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Journal article
Differential impacts of COVID-19 across racial-ethnic identities in persons with opioid use disorder
Journal of substance abuse treatment, v 129, pp 108387-108387
Oct 2021
PMID: 34080555
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The COVID-19 pandemic has exacerbated health disparities, particularly among at-risk people with opioid use disorder (OUD). We sought to characterize the direct and indirect impacts of COVID-19 on this group to understand how the pandemic has affected this group, this group's public health response to COVID-19, and whether there were differences by race/ethnicity.
This study recruited its sample from a drug treatment setting in the northeast region of the United States. We surveyed 110 individuals on methadone as treatment for OUD and assessed COVID-19-related impacts on their health behaviors and other indices of social, physical, and mental well-being, including sexual health behaviors, substance use, mental health status, health care access, income, and employment.
Our findings highlight overall increases in depression, anxiety, loneliness, and frustration among the sample of people with OUD; the study also observed decreases in financial stability. Significant differences between groups indicated a greater financial burden among racial-ethnic minorities; this subgroup also reported greater direct adverse effects of COVID-19, including being more concerned about contracting COVID-19, not being able to get a COVID-19 test, and knowing someone who had died from COVID-19. A greater proportion of Whites indicated increases in alcohol consumption and non-prescription drug use than did racial-ethnic minorities.
Treatment providers must be vigilant in managing direct and indirect outcomes of COVID-19 among people with OUD. Findings highlight the need to develop culturally competent, differentiated interventions in partnership with community-based organizations to meet the unique challenges that the COVID-19 pandemic presents for people in treatment for OUD.
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Details
- Title
- Differential impacts of COVID-19 across racial-ethnic identities in persons with opioid use disorder
- Creators
- Colleen B Mistler - University of ConnecticutMatthew C Sullivan - University of ConnecticutMichael M Copenhaver - University of ConnecticutJaimie P Meyer - Yale UniversityAlexis M Roth - Drexel UniversitySheela V Shenoi - Department of Internal Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, USA; Center for Interdisciplinary Research on AIDS, Yale School of Public Health, New Haven, CT, USA.E Jennifer Edelman - Yale UniversityJeffrey A Wickersham - Institute for Collaboration on Health, Intervention, and Policy (InCHIP), University of Connecticut, Storrs, CT, USA; Department of Internal Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine, New Haven, CT, USA.Roman Shrestha - University of Connecticut
- Publication Details
- Journal of substance abuse treatment, v 129, pp 108387-108387
- Publisher
- Elsevier
- Grant note
- K24 DA051344 / NIDA NIH HHS K01 DA038529 / NIDA NIH HHS R21 DA051934 / NIDA NIH HHS UL1 TR001863 / NCATS NIH HHS K01 DA051346 / NIDA NIH HHS T32 MH074387 / NIMH NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000696730400019
- Scopus ID
- 2-s2.0-85104080742
- Other Identifier
- 991019169627604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Clinical
- Substance Abuse