High Rates of Prescription Drug Misuse Among Adults with Disabilities Revealed

Wed 5th Mar, 2025

Research from West Virginia University indicates that adults with disabilities experience nearly double the rate of prescription drug misuse compared to their counterparts without disabilities. This alarming trend underscores the urgent need for targeted interventions.

Jeanette Garcia, an associate professor at the WVU College of Applied Human Sciences, revealed that approximately 10% of individuals with disabilities in the study reported misusing prescription medications in the past year, while the figure for those without disabilities stands at just 4.4%. The study highlighted that the highest misuse rates were found among adults with cognitive disabilities, particularly young adults, with pain relievers being the most commonly misused substance.

The analysis utilized data from the 2021 National Survey on Drug Use and Health, encompassing a sample of 47,100 adults. Within this group, an estimated 10.9% reported having at least one disability, affecting areas such as vision, hearing, movement, cognition, self-care, and communication.

The researchers assessed the misuse of various prescription drugs, including stimulants, tranquilizers, and pain relievers, which are known for their high potential for addiction and adverse effects. The findings were published in the American Journal of Preventive Medicine.

Garcia emphasized that the misuse rates among adults with disabilities were significantly higher than those without, especially in younger individuals under the age of 30, who exhibited the most pronounced misuse across all drug categories. This information suggests a need for enhanced preventive measures targeted at young adults and adolescents with disabilities, particularly those with cognitive challenges.

Individuals with disabilities often face a higher likelihood of experiencing factors associated with prescription drug misuse, such as chronic pain, anxiety, depression, and poor overall health. They also tend to receive more prescriptions but are less frequently informed about the risks associated with improper use of these medications.

Communication barriers and difficulties in finding appropriate medical specialists can further complicate the health management of these individuals. The study found that misuse rates were particularly high for adults aged 30-49 with cognitive disabilities, with 27% reporting misuse of pain relievers.

Garcia noted that the presence of both cognitive and self-care disabilities often indicates chronic conditions, such as traumatic brain injuries, which are associated with an increased risk of painkiller misuse. These individuals frequently deal with chronic pain and may also experience mental health issues, which are linked to abuse of tranquilizers. Furthermore, cognitive challenges can lead to difficulties with concentration, which are often observed in conditions such as ADHD, a factor correlated with stimulant misuse.

While misuse trends were similar for both groups across various age categories, a notable distinction appeared in the context of pain reliever misuse. Adults over 65 without disabilities had low rates of misuse, while older adults with disabilities demonstrated significantly higher rates, likely due to chronic pain conditions that worsen over time.

In light of the pronounced rates of prescription drug misuse among adults with disabilities, Garcia advocates for medical professionals to consider alternative treatments for pain management. She calls for a heightened awareness among healthcare providers and policymakers regarding the risks faced by adults with cognitive impairments and self-care difficulties, as this research has begun to identify specific disabilities that exhibit elevated risks for prescription drug misuse.


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