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