Table 2.
Patterns of substance use disorder (SUD) service utilization in 32,916 National Survey of Drug Use and Health 2005-2010 adult participants with past-year SUD with and without past-year major depressive episode (MDE).
| Male |
OR (95% CI) |
aOR (95% CI) |
Female | OR (95% CI) |
aOR (95% CI) |
Effect Modification Wald –Test F( 1, 60) |
|||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Substance disorder service use |
SUD with MDE (N= 2,269) |
SUD without MDE (N= 17,776) |
SUD with MDE (N= 3,288) |
SUD without MDE (N= 9,583) |
|||||||||
| N | % | N | % | N | % | N | % | ||||||
| Any substance use treatment |
418 | 21.6 | 1721 | 9.3 |
2.68
‡
(2.27, 3.16) |
1.99
‡
(1.68, 2.35) |
442 | 14.5 | 689 | 7.3 |
2.16
‡
(1.78, 2.64) |
1.64
‡
(1.29, 2.08) |
2.59 (0.113) |
| Hospital/ Overnight |
124 | 8.8 | 282 | 1.8 |
5.19
‡
(3.69, 7.28) |
3.27
‡
(2.32, 4.62) |
138 | 5.2 | 164 | 1.8 |
2.95
‡
(2.05-4.24) |
2.92
‡
(1.88, 4.54) |
4.90
*
(0.031) |
| Rehabilitation center/Overnight |
144 | 9.1 | 439 | 2.7 |
3.68
‡
(2.85, 4.76) |
2.35
‡
(1.77, 3.11) |
150 | 5.4 | 197 | 2.1 |
2.63
‡
(1.98, 3.51) |
2.10
‡
(1.37, 3.23) |
3.41 (0.07) |
| Rehabilitation center/Outpatient |
194 | 9.5 | 761 | 4.0 |
2.56
‡
(2.00, 3.27) |
1.77
‡
(1.32, 2.37) |
214 | 6.6 | 337 | 3.0 |
2.28
‡
(1.64,3.17 ) |
1.70
‡
(1.16, 2.47 ) |
0.34 (0.561) |
| Outpatient mental health center |
134 | 7.1 | 374 | 2.2 |
3.41
‡
(2.52, 4.62) |
2.47
‡
(1.88, 3.25) |
215 | 6.2 | 208 | 2.5 |
2.60
‡
(1.84, 3.67) |
1.96
‡
(1.37, 2.81) |
1.28 (0.263) |
| Emergency Room | 81 | 5.4 | 171 | 1.0 |
5.78
‡
(3.83, 8.74) |
3.89
‡
(2.58, 5.86) |
95 | 3.1 | 109 | 1.3 |
2.38** (1.44, 3.91) |
1.90
*
(1.05, 3.44) |
9.18** (0.004) |
| Private doctor’s office |
88 | 4.6 | 263 | 1.5 |
3.17
‡
(2.16, 4.66) |
2.74
‡
(1.70, 4.43) |
120 | 4.9 | 116 | 1.5 |
3.33
‡
(2.12, 5.24) |
2.91
‡
(1.72, 4.91) |
0.03 (0.864) |
| Prison/Jail | 37 | 2.3 | 204 | 0.9 |
2.66
†
(1.39, 5.10) |
1.95
(0.88, 4.29) |
35 | 0.9 | 69 | 0.6 | 1.39 (0.63, 3.05) |
0.84 (0.40, 1.78) |
1.80 (0.185) |
| Self-help group | 243 | 12.2 | 891 | 5.5 |
2.38
‡
(1.89, 3.27) |
1.71
‡
(1.32, 2.21) |
286 | 9.7 | 363 | 4.0 |
2.56
‡
(1.89, 3.45) |
2.00
‡
(1.40, 2.85) |
0.14 (0.707) |
|
Perceived
unmet need |
199 | 13.6 | 521 | 4.1 |
3.72
‡
(2.71, 5.10) |
2.75
‡
(1.98, 3.82) |
233 | 9.5 | 306 | 3.8 |
2.64
‡
(1.97, 3.55) |
2.15
‡
(1.59, 2.90) |
2.69 (0.106) |
Note: OR stands for odds ratio, aOR for adjusted odds ratio, CI for confidence interval. Adjusted odds ratios are from multivariate logistic models which controlled for age, race, marital status, education, income, insurance, employment and population density.
*
p<0.05,
†
p<0.01,
‡
p<0.001.
Terms in bold font are significantly different at p<0.05.