Chronic opioid therapy and the receipt of preventive services in rural primary care

Chronic non‑malignant pain is a prevalent public health issue associated with reduced quality of life, disability, and increased health care utilization. Chronic opioid therapy for this condition often places primary care clinicians in a difficult position, balancing pain management with concerns about addiction, diversion, and legal risk. These challenges may strain patient–physician relationships and affect the delivery of comprehensive care. This study aimed to evaluate whether the use of chronic opioid therapy for non‑malignant pain is associated with differences in the receipt of recommended preventive and screening services, exploring potential unintended impacts on overall clinical care.