Substance Use Treatment Utilization Among Individuals With Substance Use Disorders in the United States During the COVID-19 Pandemic: Findings on the Role of Polysubstance Use, Criminal Justice Involvement, and Mental Illness From the National Survey on Drug Use and Health.

Apsley, Hannah B; Santos-Lozada, Alexis R; Gray, Joy; Hard, Gregory; Jones, Abenaa A

Apsley, Hannah B; Santos-Lozada, Alexis R; Gray, Joy; Hard, Gregory; Jones, Abenaa A.

Afiliación

Apsley HB; Department of Human Development and Family Studies, Pennsylvania State University, University Park, PA, USA.
Santos-Lozada AR; Department of Human Development and Family Studies, Pennsylvania State University, University Park, PA, USA.
Gray J; Department of Educational Psychology, Counseling, & Special Education College of Education, Pennsylvania State University, University Park, PA, USA.
Hard G; MGH Institute of Health Professions, Boston, MA, USA.
Jones AA; Department of Human Development and Family Studies, Pennsylvania State University, University Park, PA, USA.

Subst Use ; 18: 29768357241259947, 2024.

Article en En | MEDLINE | ID: mdl-38881556

ABSTRACT

ABSTRACT

This study used the National Survey on Drug Use and Health to assess a nationally representative sample (N = 4596) weighted to represent 35.2 million adults with DSM-5 criteria-determined substance use disorders (SUDs). This study explored substance use treatment utilization in 2020, emphasizing populations with high vulnerability (e.g., criminal justice involvement (CJI) through parole or probation, polysubstance use, severe mental illness, and HIV/STI). Substance use treatment was broadly defined (any inpatient, outpatient/doctor's office, self-help/other for alcohol/drugs). Our results indicated that among adults with SUDs in 2020, 7 million (20%) had multiple SUDs, 1.75 million (5%) had CJI, 5.3 million (15%) had a severe mental illness, and 1.8 million (5%) had a diagnosis of HIV/STI in the last year. Only 7% of individuals with SUD sought any substance use treatment in the past year. CJI (aOR 13.39, 95% CI [7.82, 22.94]), serious mental illness (aOR 3.27, 95% CI [1.93, 5.55]), and having both 2 (aOR 2.10, 95% CI [1.29, 3.42]) or 3 or more SUDs (aOR 3.46, 95% CI [1.82, 6.58]) were all associated with a greater likelihood of receiving treatment. Marriage (aOR 0.43, 95% CI [0.25, 0.74]) and having an income twice the poverty threshold (aOR 0.53, 95% CI [0.29, 0.94]) were associated with reduced odds of receiving any substance use treatment. Compared to those 18 to 25, older individuals had increased odds (2-4 times) of receiving treatment. Interventions are crucially needed to increase access to treatment among those with SUDs.

Palabras clave

COVID-19 pandemic; Substance use treatment; criminal justice involvement; mental illness; polysubstance use

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Subst Use Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

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