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Cited by 30Opioid Use Disorder TreatmentSubstance Abuse Treatment and OutcomesHIV, Drug Use, Sexual Risk

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

Romo, Eric, Ulbricht, Christine M., Clark, Robin E., Lapane, Kate L.·2018·Addictive Behaviors
DOI 10.1016/j.addbeh.2018.03.012
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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: ≥ 35 years 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 12 months (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.

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Authors
Romo, E., Ulbricht, C. M., Clark, R. E., & Lapane, K. L.
Affiliations
University of Massachusetts Chan Medical School (US)
Corresponding author
Ulbricht, Christine M.
ORCID
Venue
Addictive Behaviors
Publisher
Elsevier BV
Published
2018-11
Volume
86
Pages
96-103
ISSN
0306-4603 (ISSN-L)
DOI
10.1016/j.addbeh.2018.03.012
OpenAlex
W2792301513
Cited by
30
References
45
Citations by year
2026: 1 · 2025: 2 · 2024: 4 · 2023: 6 · 2022: 4 · 2021: 5 · 2020: 3 · 2019: 4 · 2018: 1
FWCI
3.09
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Addictive Behaviors (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship@UMassChan (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords
opioid use disorder, treatment receipt, alcoholism, polydrug use, arrest history, unemployment, marital status, age, health status, treatment utilization disparities, methadone clinics, rehabilitation centers, inpatient care, outpatient mental health services, National Survey on Drug Use and Health, United States adults, nonmetropolitan counties
MeSH terms
Adolescent, Adult, Age Factors, Alcoholism, Ambulatory Care, Criminal Law, Cross-Sectional Studies, Female, Health Status, Hospitalization, Humans, Male, Mental Health Services, Opioid-Related Disorders, Residential Treatment, Unemployment, United States, Comorbidity, Logistic Models, Odds Ratio, Substance Abuse Treatment Centers, Marital Status, Substance-Related Disorders, Young Adult, Opiate Substitution Treatment

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