Bhondoekhan, Fiona and Li, Yu and Gaither, Rachel and Daly, Mackenzie M and Hallowell, Benjamin D and Chambers, Laura C and Beaudoin, Francesca L and Marshall, Brandon D L (2023) The impact of polysubstance use patterns on engagement of substance use disorder treatment among emergency department patients at high risk of opioid overdose. Addictive Behaviors Reports, 18, 100512. doi.org/10.1016/j.abrep.2023.100512.
External website: https://www.sciencedirect.com/science/article/pii/...
Substance use patterns are diverse, and multiple substances are often involved in fatal and nonfatal overdoses. Additionally, polysubstance use is associated with greater difficulty accessing and remaining in substance use disorder (SUD) treatment. The aim of this study was to identify substance use patterns and determine their association with SUD treatment engagement among emergency department (ED) patients at risk of opioid overdose.
Highlights
• Latent class analyses identified four distinct patterns of polysubstance use.
• Patterns of frequent injection and heroin use had increased SUD treatment engagement.
• Medications for opioid use disorder (MOUD)-only treatment was common in the frequent injection and heroin use pattern.
B Substances > Opioids (opiates) > Heroin
G Health and disease > Substance use disorder (addiction) > Multiple substance use (Poly-drug /Poly-substance)
G Health and disease > Substance use disorder (addiction) > Drug use disorder > Drug intoxication > Poisoning (overdose)
HJ Treatment or recovery method > Substance disorder treatment method > Substance replacement method (substitution) > Opioid agonist treatment (methadone maintenance / buprenorphine)
J Health care, prevention, harm reduction and treatment > Harm reduction > Substance use harm reduction
J Health care, prevention, harm reduction and treatment > Treatment and maintenance > Treatment factors
J Health care, prevention, harm reduction and treatment > Treatment and maintenance > Patient / client attitude toward treatment (experience)
J Health care, prevention, harm reduction and treatment > Type of care > Emergency care
T Demographic characteristics > Person who injects drugs (Intravenous / injecting)
VA Geographic area > United States
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