Table 3.
Buprenorphine vs psychosocial only | Methadone vs psychosocial only | XR Naltrexone vs psychosocial only | Oral Naltrexone vs psychosocial only | |
---|---|---|---|---|
AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | |
Opioid Abuse (n=56,545) | ||||
Alcohol dependence | 0.14 (0.13, 0.16)**** | 0.21 (0.15, 0.28)**** | 1.69 (1.36, 2.10)**** | 2.18 (1.98, 2.41)**** |
Alcohol abuse | 0.29 (0.25, 0.32)**** | 0.25 (0.17, 0.36)**** | 0.78 (0.54, 1.13) | 1.48 (1.29, 1.69)**** |
No AUD | Ref | Ref | Ref | Ref |
Opioid Dependence (n=154,502) | ||||
Alcohol dependence | 0.47 (0.44, 0.49)**** | 0.31 (0.28, 0.35)**** | 1.36 (1.21, 1.54)**** | 1.73 (1.57, 1.90)**** |
Alcohol abuse | 0.65 (0.61, 0.69)**** | 0.57 (0.51, 0.64)**** | 0.95 (0.79, 1.15) | 1.22 (1.05, 1.42)* |
No AUD | Ref | Ref | Ref | Ref |
AUD= alcohol use disorder; OUD= opioid use disorder; XR= extended-release; AOR=adjusted odds ratio; CI= confidence interval; SUD= substance use disorder.
Models adjusted for co-occurring substance use disorder, previous OUD diagnosis, psychiatric comorbidity, medical comorbidity as measured by Charlson comorbidity index, sex, age, and insurance-year cohort.
p<.0001.