The interaction of race and age in methadone treatment retention outcomes: A single-center analysis.

J Subst Use Addict Treat

Division of Community Substance Abuse Programs, Thomas Jefferson University, United States of America.

Published: May 2023

Objectives: Early treatment drop-out is due to the unique interplay of the individual and their context, and is associated with overdose death. The objective of this project was to determine if age or race is associated with 6-month treatment retention outcome differences at a single-center opioid treatment program.

Methods: The study team performed a retrospective administrative database study from January 2014 to January 2017 using admission data with age and race as predictors of 6-month treatment retention outcomes.

Results: Of the 457 admissions, 114 were under the age of 30; however, only 4 % of these young adults were Black, Indigenous, and/or People of Color (BIPOC). While retention for BIPOC patients (62 %) was slightly higher than for White patients (57 %), this difference did not reach traditional levels of significance.

Conclusions: Once BIPOC enter treatment, their treatment retention is similar to their White counterparts. Young adult BIPOC were less represented in the admission data, but treatment retention across racial groups was similar. An urgent need exists to determine the barriers and facilitators to treatment access among BIPOC young adults.

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Source
http://dx.doi.org/10.1016/j.josat.2023.209020DOI Listing

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