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dc.contributor.authorRomo, Eric
dc.contributor.authorUlbricht, Christine M.
dc.contributor.authorClark, Robin E.
dc.contributor.authorLapane, Kate L.
dc.date2022-08-11T08:10:35.000
dc.date.accessioned2022-08-23T17:13:25Z
dc.date.available2022-08-23T17:13:25Z
dc.date.issued2018-03-11
dc.date.submitted2018-04-11
dc.identifier.citation<p>Addict Behav. 2018 Mar 11. pii: S0306-4603(18)30132-1. doi: 10.1016/j.addbeh.2018.03.012. <a href="https://doi.org/10.1016/j.addbeh.2018.03.012">Link to article on publisher's site</a></p>
dc.identifier.issn0306-4603 (Linking)
dc.identifier.doi10.1016/j.addbeh.2018.03.012
dc.identifier.pmid29551551
dc.identifier.urihttp://hdl.handle.net/20.500.14038/46722
dc.description.abstractAIMS: 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.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=29551551&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1016/j.addbeh.2018.03.012
dc.subjectHeroin
dc.subjectOpioid use disorders
dc.subjectPrescription opioids
dc.subjectSpecialty substance use treatment
dc.subjectSubstance use treatment
dc.subjectEpidemiology
dc.subjectHealth Services Research
dc.subjectSubstance Abuse and Addiction
dc.titleCorrelates of specialty substance use treatment among adults with opioid use disorders
dc.typeJournal Article
dc.source.journaltitleAddictive behaviors
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/1181
dc.identifier.contextkey11943253
html.description.abstract<p>AIMS: To identify factors associated with the receipt of specialty substance use treatment among adults with opioid use disorders (OUD).</p> <p>DESIGN: Cross-sectional study based on 2010-2014 National Surveys on Drug Use and Health (NSDUH).</p> <p>SETTING AND PARTICIPANTS: Adults with a past-year OUD (n=2488). The sample is representative of non-institutionalized US adults.</p> <p>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.</p> <p>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.</p> <p>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.</p>
dc.identifier.submissionpathqhs_pp/1181
dc.contributor.departmentDepartment of Family Medicine and Community Health
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.contributor.departmentGraduate School of Biomedical Sciences, Clinical and Population Health Research Program


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