Disparities in Buprenorphine Administration for Opioid use Disorder in the Emergency Department.

Autor: Koerber SN; From the Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI (SK, JM); Wayne State University School of Medicine, Detroit, MI (DH, SF); and Department of Public Health Sciences, Henry Ford Health, Detroit, MI (KS)., Huynh D, Farrington S, Springer K, Manteuffel J
Jazyk: angličtina
Zdroj: Journal of addiction medicine [J Addict Med] 2024 Nov 08. Date of Electronic Publication: 2024 Nov 08.
DOI: 10.1097/ADM.0000000000001392
Abstrakt: Study Objective: Although buprenorphine is an effective treatment for opioid use disorder (OUD), this treatment is often not universally provided in the emergency department (ED). We aimed to determine whether patient characteristics, particularly race and ethnicity, were associated with buprenorphine administration.
Methods: This was a retrospective cross-sectional study of adult patients who had a positive screening result for opioid misuse in the ED at a single urban hospital. Univariate and multivariable logistic regressions were used to assess the association of patient characteristics (race, ethnicity, age, sex, insurance type, and Area Deprivation Index) with buprenorphine administration.
Results: Of 1082 patients who screened positive for opioid misuse, 133 (12%) were treated with buprenorphine and 949 (88%) were not. Despite representing over half the patient sample, Black patients (n = 682) were less likely than White patients (n = 310) to be treated with buprenorphine (multivariable: OR, 0.56; 95% CI, 0.35-0.88; P = 0.023). Age, sex, insurance type, ethnicity, and Area Deprivation Index were not associated with buprenorphine administration.
Conclusions: Patient race was associated with buprenorphine administration, even after controlling for multiple other social determinants of health. These data suggest racial disparities in care that should be investigated through further research to optimize equitable administration of buprenorphine.
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2024 American Society of Addiction Medicine.)
Databáze: MEDLINE