Substance use disorder treatment and technology access among people who use drugs in rural areas of the United States: A cross-sectional survey

Details

• Alternative Title:
  J Rural Health
• Personal Author:
  Button, Dana ; Levander, Ximena A. ; Cook, Ryan R. ; Miller, William C. ; Salisbury-Afshar, Elizabeth M. ; Tsui, Judith I. ; Ibragimov, Umedjon ; Jenkins, Wiley D. ; Westergaard, Ryan P. ; Korthuis, P. Todd
• Description:
  Purpose:
  
  To evaluate how technology access affected substance use disorder (SUD) treatment prior to COVID-19 for people who use drugs in rural areas.
  
  Methods:
  
  The Rural Opioid Initiative (January 2018-March 2020) was a cross-sectional study of people with prior 30-day injection drug or nonprescribed opioid use from rural areas of 10 states. Using multivariable mixed-effect regression models, we examined associations between participant technology access and SUD treatment.
  
  Findings:
  
  Of 3,026 participants, 71% used heroin and 76% used methamphetamine. Thirty-five percent had no cell phone and 10% had no prior 30-day internet use. Having both a cell phone and the internet was associated with increased days of medication for opioid use disorder (MOUD) use (aIRR 1.29 [95% CI 1.11–1.52]) and a higher likelihood of SUD counseling in the prior 30 days (aOR 1.28 [95% CI 1.05–1.57]). Lack of cell phone was associated with decreased days of MOUD (aIRR 0.77 [95% CI 0.66–0.91]) and a lower likelihood of prior 30-day SUD counseling (aOR 0.77 [95% CI 0.62–0.94]).
  
  Conclusions:
  
  Expanding US rural SUD treatment engagement via telemedicine may require increased cell phone and mobile network access.
  
  
• Subjects:
  Addiction Article Opioids Rural Health Telemedicine
• Source:
  J Rural Health.
• Pubmed ID:
  36575145
• Pubmed Central ID:
  PMC10293469
• Document Type:
  Journal Article
• Funding:
  U24 DA044801/DA/NIDA NIH HHSUnited States/ ; UG3 DA044825/DA/NIDA NIH HHSUnited States/ ; UG3DA044823/UH3DA044823/DA/NIDA NIH HHSUnited States/ ; UG3DA044798/UH3DA044798/DA/NIDA NIH HHSUnited States/ ; CDC/ ; UG3DA044829/UH3DA044829/DA/NIDA NIH HHSUnited States/ ; UH3 DA044826/DA/NIDA NIH HHSUnited States/ ; UG3DA044825/DA/NIDA NIH HHSUnited States/ ; UH3 DA044823/DA/NIDA NIH HHSUnited States/ ; UH3DA044822/UH3DA044822/DA/NIDA NIH HHSUnited States/ ; UG3 DA044831/DA/NIDA NIH HHSUnited States/ ; UH3 DA044830/DA/NIDA NIH HHSUnited States/ ; K01 DA055130/DA/NIDA NIH HHSUnited States/ ; UG3 DA044822/DA/NIDA NIH HHSUnited States/ ; U24DA048538/DA/NIDA NIH HHSUnited States/ ; SAMHSA/ ; UH3 DA044822/DA/NIDA NIH HHSUnited States/ ; UG3DA044830/UH3DA044830/DA/NIDA NIH HHSUnited States/ ; U24DA044801/DA/NIDA NIH HHSUnited States/ ; UH3 DA044798/DA/NIDA NIH HHSUnited States/ ; UH3 DA044829/DA/NIDA NIH HHSUnited States/ ; UG3 DA044826/DA/NIDA NIH HHSUnited States/ ; K12 HS026370/HS/AHRQ HHSUnited States/ ; UG3 DA044798/DA/NIDA NIH HHSUnited States/ ; UG3DA044831/UH3DA044831/DA/NIDA NIH HHSUnited States/ ; UG3 DA044823/DA/NIDA NIH HHSUnited States/ ; UG3DA044826/UH3DA044826/DA/NIDA NIH HHSUnited States/ ; UH3 DA044831/DA/NIDA NIH HHSUnited States/ ; UG3 DA044830/DA/NIDA NIH HHSUnited States/ ; UG3 DA044829/DA/NIDA NIH HHSUnited States/ ; ARC/ ; K01 DA55130/RC/
• Place as Subject:
  United States
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:816271fff8f27e6029045cac4989b5ac327ced5b149571a44b02406ee098b80e
• Download URL:
  https://stacks.cdc.gov/view/cdc/130279/cdc_130279_DS1.pdf
• File Type:
  [PDF - 104.89 KB ]