Evidence map›Paper›PMID 38833558›Full record

ArticleJournal of addiction medicine

Racial and Ethnic Disparities in Geographic Availability of Buprenorphine.

Coleman Drake, Dylan Nagy, Mark K Meiselbach, Jane M Zhu, Brendan Saloner, Bradley D Stein, Daniel Polsky

Abstract read
In one paragraph

Article in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Coleman DrakeFrom the Department of Health Policy and Management, University of Pittsburgh School of Public Health, Pittsburgh, PA (CD, DN); Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD (MKM, BS, DP); Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, OR (JMZ); and RAND Corporation, Santa Monica, CA (BDS).
Dylan Nagy
Mark K Meiselbach
Jane M Zhu
Brendan Saloner
Bradley D Stein
Daniel Polsky

Funding

Quality of Medication Treatment for Opioid Use Disorder in Medicaid-enrollees: The Effects of State Policies and IntiativesR01DA045800 · NIDA · RAND CORPORATION · PI STEIN, BRADLEY D · 2018 to 2022
$2.9M
Mental Health Provider Networks in Medicaid and Implications for Care Utilization and Health OutcomesK08MH123624 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI ZHU, JANE MINGJIA · 2020 to 2023
$756k
Geographic Access to Medication Assisted Treatment for Medicaid Enrollees with Opioid Use DisorderK01DA051761 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DRAKE, COLEMAN · 2020 to 2023
$692k
NIDA NIH HHS K01 DA051761NIDA NIH HHS R01 DA045800NIMH NIH HHS K08 MH123624
6 · The paper itself

Abstract

objectivesOverdose mortality has risen most rapidly among racial and ethnic minority groups while buprenorphine prescribing has increased disproportionately in predominantly non-Hispanic White urban areas. To identify whether buprenorphine availability equitably meets the needs of diverse populations, we examined the differential geographic availability of buprenorphine in areas with greater concentrations of racial and ethnic minority groups.

methodsUsing IQVIA longitudinal prescription data, IQVIA OneKey data, and Microsoft Bing Maps, we calculated 2 outcome measures across the continental United States: the number of buprenorphine prescribers per 1000 residents within a 30-minute drive of a ZIP code, and the number of buprenorphine prescriptions dispensed per capita at retail pharmacies among nearby buprenorphine prescribers. We then estimated differences in these outcomes by ZIP codes' racial and ethnic minority composition and rurality with t tests.

resultsBuprenorphine prescribers per 1000 residents within a 30-minute drive decreased by 3.8 prescribers per 1000 residents in urban ZIP codes (95% confidence interval = -4.9 to -2.7) and 2.6 in rural ZIP codes (95% confidence interval = -3.0 to -2.2) whose populations consisted of ≥5% racial and ethnic minority groups. There were 45% to 55% fewer prescribers in urban areas and 62% to 79% fewer prescribers in rural areas as minority composition increased. Differences in dispensed buprenorphine per capita were similar but larger in magnitude.

conclusionsAchieving more equitable buprenorphine access requires not only increasing the number of buprenorphine-prescribing clinicians; in urban areas with higher racial and ethnic minority group populations, it also requires efforts to promote greater buprenorphine prescribing among already prescribing clinicians.

Indexed as

BuprenorphineHealthcare DisparitiesHealth Services AccessibilityNarcotic AntagonistsOpioid-Related DisordersEthnic and Racial MinoritiesEthnicityHumansOpiate Substitution TreatmentRural PopulationUnited StatesUrban PopulationWhiteBuprenorphineNarcotic Antagonists

Identifiers

PMID38833558
PMCPMC11153864

What OpenQuestion holds

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Registered trials

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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.