Community-, Network-, and Individual-level Predictors of Uptake of Medication for Opioid Use Disorder among Young People who Inject Drugs and Their Networks: A Multilevel Analysis

Stigma at both the individual and community levels was significantly associated with MOUD uptake (though in different directions). Greater individual-level stigma was associated with a higher likelihood of MOUD uptake, while having a more normatively stigmatizing community environment was associated with a lower likelihood of MOUD uptake. Using heroin and cocaine simultaneously and having a larger support network were associated with a greater likelihood of MOUD uptake.