Factors affecting waiting times to enter opioid use disorder treatment in the United States with a particular focus on potential biological sex disparity
2025

Factors Affecting Waiting Times for Opioid Treatment

Sample size: 382547 publication 10 minutes Evidence: moderate

Author Information

Author(s): Nkemjika Stanley MD, MPH, Oforeh Kenneth MD, Olwit Connie PhD, MSN, Olayinka Olaniyi MD, MPH, Tumenta Terence MD, MPH

Primary Institution: Thomas Jefferson University

Hypothesis

Biological sex has a moderating effect on opioid use disorder treatment accessibility.

Conclusion

Both females and males who received medications for opioid use disorder had lower odds of waiting more than 7 days to enter treatment than those who received no medications.

Supporting Evidence

  • Medications for opioid use disorder use among males was significantly different, with waiting 1–7 days and >7 days to enter treatment compared to waiting less than a day.
  • Females also showed significant differences in waiting times for medications for opioid use disorder.
  • Longer wait times are linked to worse outcomes, such as higher chances of overdosing and relapsing.

Takeaway

This study found that how long people wait to get treatment for opioid use disorder can be different for boys and girls, and that getting certain medications can help them get treated faster.

Methodology

The study used a national sample from the 2018 Treatment Episode Data Set Discharge, analyzing waiting times and treatment accessibility through logistic regression.

Potential Biases

Potential biases may arise from self-reported data and the administrative nature of the dataset.

Limitations

The cross-sectional nature of the data limits causal inferences, and the reliance on self-reported data may introduce bias.

Participant Demographics

Participants were predominantly aged 25-49, with a majority being non-Hispanic White, and included both males and females with varying educational and employment statuses.

Statistical Information

P-Value

<0.05

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1002/pcn5.70048

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