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Medication treatment for opioid use disorder among rural primary care patients.
- Source :
- Journal of Rural Health; Jan2024, Vol. 40 Issue 1, p195-199, 5p
- Publication Year :
- 2024
-
Abstract
- Purpose: To investigate the prevalence of opioid use disorder (OUD) and medication treatment for OUD (MOUD) receipt in rural primary care settings and identify characteristics associated with MOUD among patients with OUD. Methods: Secondary analyses based on electronic health records of all adult patients who visited 1 of the 6 rural primary care clinic sites from October 2019 to January 2021. Mixed effects logistic regression was conducted to assess MOUD receipt (Y/N) in relation to patient characteristics (eg, demographics, other substance use disorders [SUDs], mental health disorders, and chronic pain) and the number of MOUD prescribers per clinic. Findings: The prevalence of OUD varied from 0.7% to 8.2% (Mean [SD] = 3.3% [95% CI: 0.4, 6.1]) among 36,762 primary care patients across 6 clinic sites. Among 1,164 patients with OUD, on average 50.1% received MOUD (95% CI: 28.0, 72.3). Patients in clinics with more than 3 MOUD prescribers had more than 3 times the odds of receiving MOUD (OR = 3.42; 95% CI, 1.22‐9.62) as those in clinics with fewer than 3 prescribers. MOUD was positively associated with younger age (18‐30 [OR = 6.97; 95% CI, 3.37‐14.42], 31‐64 [OR = 5.03; 95% CI, 2.64‐9.57], relative to those 65 and older), having other co‐occurring SUDs (OR = 3.77; 95% CI, 2.57‐5.52), being male (OR = 1.50; 95% CI, 1.12‐2.01), and negatively associated with having chronic pain disorders (OR = 0.69; 95% CI, 0.50‐0.94). Conclusions: The prevalence of OUD and MOUD are high but vary considerably across rural primary care clinics; primary care MOUD prescribers play a key role on MOUD access in rural settings. [ABSTRACT FROM AUTHOR]
- Subjects :
- NARCOTICS
CHRONIC pain
PILOT projects
NALTREXONE
SUBSTANCE abuse
CONFIDENCE intervals
PSYCHOLOGY of drug abusers
BUPRENORPHINE
PRIMARY health care
COMPARATIVE studies
PATIENTS' attitudes
DESCRIPTIVE statistics
DISEASE prevalence
QUESTIONNAIRES
RESEARCH funding
ELECTRONIC health records
LOGISTIC regression analysis
ODDS ratio
RURAL health clinics
SECONDARY analysis
MENTAL illness
Subjects
Details
- Language :
- English
- ISSN :
- 0890765X
- Volume :
- 40
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Journal of Rural Health
- Publication Type :
- Academic Journal
- Accession number :
- 174345730
- Full Text :
- https://doi.org/10.1111/jrh.12785