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. 2018 Sep 10;172(11):1029–1037. doi: 10.1001/jamapediatrics.2018.2143

Table 3. Retention in Care Among Youths With at Least 2 Claims for Addiction Treatment.

Characteristic Adjusted Hazard Ratio (95% CI)a
Attrition From Any Addiction Treatment (n = 3247)b,c Attrition From Behavioral Health Services (n = 2885)b
Sociodemographic characteristics
Age ≥21 y 1.63 (1.45-1.83) 1.59 (1.41-1.80)
Male 1.13 (1.03-1.24) 1.13 (1.02-1.24)
Non-Hispanic white 1.03 (0.93-1.14) 1.05 (0.94-1.18)
Eligible for Medicaid owing to disability 0.63 (0.49-0.80) 0.60 (0.46-0.78)
Clinical characteristics
Pregnancyd 0.87 (0.75-0.99) 0.90 (0.77-1.04)
Comorbid behavioral health diagnosisd,e 1.04 (0.95-1.14) 1.01 (0.92-1.11)
Comorbid alcohol or other substance use disorderd 1.02 (0.93-1.12) 1.00 (0.91-1.10)
Acute or chronic pain conditiond 0.92 (0.84-1.01) 0.92 (0.83-1.01)
Treatment received
Higher level of behavioral health services within 3 mo of initiating episode of caref 0.94 (0.85-1.02) 0.92 (0.83-1.01)
Timely opioid use disorder medication within 3 mo of diagnosis
No medication 1 [Reference] 1 [Reference]
Buprenorphine 0.58 (0.52-0.64) 0.73 (0.64-0.82)
Naltrexone 0.54 (0.43-0.69) 0.57 (0.44-0.73)
Methadone 0.32 (0.22-0.47) 0.47 (0.33-0.68)
a

Multivariable models included all covariates listed in the table.

b

Attrition defined as at least 60 days without any claims for services.

c

Includes receipt of any behavioral health services or opioid use disorder medications.

d

At or during the 3 months before receiving a diagnosis of opioid use disorder.

e

Depression, anxiety, or attention-deficit/hyperactivity disorder.

f

Includes intensive outpatient treatment, partial hospitalization, residential care, or inpatient care.