Sex-specific Outcomes in a Substance Use Intervention Program

Amaducci, Alexandra; Greenberg, Marna Rayl; Sheen, Andrew W.; Warren, Hanna R.; Parikh, Pratik M.; Roth, Paige; Weaver, Kevin; Richardson, David M.; Burmeister, David B.; Stephens, Jennifer L.; Cannon, Robert D.

doi:10.1016/j.clinthera.2020.01.020

Cited by 8 publications

(7 citation statements)

References 13 publications

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“…Although we included sex and race as factors in the analyses, we did not observe statistically significant differences in linkage to treatment as a function of these variables. As previously noted, sex and racial disparities in treatment receipt and referral have been documented in the emergency department referral to treatment setting and in national databases ( Amaducci et al, 2020 ; Martin et al, 2021 ; Webb et al, 2021 ). The lack of association in the present study may be due to our smaller sample size relative and differences in sampling design (e.g., clinical data extracted from a single ED located in Maryland vs. nationally representative sampling frames) ( Amaducci et al, 2020 ; Martin et al, 2021 ).…”

Section: Discussionmentioning

confidence: 73%

“…Racial disparity has also been observed, such that Black patients are less likely to be linked to treatment from the ED relative to White patients ( Webb et al, 2021 ). Similarly, gender disparity has been observed, as women are less likely to be linked to treatment from the ED compared to men ( Amaducci et al, 2020 ). These systematic gender and racial disparities to treatment entry are observed in national data such that there is a greater discrepancy between treatment need and treatment receipt among women relative to men and among Black and Hispanic persons relative to White persons ( Martin et al, 2021 ).…”

Section: Introductionmentioning

confidence: 96%

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Factors related to substance use treatment attendance after peer recovery coach intervention in the emergency department

Ware

Buresh²,

Irvin³

et al. 2022

Drug and Alcohol Dependence Reports

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Section: Discussionmentioning

confidence: 73%

Section: Introductionmentioning

confidence: 96%

Factors related to substance use treatment attendance after peer recovery coach intervention in the emergency department

Ware

Buresh²,

Irvin³

et al. 2022

Drug and Alcohol Dependence Reports

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“…In addition, women who are referred to inpatient treatment programs are less likely to engage in these programs than are men 33 . Similarly, in the ED setting, motivational interview‐based intervention and treatment referral programs have demonstrated increased uptake and engagement in men compared to women 37 . Gender‐specific factors including childcare, interpersonal violence, financial vulnerability, and pregnancy, have been identified as barriers to treatment 38 .…”

Section: Consideration Of Current State Of Knowledgementioning

confidence: 99%

“…33 Similarly, in the ED setting, motivational interview-based intervention and treatment referral programs have demonstrated increased uptake and engagement in men compared to women. 37 Gender-specific factors including childcare, interpersonal violence, financial vulnerability, and pregnancy, have been identified as barriers to treatment. 38 To this point, women are more likely to stay in treatment longer if they have the support system in place to continue their role as a caregiver (e.g., childcare, employment flexibility).…”

Section: Gender-specific Differencesmentioning

confidence: 99%

Sex, gender, and the opioid epidemic: Crucial implications for acute care

Walter

Bunnell

Wiesendanger

et al. 2022

AEM Education and Training

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Introduction: The opioid epidemic continues to escalate in the United States, exacerbated significantly by the COVID-19 pandemic. Necessary steps in acute care medicine to expand efforts to combat this epidemic involve increased emergency department engagement of patients with opioid use disorder (OUD) and an incorporation of evolving sex-and gender-based factors that affect this disease presentation and management course. Methods & Aims: An ever-increasing amount of peer-reviewed, evidence-based literature has shed light on the important biologic and sociocultural variables, specifically sex and gender, which impact OUD trajectory and outcomes. As a collaborative effort of the Sex and Gender in Emergency Medicine (SGEM) Interest Group, a community within the Society for Academic Emergency Medicine (SAEM), we sought to consider, review, and summarize clinically pertinent information as a comprehensive introduction to this topic for the emergency medicine (EM) clinician and educator. Results: A selected overview of current evidence-based data and publications, to include current epidemiologic trends, opioid-based physiology and pathophysiology, as well as opioid use disorder management and outcomes, through a sex-and gender-based lens, was reviewed and included in this summary. Also discussed are implications and recommendations for EM educators seeking insight and resources for continuing, graduate, and/or undergraduate education on this topic. Conclusion: Incorporation of emerging sex-and gender-specific scientific knowledge into clinical context represents a critical link to effective management of the OUD patient in the ED. Similarly, integration of this information into EM education represents an essential step for both sex-and gender-based medicine and opioid-specific training.

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“…Following a review of the literature, a few studies highlighted follow-up or referral-to-treatment rates after emergency department (ED) visits for opioid use. A qualitative study by Amaducci et al, which evaluated multiple factors affecting opioid use and treatment based on gender, reported that the warm hand-off referrals (direct referral) rate for women was 2.5% (2 of 81) as compared to men, which was 10.4% (11 of 106) [14]. They attributed this finding to a lack of childcare availability and family responsibilities.…”

Section: Review Loss To Follow-upmentioning

confidence: 99%

Accessibility of Treatment Among Women With Opioid Use Disorder: A Brief Review

Khan¹,

Olatunji²,

Qureshi³

et al. 2022

Cureus

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Opioid-use disorder (OUD) has become a social pandemic with a rising incidence and prevalence among women. Notably, women with OUD were more likely to have psychiatric comorbidities like major depressive disorder, anxiety disorder, and bipolar disorder. Evidence suggests that opioid exposure and subsequent disease among women compared to men is unique and attributable to hormonal estrogen levels. However, there remains a dearth of literature on their ability to access treatment when needed. There is also a gap in the perceived access to women as compared to men. Hence, our review will focus on factors that may affect women from seeking OUD treatment as compared to men.

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Sex-specific Outcomes in a Substance Use Intervention Program

Cited by 8 publications

References 13 publications

Factors related to substance use treatment attendance after peer recovery coach intervention in the emergency department

Factors related to substance use treatment attendance after peer recovery coach intervention in the emergency department

Sex, gender, and the opioid epidemic: Crucial implications for acute care

Accessibility of Treatment Among Women With Opioid Use Disorder: A Brief Review

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