Table 2.
Type of addiction care received within 3 months of diagnosis among 3,654 Medicaid-enrolled youth who received any treatment for OUD.
| Characteristic | Behavioral Health Services Only (N = 2,515), N (%) |
Received OUD Medicationa (N = 1,139), N (%) |
Adjustedb OR for Receipt of OUD Medication (95% CI) |
|
|---|---|---|---|---|
| Age of diagnosis | ||||
| 21–22 years | 889 (57.3) | 661 (42.7) | Reference | |
| 18–20 years | 1,035 (70.0) | 444 (30.0) | 0.78 (0.67 − 0.91) | |
| 16–17 years | 402 (93.1) | 30 (6.9) | 0.16 (0.11 − 0.24) | |
| 13–15 years | 118 (96.7) | 4 (3.3) | 0.08 (0.03 − 0.23) | |
| Sex | ||||
| Male | 1,175 (73.9) | 415 (26.1) | Reference | |
| Female | 1,340 (64.9) | 724 (35.1) | 1.06 (0.90 − 1.26) | |
| Race/ethnicity | ||||
| White non-Hispanic | 1,948 (67.7) | 928 (32.3) | Reference | |
| Black non-Hispanic | 206 (85.1) | 36 (14.9) | 0.48 (0.33 − 0.70) | |
| Hispanic | 31 (75.6) | 10 (24.4) | 0.68 (0.32 − 1.45) | |
| Other | 330 (66.7) | 165 (33.3) | 1.01 (0.82 − 1.26) | |
| Medicaid-eligible due to disability | ||||
| No | 2,391 (68.1) | 1,119 (31.9) | Reference | |
| Yes | 124 (86.1) | 20 (13.9) | 0.47 (0.28 − 0.77) | |
| Pregnancyc | ||||
| No | 2,219 (71.4) | 890 (28.6) | Reference | |
| Yes | 296 (54.3) | 249 (45.7) | 1.62 (1.31 − 2.00) | |
| Depressionc | ||||
| No | 1,562 (64.7) | 853 (35.3) | Reference | |
| Yes | 953 (76.9) | 286 (23.1) | 0.81 (0.67 − 0.98) | |
| Anxiety disorderc | ||||
| No | 1,733 (66.2) | 883 (33.8) | Reference | |
| Yes | 782 (75.3) | 256 (24.7) | 0.89 (0.72 − 1.09) | |
| Attention deficit hyperactivity disorderc | ||||
| No | 2,135 (66.9) | 1,056 (33.1) | Reference | |
| Yes | 380 (82.1) | 83 (17.9) | 0.91 (0.69 − 1.21) | |
| Alcohol use disorderc | ||||
| No | 2,020 (65.5) | 1,062 (34.5) | Reference | |
| Yes | 495 (86.5) | 77 (13.5) | 0.43 (0.33 − 0.56) | |
| Other substance use disorderc | ||||
| No | 1,045 (60.1) | 695 (39.9) | Reference | |
| Yes | 1,470 (76.8) | 444 (23.2) | 0.60 (0.52 − 0.70) | |
| Acute pain conditionc | ||||
| No | 1,685 (67.3) | 820 (32.7) | Reference | |
| Yes | 830 (72.2) | 319 (27.8) | 0.91 (0.74 − 1.10) | |
| Chronic pain conditionc | ||||
| No | 1,755 (68.7) | 800 (31.3) | Reference | |
| Yes | 760 (69.2) | 339 (30.8) | 1.30 (1.07 − 1.59) | |
a.
Includes youth 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 three months prior to receiving OUD diagnosis