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Reasons for Prescription Opioid Use While Playing in the National Football League as Risk Factors for Current Use and Misuse Among Former Players

Dunne, Eugene M. PhD*; Striley, Catherine W. PhD, MSW, MPE; Mannes, Zachary L. MS*; Asken, Breton M. MS, ATC*; Ennis (formerly Whitehead), Nicole PhD*; Cottler, Linda B. PhD, MPH, FACE

doi: 10.1097/JSM.0000000000000628
Original Research: PDF Only

Objective: Prescription opioid misuse has become a significant public health issue. Previous research has examined predictors of prescription opioid use and misuse among former National Football League (NFL) players. The present study aimed to describe how reasons for prescription opioid use while in the NFL corresponds to use and misuse in retirement.

Design: Former NFL players reporting prescription opioid use during their playing careers (N = 336) were included in this secondary data analysis. Participants reported reasons for prescription opioid use, including pain management, use “to function,” to improve mood, to reduce stress, and to aid sleep.

Results: Among retired NFL players with exposure to prescribed pain medication during their playing career, 26.2% reported recent use of prescription opioids (past 30 days) and 73.8% reported no use. Specifically, 14.3% of retired players reported opioid use only as prescribed, whereas 11.9% reported misuse (not prescribed or use other than as prescribed). Using prescription opioids to function while in the NFL was associated with any opioid use in the past 30 days [odds ratios (OR) = 1.30, 95% CI: 1.12-1.50, P < 0.001]. Further, opioid use in the NFL to reduce stress and anxiety was associated with increased odds of past 30-day misuse of prescription opioids (OR = 1.45, 95% CI: 1.01-2.11; P = 0.048).

Conclusions: The present study adds to the literature on elite athletes at high risk for pain and prescription opioid use and misuse. The findings may help to identify and provide early intervention for professional athletes most at risk for misuse of prescription opioids.

Departments of *Clinical and Health Psychology; and

Epidemiology, University of Florida, Gainesville, Florida.

Corresponding Author: Eugene M. Dunne, PhD, Centers for Behavioral and Preventive Medicine, Alpert Medical School of Brown University, Coro Building West, Suite 309, 164 Summit Ave, Providence, RI 02906 (

Supported by funding from the National Institute of Drug Abuse (NIDA; DA020791-04S2, PI: L. B. Cottler; T32DA035167, PI: L. B. Cottler).

The authors report no conflicts of interest.

Received December 22, 2017

Accepted May 18, 2018

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