Table 2. Type of Addiction Care Received Within 3 Months of Diagnosis Among 3654 Medicaid-Enrolled Youths Who Received Any Treatment for OUD.
| Characteristic | No./Total No. (%) | Receipt of OUD Medication, Adjusted Odds Ratio (95% CI)b | |
|---|---|---|---|
| Behavioral Health Services Only (n = 2515) | OUD Medication (n = 1139)a | ||
| Age at diagnosis, y | |||
| 21-22 | 889/1550 (57.4) | 661/1550 (42.6) | 1 [Reference] |
| 18-20 | 1035/1479 (70.0) | 444/1479 (30.0) | 0.78 (0.67-0.91) |
| 16-17 | 402/432 (93.1) | 30/432 (6.9) | 0.16 (0.11-0.24) |
| 13-15 | 118/122 (96.7) | 4/122 (3.3) | 0.08 (0.03-0.23) |
| Sex | |||
| Male | 1175/1590 (73.9) | 415/1590 (26.1) | 1 [Reference] |
| Female | 1340/2064 (64.9) | 724/2064 (35.1) | 1.06 (0.90-1.26) |
| Race/ethnicity | |||
| White non-Hispanic | 1948/2876 (67.7) | 928/2876 (32.3) | 1 [Reference] |
| Black non-Hispanic | 206/242 (85.1) | 36/242 (14.9) | 0.48 (0.33-0.70) |
| Hispanic | 31/41 (75.6) | 10/41 (24.4) | 0.68 (0.32-1.45) |
| Other | 330/495 (66.7) | 165/495 (33.3) | 1.01 (0.82-1.26) |
| Eligible for Medicaid owing to disability | |||
| No | 2391/3510 (68.1) | 1119/3510 (31.9) | 1 [Reference] |
| Yes | 124/144 (86.1) | 20/144 (13.9) | 0.47 (0.28-0.77) |
| Pregnancyc | |||
| No | 2219/3109 (71.4) | 890/3109 (28.6) | 1 [Reference] |
| Yes | 296/545 (54.3) | 249/545 (45.7) | 1.62 (1.31-2.00) |
| Depressionc | |||
| No | 1562/2415 (64.7) | 853/2415 (35.3) | 1 [Reference] |
| Yes | 953/1239 (76.9) | 286/1239 (23.1) | 0.81 (0.67-0.98) |
| Anxiety disorderc | |||
| No | 1733/2616 (66.2) | 883/2616 (33.8) | 1 [Reference] |
| Yes | 782/1038 (75.3) | 256/1038 (24.7) | 0.89 (0.72-1.09) |
| Attention-deficit/hyperactivity disorderc | |||
| No | 2135/3191 (66.9) | 1056/3191 (33.1) | 1 [Reference] |
| Yes | 380/463 (82.1) | 83/463 (17.9) | 0.91 (0.69-1.21) |
| Alcohol use disorderc | |||
| No | 2020/3082 (65.5) | 1062/3082 (34.5) | 1 [Reference] |
| Yes | 495/572 (86.5) | 77/572 (13.5) | 0.43 (0.33-0.56) |
| Other substance use disorderc | |||
| No | 1045/1740 (60.1) | 695/1740 (39.9) | 1 [Reference] |
| Yes | 1470/1914 (76.8) | 444/1914 (23.2) | 0.60 (0.52-0.70) |
| Acute pain conditionc | |||
| No | 1685/2505 (67.3) | 820/2505 (32.7) | 1 [Reference] |
| Yes | 830/1149 (72.2) | 319/1149 (27.8) | 0.91 (0.74-1.10) |
| Chronic pain conditionc | |||
| No | 1755/2555 (68.7) | 800/2555 (31.3) | 1 [Reference] |
| Yes | 760/1099 (69.2) | 339/1099 (30.8) | 1.30 (1.07-1.59) |
Abbreviation: OUD, opioid use disorder.
a
Includes youths who did and did not receive concurrent behavioral health services.
b
Adjusted for all other covariates listed in the table.
c
At or during the 3 months before receiving a diagnosis of opioid use disorder.