ArticleDrug and alcohol dependence2025
A scoping review of interventions addressing social determinants of health and their influence on opioid use disorder outcomes.
Article in Drug and alcohol dependence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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
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Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundOver the past decade, opioid overdose deaths have sharply increased. The Social Determinants of Health (SDOH) framework can guide interventions to improve opioid use disorder (OUD) outcomes. No comprehensive review of SDOH interventions and their impacts on OUD outcomes is available. This scoping review addresses that gap.
methodsWe extracted articles from PubMed, Embase, Web of Science, and Cochrane databases. Interventions were categorized according to SDOH domains: healthcare system, social and community context, neighborhood environment, economic stability, and education. Interventions and OUD outcomes (e.g., treatment initiation, opioid use, overdose) were summarized.
resultsTwenty-seven peer-reviewed studies targeted SDOH domains. The healthcare system domain (37 % of studies) was the most frequently addressed, focusing on provider training, access, and quality-of-care improvements with outcomes like increased initiation of medication for OUD, reduced opioid use, and reduced provider stigma. Community and social context (30 %) interventions included social support programs and community coalitions that reduced opioid use, overdose, and community-level stigma. Economic stability (16 %) interventions included employment-based reinforcements and financial incentives to promote abstinence. Neighborhood and physical environment (9 %) interventions included Housing-First initiatives that reduced opioid use. In the education domain (2 %), an early education intervention reduced adulthood OUD risk. Over half of all studies (52 %) used randomized designs; the remainder used quasi-experimental approaches. Gaps included a limited range of SDOH interventions, inconsistent definitions and measurements of SDOH, and a lack of rigorous evaluations.
conclusionFuture research should harmonize SDOH terminology and metrics, rigorously assess SDOH intervention outcomes, and expand the range of SDOH interventions.
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Registered trials
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