Trends in engagement in the cascade of care for opioid use disorder, Vancouver, Canada, 2006-2016.

ABSTRACT:

Background

A cascade of care framework has been proposed to identify and address implementation gaps in addiction medicine. Using this framework, we characterized temporal trends in engagement in care for opioid use disorder (OUD) in Vancouver, Canada.

Methods

Using data from two cohorts of people who use drugs, we assessed the yearly proportion of daily opioid users achieving four sequential stages of the OUD cascade of care [linkage to addiction care; linkage to opioid agonist treatment (OAT); retention in OAT; and stability] between 2006 and 2016. We evaluated temporal trends of cascade indicators, adjusting for socio-demographic characteristics, HIV/HCV status, substance use patterns, and social-structural exposures.

Results

We included 1615 daily opioid users. Be

SUBMITTER: Socias ME 

PROVIDER: S-EPMC6062451 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature