Evidence map›Paper›PMID 41327963›Full record

ArticleAddiction (Abingdon, England)2026

Estimating community-level prevalence of opioid use disorder: Extrapolating from Medicaid claims data and other publicly available data sources in Ohio, USA.

William N Dowd, Qiushi Chen, Carolina Barbosa, H Mert Sahinkoc, Joshua Barocas, Jagpreet Chhatwal, Arnie P Aldridge, Gary A Zarkin, Amy B Knudsen

Abstract read
In one paragraph

Article in Addiction (Abingdon, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

William N DowdRTI International, Research Triangle Park, NC, USA.ORCID https://orcid.org/0000-0002-6331-060X
Qiushi ChenThe Harold and Inge Marcus Department of Industrial and Manufacturing Engineering, The Pennsylvania State University, University Park, PA, USA.ORCID https://orcid.org/0000-0003-4031-2669
Carolina BarbosaRTI International, Research Triangle Park, NC, USA.ORCID https://orcid.org/0000-0002-7535-9443
H Mert SahinkocInstitute for Technology Assessment, Massachusetts General Hospital, Boston, MA, USA.
Joshua BarocasDivisions of General Internal Medicine and Infectious Diseases, University of Colorado School of Medicine, Aurora, CO, USA.ORCID https://orcid.org/0000-0002-4155-4697
Jagpreet ChhatwalInstitute for Technology Assessment, Massachusetts General Hospital, Boston, MA, USA.
Arnie P AldridgeRTI International, Research Triangle Park, NC, USA.
Gary A ZarkinRTI International, Research Triangle Park, NC, USA.ORCID https://orcid.org/0000-0003-3331-0788
Amy B KnudsenInstitute for Technology Assessment, Massachusetts General Hospital, Boston, MA, USA.

Funding

MassHEAL - Reducing overdose deaths by 40% (2019-2023)UM1DA049412 · NIDA · BOSTON MEDICAL CENTER · PI SAMET, JEFFREY H. · 2019 to 2023
$82.9M
HEALing Communities Study Health Equity ResearchUM1DA049394 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI GLASGOW, LASHAWN, KNOTT, CHARLES · 2019 to 2023
$40.6M
National Institutes of Health and Substance Abuse and Mental Health Services Administration UM1DA049394National Institutes of Health and Substance Abuse and Mental Health Services Administration UM1DA049412National Science Foundation CMMI-2240408NIDA NIH HHS UM1 DA049394NIDA NIH HHS UM1 DA049412
6 · The paper itself

Abstract

BACKGROUND AND

aimsAddressing the opioid crisis requires opioid use disorder (OUD) prevalence estimates at the community level for targeted interventions. This study presents a new method that utilizes Medicaid claims data and publicly available data to estimate OUD prevalence at the United States (US) county level and compares it with other existing estimates. DESIGN, SETTING AND

participantsThis study utilized data on OUD diagnoses among Medicaid beneficiaries in combination with national survey data, Census data and published literature to estimate the prevalence of OUD (including undiagnosed OUD) in each of the US state of Ohio's 88 counties for the years 2019 to 2021 among the population aged 12 years and older. Prevalence estimates were adjusted for misclassification in claims data and for variation in healthcare utilization among individuals with OUD. MEASUREMENTS: Counts and proportions of the population aged 12 and older with OUD at the US state and county level.

findingsOUD prevalence for Ohioans aged 12 years and older was relatively stable at 3.6% [95% uncertainty interval (UI) = 3.5%-3.8%] in 2019 and 3.7% (95% UI = 3.5%-3.9%) in 2021. County-level prevalence estimates ranged from 0.7% to 14.2% in 2021. Southern counties generally had higher OUD prevalence than northern counties. The prevalence estimates were strongly correlated (Pearson's r = 0.88) with prevalence estimates for 19 Ohio counties from a previous study. Compared with the previous estimates, estimates from the current study tended to be lower for most communities but remained within the 95% credible intervals of previous estimates.

conclusionsThis approach for estimating opioid use disorder prevalence within United States communities by using Medicaid claims data and publicly available data is a robust alternative to methods relying on individual-level data or multiple linked datasets.

Indexed as

MedicaidOpioid-Related DisordersAdolescentAdultAgedChildFemaleHumansInformation SourcesMaleMiddle AgedOhioPrevalenceUnited StatesYoung Adultcountyindirect estimationMedicaidOhioopioid use disorderprevalence

Identifiers

PMID41327963
PMCPMC12983364

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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.