fatal drug overdoses among Medicare Beneficiaries before and during the COVID-19 pandemic","volume":"80","author":"Jones","year":"2023","journal-title":"JAMA Psychiatry"},{"key":"2025061009520052300_CIT0022","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1007\/978-1-4613-1837-8_7","article-title":"The self-medication hypothesis of addictive disorders: Focus on heroin and cocaine dependence","author":"Khantzian","year":"1987","journal-title":"Cocaine Crisis"},{"issue":"2","key":"2025061009520052300_CIT0023","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1177\/002214650604700204","article-title":"Access to health care: Does neighborhood residential instability matter","volume":"47","author":"Kirby","year":"2006","journal-title":"Journal of Health and Social Behavior"},{"issue":"3","key":"2025061009520052300_CIT0024","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1097\/00006842-199305000-00002","article-title":"Coping theory and research: Past, present, and future","volume":"55","author":"Lazarus","year":"1993","journal-title":"Psychosomatic Medicine"},{"issue":"9","key":"2025061009520052300_CIT0025","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1007\/s11920-016-0718-x","article-title":"Alcohol and opioid use disorder in older adults: Neglected and treatable illnesses","volume":"18","author":"Le Roux","year":"2016","journal-title":"Current Psychiatry Reports"},{"issue":"5","key":"2025061009520052300_CIT0026","doi-asserted-by":"publisher","first-page":"968","DOI":"10.1111\/jep.12072","article-title":"Using balance statistics to determine the optimal number of controls in matching studies","volume":"19","author":"Linden","year":"2013","journal-title":"Journal of Evaluation in Clinical Practice"},{"issue":"7","key":"2025061009520052300_CIT0027","doi-asserted-by":"publisher","first-page":"1425","DOI":"10.1016\/s0277-9536(02)00139-9","article-title":"An examination of social capital and social disorganisation in neighbourhoods in the British household panel study","volume":"56","author":"McCulloch","year":"2003","journal-title":"Social Science & Medicine (1982)"},{"issue":"4","key":"2025061009520052300_CIT0028","doi-asserted-by":"publisher","first-page":"734","DOI":"10.1016\/j.healthplace.2005.08.002","article-title":"Neighborhood design and active aging","volume":"12","author":"Michael","year":"2006","journal-title":"Health Place"},{"volume-title":"Any use and frequent use of opioids among elderly adults in 2015-2016, by socioeconomic characteristics","year":"2018,","author":"Moriya","key":"2025061009520052300_CIT0029"},{"issue":"4","key":"2025061009520052300_CIT0030","doi-asserted-by":"publisher","first-page":"4","DOI":"10.3389\/fdata.2019.00004","article-title":"Matching cases and controls using SAS(R) software [Code]","volume":"2","author":"Mortensen","year":"2019","journal-title":"Frontiers in Big Data"},{"issue":"2","key":"2025061009520052300_CIT0031","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1093\/alcalc\/agr168","article-title":"Interactive influences of neighborhood and individual socioeconomic status on alcohol consumption and problems","volume":"47","author":"Mulia","year":"2012","journal-title":"Alcohol and Alcoholism (Oxford, Oxfordshire)"},{"issue":"6","key":"2025061009520052300_CIT0032","doi-asserted-by":"publisher","first-page":"743","DOI":"10.1080\/01639625.2021.1918033","article-title":"Modeling the structural effects of residential instability, family disruptions, and social support on neighborhood crime perceptions: A partial test of social disorganization theory","volume":"43","author":"Opoku-Ware","year":"2022","journal-title":"Deviant Behavior"},{"volume-title":"Hierarchical linear models: Applications and data analysis methods","year":"2002","author":"Raudenbush","key":"2025061009520052300_CIT0033"},{"issue":"1","key":"2025061009520052300_CIT0034","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1080\/10511482.1996.9521213","article-title":"Homeownership and neighborhood stability","volume":"7","author":"Rohe","year":"1996","journal-title":"Housing Policy Debate"},{"issue":"3 Suppl","key":"2025061009520052300_CIT0035","doi-asserted-by":"crossref","first-page":"S53","DOI":"10.1353\/pbm.2003.0059","article-title":"The neighborhood context of well-being","volume":"46","author":"Sampson","year":"2003","journal-title":"Perspectives in Biology and Medicine"},{"issue":"5328","key":"2025061009520052300_CIT0036","doi-asserted-by":"publisher","first-page":"918","DOI":"10.1126\/science.277.5328.918","article-title":"Neighborhoods and violent crime: A multilevel study of collective efficacy","volume":"277","author":"Sampson","year":"1997","journal-title":"Science"},{"issue":"3","key":"2025061009520052300_CIT0037","doi-asserted-by":"publisher","first-page":"e190665","DOI":"10.1001\/jamanetworkopen.2019.0665","article-title":"Trends and patterns of geographic variation in opioid prescribing practices by state, United States, 2006-2017","volume":"2","author":"Schieber","year":"2019","journal-title":"JAMA Network Open"},{"key":"2025061009520052300_CIT0038","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1186\/1477-7525-7-82","article-title":"Prevalence of multiple chronic conditions in the United States\u2019 Medicare population","volume":"7","author":"Schneider","year":"2009","journal-title":"Health