ArticleDrug and alcohol dependence reports2022
Gaps and barriers in drug and alcohol treatment following implementation of the affordable care act.
Article in Drug and alcohol dependence reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed, 19 citations in OpenAlex.
- Examining Integration of Comprehensive Substance Use Services in Certified Community Behavioral Health Clinics: A Cross-sectional Study.Administration and policy in mental health · 2026Article
- Interventions to Improve HIV Care Continuum Outcomes for People With HIV Who Have Incarceration Experience: A Narrative Review.Open forum infectious diseases · 2025Review
- Risk factors for harmful alcohol consumption: a multilevel analysis.Revista latino-americana de enfermagem · 2025Article
- Whole Person Recovery from Substance Use Disorder: A Call for Research Examining a Dynamic Behavioral Ecological Model of Contexts Supportive of Recovery.Addiction research & theory · 2025Article
- Reasons for not seeking alcohol treatment among a sample of Florida adults with HIV who perceived the need for treatment.Addiction science & clinical practice · 2024Article
- Smoking Policies of Outpatient and Residential Substance Use Disorder Treatment Facilities in the United States.Tobacco use insights · 2024Article
- Examining facilitative services for entry into substance use disorder treatment: A cluster analysis of treatment facilities.PloS one · 2024Article
- Alcohol or Drug Self-Help Use Among Adults in the United States: Age, Period, and Cohort Effects Between 2002 and 2018.International journal of mental health and addiction · 2023Article
- Understanding the Graduate-Level Addiction Counselor Workforce: Differences in Educational Standards, Scope of Practice, and Supervisory Opportunities Across the United States.Substance use : research and treatmentArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
Background: This study examines changes in the substance use disorder (SUD) treatment gap and barriers to treatment for low-income adults following Affordable Care Act (ACA) implementation. Methods: National Survey on Drug Use and Health (NSDUH) data were pooled to assess pre-ACA (2009-2013) and post-ACA (2015-2019) implementation. The sample ( Results: Ninety-three percent of respondents reported a drug or alcohol treatment gap before and after ACA implementation. No interest in stopping use was the greatest barrier (40%), followed by insurance-related barriers (39%) and stigma (20%). After adjusting for covariates, results did not show a significant change in SUD treatment gap post-ACA compared to pre-ACA (adjusted odds ratio [aOR]=1.11, 95% confidence interval [CI]=0.97, 1.28, Conclusions: There was no significant change in the prevalence of SUD treatment gap after ACA implementation. Increasing access to SUD treatment for low-income individuals will require intervening at multiple socioecological levels beyond reforming treatment financing.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.