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. 2021 Dec 1;101:103554. doi: 10.1016/j.drugpo.2021.103554

Table 3.

Healthcare and related services

Apr.-Jun. 2020 Jul.-Oct. 2020 Nov. 2020-Jan. 2021 Feb.-Mar.2021
Individuals 324 315 319 310
Observations 324 1155 827 567
Avoiding going to the doctor due to COVID (%) 31.3 20.5 15.6 11.9
(25.71 to 36.79) (17.85 to 23.12) (12.84 to 18.29) (8.91 to 14.88)
Top concerns today (%)
Not being able to get medical care 29.8 24.8 26.4 24.9
(24.42 to 35.16) (22.21 to 27.37) (23.35 to 29.41) (21.31 to 28.51)
Not being able to get prescribed drugs I use, incl. buprenorphine & methadone 24.5 17.3 18.0 15.6
(19.42 to 29.52) (15.01 to 19.53) (15.39 to 20.68) (12.57 to 18.61)
Difficulties due to COVID (%)
Problems accessing healthcare 11.2 5.5 3.9 2.7
(7.46 to 14.93) (4.12 to 6.84) (2.59 to 5.26) (1.34 to 4.03)
Problems getting prescribed medications 10.8 5.2 3.8 3.6
(7.15 to 14.51) (3.87 to 6.53) (2.49 to 5.12) (2.04 to 5.13)
Running out of methadone or buprenorphine 6.5 4.4 3.4 3.2
(3.58 to 9.42) (3.14 to 5.59) (2.18 to 4.69) (1.76 to 4.70)
Ever sought COVID test but unsuccessful (%) Not asked 10.7 9.3 10.6
(8.82 to 12.62) (7.21 to 11.33) (7.99 to 13.27)
Medication for opioid use disorder (MOUD) (%)
Used any MOUD in last 30 days 59.2 58.6 55.5 57.5
(53.83 to 64.67) (55.77 to 61.46) (52.11 to 58.90) (53.41 to 61.58)
Currently enrolled in MOUD program 68.2 57.0 54.7 56.6
(62.53 to 73.84) (54.05 to 77.52) (51.30 to 73.32) (52.51 to 74.68)
Have stocked up on MOUD 25.7 16.9 16.6 13.0
(20.51 to 30.96) (14.49 to 19.39) (13.79 to 19.39) (9.89 to 16.10)
Changes to MOUD in last 30 daysa
Individuals 187 146 174 176
Observations 187 620 451 318
More take-homes (%) 83.4 77.6 73.2 75.8
(77.96 to 88.89) (74.36 to 80.88) (69.06 to 77.33) (69.02 to 82.57)
Clinic is open shorter hours (%) 12.0 11.2 11.7 9.2
(7.22 to 16.69) (8.73 to 13.74) (8.67 to 14.65) (5.98 to 12.38)
Harder to get to the clinic (%) 6.5 5.2 4.7 5.7
(2.92 to 10.12) (3.45 to 6.97) (2.74 to 6.68) (3.13 to 8.27)
Clinic is closed (%) 2.2 1.5 2.5 1.3
(0.05 to 4.30) (0.51 to 2.42) (1.02 to 3.91) (0.03 to 2.51)
Had to change clinics (%) 1.1 1.5 2.2 1.6
(-0.43 to 2.60) (0.51 to 2.42) (0.86 to 3.62) (0.20 to 2.97)
Longer lines than usual (%) 20.7 16.6 16.6 14.9
(14.75 to 26.56) (13.66 to 19.56) (13.13 to 20.06) (10.93 to 18.82)
Takes longer to get my medications 17.4 12.4 10.3 12.3
(11.86 to 22.92) (9.77 to 14.99) (7.48 to 13.15) (8.70 to 15.99)
Other 8.7 5.0 4.5 4.4
(4.59 to 12.81) (3.31 to 6.79) (2.56 to 6.41) (2.15 to 6.71)
Changes to syringe services programs experience in last 30 daysb
Individuals 52 55 56 51
Observations 52 228 147 94
Agency has closed (%) 30.8 9.4 7.0 7.6
(17.79 to 43.74) (5.53 to 13.22) (2.76 to 11.22) (2.09 to 13.13)
Limited to certain days/times (%) 46.2 48.2 29.4 38.0
(32.14 to 60.17) (41.62 to 54.81) (21.82 to 36.93) (27.93 to 48.15)
Have to use a new location (%) 7.7 8.9 6.3 12.0
(0.20 to 15.18) (5.17 to 12.69) (2.27 to 10.32) (5.20 to 18.71)
No change; I'm still getting syringes and/or other services (%) 15.4 37.9 59.4 47.8
(5.24 to 25.53) (31.54 to 44.35) (51.30 to 67.59) (37.42 to 58.23)

a Asked only of individuals receiving treatment in a given period.

b Asked only of individuals participating in a syringe service program in a given period.

Notes: 95% confidence intervals in parentheses.