PMID- 31830137
OWN - NLM
STAT- MEDLINE
DCOM- 20200326
LR  - 20200326
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 14
IP  - 12
DP  - 2019
TI  - Differences in receipt of opioid agonist treatment and time to enter treatment 
      for opioid use disorder among specialty addiction programs in the United States, 
      2014-17.
PG  - e0226349
LID - 10.1371/journal.pone.0226349 [doi]
LID - e0226349
AB  - BACKGROUND: Access to adequate treatment for opioid use disorder (OUD) has been a 
      high priority among American policymakers. Elucidation of the sociodemographic 
      and institutional differences associated with the use, or lack thereof, of opioid 
      agonist therapy (OAT) provides greater clarity on who receives OAT. Timely access 
      to care is a further consideration and bears scrutiny as well. METHODS: We draw 
      upon data from the Treatment Episode Data Set-Admissions (TEDS-A) to analyse the 
      relationship between sociodemographic and institutional characteristics and the 
      receipt of opioid agonist treatments and time waiting to enter treatment. 
      RESULTS: Estimates from logistic regression models highlight certain groups which 
      show lower odds of receipt of OAT, including those in precarious housing 
      arrangements, those unemployed or not otherwise in the labor force, and those 
      referred by drug abuse care providers, educational institutions, employers, and 
      the criminal justice system. Groups which showed higher odds of waiting over a 
      week to enter treatment included those who were separated, divorced, or widowed, 
      those working part-time, and those referred by drug abuse care providers, 
      employers, and the criminal justice system. CONCLUSION: Given the efficacy of OAT 
      and the adverse outcomes associated with long waiting times, coordinated effort 
      is needed to understand why these differences persist and how they may be 
      addressed through appropriate policy responses.
FAU - Yang, Justin C
AU  - Yang JC
AUID- ORCID: 0000-0003-2881-4906
AD  - Department of Public Health & Primary Care, Institute of Public Health, 
      University of Cambridge, Cambridge, England, United Kingdom.
AD  - Department and Epidemiology and Applied Clinical Research, Division of 
      Psychiatry, Faculty of Brain Sciences, University College London, London, 
      England, United Kingdom.
FAU - Roman-Urrestarazu, Andres
AU  - Roman-Urrestarazu A
AUID- ORCID: 0000-0002-2405-9432
AD  - Department of Public Health & Primary Care, Institute of Public Health, 
      University of Cambridge, Cambridge, England, United Kingdom.
AD  - Department of International Health, Care and Public Health Research Institute, 
      Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, 
      The Netherlands.
FAU - Brayne, Carol
AU  - Brayne C
AUID- ORCID: 0000-0001-5307-663X
AD  - Department of Public Health & Primary Care, Institute of Public Health, 
      University of Cambridge, Cambridge, England, United Kingdom.
LA  - eng
PT  - Journal Article
DEP - 20191212
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
RN  - 0 (Analgesics, Opioid)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Analgesics, Opioid/*agonists
MH  - Behavior, Addictive/*drug therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Opiate Substitution Treatment/*methods
MH  - Opioid-Related Disorders/*drug therapy/epidemiology
MH  - Time-to-Treatment
MH  - United States/epidemiology
MH  - Young Adult
PMC - PMC6907755
COIS- The authors have declared that no competing interests exist.
EDAT- 2019/12/13 06:00
MHDA- 2020/03/27 06:00
PMCR- 2019/12/12
CRDT- 2019/12/13 06:00
PHST- 2019/05/09 00:00 [received]
PHST- 2019/11/25 00:00 [accepted]
PHST- 2019/12/13 06:00 [entrez]
PHST- 2019/12/13 06:00 [pubmed]
PHST- 2020/03/27 06:00 [medline]
PHST- 2019/12/12 00:00 [pmc-release]
AID - PONE-D-19-13139 [pii]
AID - 10.1371/journal.pone.0226349 [doi]
PST - epublish
SO  - PLoS One. 2019 Dec 12;14(12):e0226349. doi: 10.1371/journal.pone.0226349. 
      eCollection 2019.