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- Title
Brief Report: Low-Barrier Buprenorphine Initiation Predicts Treatment Retention Among Latinx and Non-Latinx Primary Care Patients.
- Authors
Lee, Christina S.; Rosales, Robert; Stein, Michael D.; Nicholls, Mariana; O'Connor, Bridget M.; Loukas Ryan, Vanessa; Davis, Elizabeth A.
- Abstract
<bold>Background and Objectives: </bold>Patients are at risk of dropout while waiting for buprenorphine treatment. Study goals are to compare 3-month retention in two different methods to buprenorphine initiation among persons with opioid use disorder.<bold>Methods: </bold>We compared 3-month treatment retention rates of low-barrier buprenorphine initiation (i.e., rapid induction) (n =58) or a traditional method of buprenorphine initiation ( n = 45) for persons with opioid use disorder seen at an urban community health center.<bold>Results: </bold>Logistic regression revealed that low-barrier initiation had 11.11 greater odds of retention compared with traditional methods (p <0.001). Latinx patients benefited more than non-Latinx patients (OR = 14.79, p =.039).<bold>Discussion and Conclusions: </bold>All patients were more likely to be retained using low-barrier initiation. A significantly larger effect on retention among Latinx patients was observed.<bold>Scientific Significance: </bold>Rapid buprenorphine initiation increases treatment retention which improves treatment outcomes for persons with opioid use disorder. Study findings support a less restrictive services model that is even more effective for Latinx patients. (Am J Addict 2019;28:409-412).
- Subjects
MASSACHUSETTS; BUPRENORPHINE; PRIMARY care; URBAN health; LOGISTIC regression analysis; COMMUNITY centers; SUBSTANCE abuse &; psychology; RESEARCH; SUBSTANCE abuse; NARCOTIC antagonists; PATIENT dropouts; RESEARCH methodology; EVALUATION research; MEDICAL cooperation; PRIMARY health care; COMPARATIVE studies; PSYCHOSOCIAL factors; RESEARCH funding
- Publication
American Journal on Addictions, 2019, Vol 28, Issue 5, p409
- ISSN
1055-0496
- Publication type
journal article
- DOI
10.1111/ajad.12925