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    Correlates of specialty substance use treatment among adults with opioid use disorders

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    Authors
    Romo, Eric
    Ulbricht, Christine M.
    Clark, Robin E.
    Lapane, Kate L.
    UMass Chan Affiliations
    Department of Family Medicine and Community Health
    Department of Quantitative Health Sciences
    Graduate School of Biomedical Sciences, Clinical and Population Health Research Program
    Document Type
    Journal Article
    Publication Date
    2018-03-11
    Keywords
    Heroin
    Opioid use disorders
    Prescription opioids
    Specialty substance use treatment
    Substance use treatment
    Epidemiology
    Health Services Research
    Substance Abuse and Addiction
    
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    Link to Full Text
    https://doi.org/10.1016/j.addbeh.2018.03.012
    Abstract
    AIMS: To identify factors associated with the receipt of specialty substance use treatment among adults with opioid use disorders (OUD). DESIGN: Cross-sectional study based on 2010-2014 National Surveys on Drug Use and Health (NSDUH). SETTING AND PARTICIPANTS: Adults with a past-year OUD (n=2488). The sample is representative of non-institutionalized US adults. MEASUREMENTS: Past-year OUD was determined using DSM-IV criteria. Past-year specialty substance use treatment was defined as receiving treatment for drug use at any of the following locations: rehabilitation facilities, hospitals (inpatient only), outpatient mental health centers, private doctors' offices, or methadone clinics. Multivariable logistic regression models were used to measure the independent association between potential correlates and specialty substance use treatment receipt. FINDINGS: Of adults with an OUD, 8.3% received past-year specialty substance use treatment. In a fully adjusted logistic regression model, the following factors were associated with increased odds of receiving specialty substance use treatment: > /=35years old (adjusted Odds Ratio (aOR)=2.55, 95% Confidence Interval (CI)=1.04-6.26); unemployment (aOR=1.92, 95% CI=1.02-3.61); not in the labor force (aOR=2.16, 95% CI=1.15-4.06); never been married (aOR=2.14, 95% CI=1.04-4.39); arrested in past 12months (aOR=4.43, 95% CI=2.45-7.99); opioid dependence (aOR=3.82, 95% CI=2.06-7.10); alcohol use disorder (aOR=2.44, 95% CI=1.44-4.11); and another drug use disorder (aOR=3.22, 95% CI=1.95-5.32). Living in a non-metropolitan county (aOR=0.29, 95% CI=0.12-0.68) and fair/poor health (aOR=0.38, 95% CI=0.17-0.86) were associated with decreased odds of receiving specialty substance use treatment. CONCLUSIONS: These findings suggest a need for the following efforts: strategies to increase individuals' recognition of their need for OUD treatment, expansion of insurance coverage for substance use treatment, expansion of earlier intervention services, adoption of a chronic care approach to substance use treatment, and an expansion of treatment capacity for rural communities.
    Source

    Addict Behav. 2018 Mar 11. pii: S0306-4603(18)30132-1. doi: 10.1016/j.addbeh.2018.03.012. Link to article on publisher's site

    DOI
    10.1016/j.addbeh.2018.03.012
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46722
    PubMed ID
    29551551
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.addbeh.2018.03.012
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    Morningside Graduate School of Biomedical Sciences Scholarly Publications
    Population and Quantitative Health Sciences Publications

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