The interaction of race and age in methadone treatment retention outcomes: A single-center analysis

J Subst Use Addict Treat. 2023 May:148:209020. doi: 10.1016/j.josat.2023.209020. Epub 2023 Mar 16.

Abstract

Objectives: Early treatment drop-out is due to the unique interplay of the individual and their context, and is associated with overdose death. The objective of this project was to determine if age or race is associated with 6-month treatment retention outcome differences at a single-center opioid treatment program.

Methods: The study team performed a retrospective administrative database study from January 2014 to January 2017 using admission data with age and race as predictors of 6-month treatment retention outcomes.

Results: Of the 457 admissions, 114 were under the age of 30; however, only 4 % of these young adults were Black, Indigenous, and/or People of Color (BIPOC). While retention for BIPOC patients (62 %) was slightly higher than for White patients (57 %), this difference did not reach traditional levels of significance.

Conclusions: Once BIPOC enter treatment, their treatment retention is similar to their White counterparts. Young adult BIPOC were less represented in the admission data, but treatment retention across racial groups was similar. An urgent need exists to determine the barriers and facilitators to treatment access among BIPOC young adults.

Keywords: Access to treatment; Age; Methadone; Opioid use disorder; Race; Treatment retention.

MeSH terms

  • Analgesics, Opioid / therapeutic use
  • Humans
  • Methadone* / therapeutic use
  • Opiate Substitution Treatment
  • Opioid-Related Disorders* / drug therapy
  • Retrospective Studies
  • Young Adult

Substances

  • Methadone
  • Analgesics, Opioid