Social Determinants of Health and Continuity of Medications for Opioid Use Disorder Among Patients Receiving Treatment in Rural Primary Care Settings

Original research
by
Pham, Huyen et al

Release Date

2024

Geography

USA

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

This study examines associations between social determinants of health (SDoH) and medications for opioid use disorder (MOUD) retention among patients with opioid use disorder (OUD) in rural primary care settings.

Findings/Key points

Living in more disadvantaged areas and having more than an hour (compared with an hour or less) driving time from home to clinic were associated with fewer MOUD days. Using telehealth was associated with more MOUD days. In this cohort, 21.7% of the participants were retained on MOUD for at least 180 days. SDoH and use of telehealth were not associated with having continuity of MOUD.

Design/methods

We analyzed patient electronic health records (n=575) from 6 rural clinics.

Keywords

Substitution/OAT
Rural/remote
About PWUD
Barriers and enablers