Medication use for opioid use disorder Low

WEDNESDAY, March 30, 2022 (HealthDay News) — According to a study published online March 23 in Open JAMA Network.

Pia M. Mauro, Ph.D., of Columbia University in New York, and her colleagues estimated rates of MOUD use and identified associations between MOUD and individual-level characteristics. The analysis included approximately 2.2 million people who participated in the 2019 National Survey of Drug Use and Health in the United States and who may have needed OUD treatment.

Researchers found that 56.8% had prescription OUD in the past year and 80.0% had one or more co-occurring substance use disorders. However, only 27.8 percent of people in need of OUD treatment received MOUD in the past year. No teenager (aged 12-17) has received MOUD in the past year. The odds of receiving a MOUD in the previous year in adults was lower compared to no treatment in those aged 50 or older (vs. 18 to 25 years old; relative risk adjusted [aRRR], 0.14) or with middle or higher income ($50,000 to $74,999 versus $0 to $19,999; aRRR, 0.18). Receiving the MOUD was more likely among adults with at least some college education (compared to high school or less; aRRR, 2.94) and was less likely in small metropolitan areas (compared to large metropolitan areas; aRRR, 0 ,41).

“The high prevalence of contact with health care and the criminal justice system suggests that there are critical gaps in care delivery or linkage and that integrated, cross-system interventions are warranted,” the authors write.

One author reported receiving a personal honorarium from the American Society of Addiction Medicine.

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