and Quality of Life Outcomes"},{"issue":"1","key":"2025061009520052300_CIT0039","doi-asserted-by":"publisher","first-page":"205","DOI":"10.2105\/AJPH.2013.301859","article-title":"Screening, brief intervention, and referral to treatment for older adults with substance misuse","volume":"105","author":"Schonfeld","year":"2015","journal-title":"American Journal of Public Health"},{"issue":"6","key":"2025061009520052300_CIT0040","doi-asserted-by":"publisher","first-page":"850","DOI":"10.1016\/j.amepre.2021.01.010","article-title":"Trends in opioid use disorder among older adults: Analyzing Medicare data, 2013-2018","volume":"60","author":"Shoff","year":"2021","journal-title":"American Journal of Preventive Medicine"},{"issue":"3","key":"2025061009520052300_CIT0041","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1093\/ije\/dyg084","article-title":"Neighbourhood deprivation and health: Does it affect us all equally","volume":"32","author":"Stafford","year":"2003","journal-title":"International Journal of Epidemiology"},{"issue":"1","key":"2025061009520052300_CIT0042","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1214\/09-STS313","article-title":"Matching methods for causal inference: A review and a look forward","volume":"25","author":"Stuart","year":"2010","journal-title":"Statistical Science"},{"issue":"3","key":"2025061009520052300_CIT0043","doi-asserted-by":"publisher","first-page":"S153","DOI":"10.1093\/geronb\/61.3.s153","article-title":"Neighborhood effects on the self-rated health of elders: Uncovering the relative importance of structural and service-related neighborhood environments","volume":"61","author":"Subramanian","year":"2006","journal-title":"Journals of Gerontology, Series B: Psychological Sciences and Social Sciences"},{"issue":"Nov","key":"2025061009520052300_CIT0044","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1111\/j.2044-8309.1984.tb00645.x","article-title":"Relative deprivation theory - an overview and conceptual critique","volume":"23","author":"Walker","year":"1984","journal-title":"British Journal of Social Psychology"},{"issue":"4","key":"2025061009520052300_CIT0045","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1097\/YCO.0b013e328360eafd","article-title":"Epidemiology of alcohol and drug use in the elderly","volume":"26","author":"Wang","year":"2013","journal-title":"Current Opinion in Psychiatry"},{"issue":"2","key":"2025061009520052300_CIT0046","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1016\/j.jsat.2014.03.004","article-title":"Reasons for opioid use among patients with dependence on prescription opioids: The role of chronic pain","volume":"47","author":"Weiss","year":"2014","journal-title":"Journal of Substance Abuse Treatment"},{"issue":"3","key":"2025061009520052300_CIT0047","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1177\/0898264310386224","article-title":"Illicit and nonmedical drug use among older adults: A review","volume":"23","author":"Wu","year":"2011","journal-title":"Journal of Aging and Health"},{"issue":"2","key":"2025061009520052300_CIT0048","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1093\/ije\/dyt173","article-title":"Substance use disorders and psychiatric comorbidity in mid and later life: A review","volume":"43","author":"Wu","year":"2014","journal-title":"International Journal of Epidemiology"},{"key":"2025061009520052300_CIT0049","doi-asserted-by":"publisher","first-page":"114605","DOI":"10.1016\/j.socscimed.2021.114605","article-title":"Social isolation, residential stability, and opioid use disorder among older Medicare beneficiaries: Metropolitan and non-metropolitan county comparison","volume":"292","author":"Yang","year":"2022","journal-title":"Social Science & Medicine (1982)"},{"issue":"5","key":"2025061009520052300_CIT0050","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1016\/j.amepre.2009.06.022","article-title":"Neighborhood environment in studies of health of older adults: A systematic review","volume":"37","author":"Yen","year":"2009","journal-title":"American Journal of Preventive Medicine"}],"container-title":["The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/psychsocgerontology\/advance-article-pdf\/doi\/10.1093\/geronb\/gbaf069\/62888865\/gbaf069.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/psychsocgerontology\/article-pdf\/80\/7\/gbaf069\/62888865\/gbaf069.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/psychsocgerontology\/article-pdf\/80\/7\/gbaf069\/62888865\/gbaf069.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T13:52:11Z","timestamp":1749563531000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/psychsocgerontology\/article\/doi\/10.1093\/geronb\/gbaf069\/8108192"}},"subtitle":[],"editor":[{"given":"Marc A","family":"Garcia","sequence":"additional","affiliation":[{"name":"(Social Sciences Section)"}],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,4,8]]},"references-count":50,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,6,10]]}},"URL":"https:\/\/doi.org\/10.1093\/geronb\/gbaf069","relation":{},"ISSN":["1079-5014","1758-5368"],"issn-type":[{"type":"print","value":"1079-5014"},{"type":"electronic","value":"1758-5368"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,4,8]]},"article-number":"gbaf069"}}