Opioid Agonist Treatment Retention Among People Initiating Methadone and Buprenorphine Across Diverse Demographic and Geographic Subgroups in Ontario: A Population-based Retrospective Cohort Study

Original research
par
Elnagdi, Abdulrahman et al

Date de publication

2023

Géographie

Canada

Langue de la ressource

English

Texte disponible en version intégrale

Non

Open Access / OK to Reproduce

Non

Évalué par des pairs

Yes

L’objectif

To compare time on treatment among individuals initiating buprenorphine/naloxone and methadone and understand how retention varies according to age, sex, and urban/rural residence.

Constatations/points à retenir

7209 (45.8%) initiated buprenorphine/naloxone and 8515 (54.2%) initiated methadone. The median time to treatment discontinuation was significantly shorter among those initiating buprenorphine/naloxone rather than methadone (114 d vs. 263 d). Time on treatment increased with age in both OAT groups, with the exception of those aged 65 and older, where retention declined. Among methadone recipients, time on treatment was longer among rural relative to urban residents, with no variation by sex. Conversely, females treated with buprenorphine/naloxone had significantly longer treatment retention than men, with no variation by urban or rural residence.

La conception ou méthodologie de recherche

We conducted a population-based retrospective cohort study among individuals aged 18 years and older, residing in Southern Ontario, Canada, who initiated buprenorphine/naloxone or methadone between October 2016 and December 2018 (N=15,724)

Mots clés

Substitution/OAT
Transitions in care/treatment
Rural/remote
Sex/Gender
About PWUD
Outcomes