美国成人药物使用障碍患者过去一年接受政府援助、医疗补助和药物使用治疗利用之间的关系

IF 2.8 Q1 Psychology

Addictive Behaviors Reports Pub Date : 2025-08-30 DOI:10.1016/j.abrep.2025.100628

Sarah Gutkind , Morgan M. Philbin , Emilie Bruzelius , Silvia S. Martins , Pia M. Mauro

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引用次数: 0

摘要

大多数需要药物使用障碍（SUD）治疗的人没有得到治疗，通常是由于费用和缺乏健康保险。我们调查了SUD患者接受政府援助和医疗补助是否与过去一年的SUD治疗使用有关。方法纳入2015-2019年全国药物使用与健康调查中患有任何SUD的工作年龄成年人（18-64岁）（n = 21,461）。政府援助被归类为过去一年收到的≥1个援助项目（例如，SSI， SNAP，福利，现金援助）。我们通过对过去一年SUD患者进行单独的logistic回归，估计了a)任何或b)专业设置中过去一年SUD治疗的调整几率。我们控制了社会人口统计（性别、年龄、种族/民族、婚姻状况、教育、贫困、城市化、就业、私人保险）和调查年份。结果在患有SUD的人群中，大约23%的人接受了政府援助，19.6%的人接受了医疗补助。接受这两种治疗（12%）与在任何治疗环境（aOR = 2.30, 95% CI: 1.78, 2.97）和专业（aOR = 2.72, 95% CI: 2.05, 3.62）中使用SUD治疗的调整几率增加相关。接受一个或多个政府项目的援助，在任何情况下，SUD治疗的几率都要高出约50 - 60%，在专业情况下，SUD治疗的几率要高出70 - 90%。结论医疗补助和政府援助与SUD患者使用SUD治疗相关，可能降低了获得治疗的障碍。接受至少一项政府援助计划也增加了治疗利用的可能性。未来的研究应该检查哪些具体的政府援助计划可能会推动协会。

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Associations between past-year receipt of government assistance, Medicaid, and substance use treatment utilization among adults with substance use disorder in the United States

Aim

Most people who need substance use disorder (SUD) treatment do not receive care, often due to costs and lack of health insurance. We investigated whether receipt of government assistance and Medicaid among people with SUDs was associated with past-year SUD treatment use.

Methods

We included working-age adults (ages 18–64) with any SUD from the 2015–2019 National Survey of Drug Use and Health (n = 21,461). Government assistance was categorized as past-year receipt of ≥1 assistance programs (e.g., SSI, SNAP, welfare, cash assistance). We estimated the adjusted odds of past-year SUD treatment in a) any or b) specialty settings by government assistance or Medicaid receipt using separate logistic regressions among people with past-year SUD. We controlled for socio-demographics (sex, age, race/ethnicity, marital status, education, poverty, urbanicity, employment, private insurance) and survey-year.

Results

Among people with SUD, approximately 23 % received government assistance and 19.6 % received Medicaid. Receiving both (12 %) was associated with increased adjusted odds of SUD treatment use in any (aOR = 2.30, 95 % CI: 1.78, 2.97) and specialty (aOR = 2.72, 95 % CI: 2.05, 3.62) treatment settings. Receiving assistance from one or more government programs was associated with approximately 50–60 % higher odds of SUD treatment in any setting and 70–90 % higher odds in specialty settings.

Conclusion

Medicaid and government assistance receipt were associated with higher SUD treatment use among people SUD, potentially lowering barriers to treatment access. Receiving at least one government assistance program also increased the likelihood of treatment utilization. Future research should examine which specific government assistance programs may drive associations.

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来源期刊

Addictive Behaviors Reports Medicine-Psychiatry and Mental Health

CiteScore

6.80

自引率

0.00%

发文量

审稿时长

71 days

期刊介绍： Addictive Behaviors Reports is an open-access and peer reviewed online-only journal offering an interdisciplinary forum for the publication of research in addictive behaviors. The journal accepts submissions that are scientifically sound on all forms of addictive behavior (alcohol, drugs, gambling, Internet, nicotine and technology) with a primary focus on behavioral and psychosocial research. The emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. We are particularly interested in ''non-traditional'', innovative and empirically oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research. Studies that might encourage new lines of inquiry as well as scholarly commentaries on topical issues, systematic reviews, and mini reviews are also very much encouraged. We also welcome multimedia submissions that incorporate video or audio components to better display methodology or findings.