Evaluation of the gap in delivery of opioid agonist therapy among individuals with opioid-related health problems: A population-based retrospective cohort study

Original research
by
Paul, Lauren A. et al

Release Date

2022

Geography

Canada

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

This study sought to characterize the gap in OAT treatment using a cascade of care framework, and determine factors associated with engagement and retention in treatment.

Findings/Key points

Model results indicated that males had higher odds of being on OAT each month but lower odds of OAT retention, while the reverse was observed for older individuals and individuals with higher neighbourhood income. Individuals residing in rural areas and with a history of mental health diagnoses had poorer outcomes overall, including lower odds of being on OAT each month and OAT retention, as well as higher risk of starting/stopping OAT. Individuals with a history of mental health diagnoses also had a higher risk of death, regardless of OAT status.

Design/methods

A population-based retrospective cohort study

Keywords

About PWUD
Substitution/OAT
Sex/Gender
Mental health
Rural/remote
Outcomes