Gender differences in demographic and clinical characteristics of patients with opioid use disorder entering a comparative effectiveness medication trial

Am J Addict. 2018 Sep;27(6):465-470. doi: 10.1111/ajad.12784. Epub 2018 Aug 14.

Abstract

Background & objectives: We investigated gender differences in individuals with opioid use disorder (OUD) receiving inpatient services and entering a randomized controlled trial comparing extended-release naltrexone to buprenorphine.

Methods: Participants (N = 570) provided demographic, substance use, and psychiatric information.

Results: Women were significantly younger, more likely to identify as bisexual, live with a sexual partner, be financially dependent, and less likely employed. Women reported significantly greater psychiatric comorbidity and risk behaviors, shorter duration but similar age of onset of opioid use.

Discussion/conclusions: Findings underscore economic, psychiatric, and infection vulnerability among women with OUD.

Scientific significance: Interventions targeting these disparities should be explored, as women may face complicated treatment initiation, retention, and recovery. (Am J Addict 2018;27:465-470).

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Buprenorphine* / administration & dosage
  • Buprenorphine* / adverse effects
  • Comorbidity
  • Demography
  • Diagnosis, Dual (Psychiatry) / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Naltrexone* / administration & dosage
  • Naltrexone* / adverse effects
  • Narcotic Antagonists / administration & dosage
  • Narcotic Antagonists / adverse effects
  • Opioid-Related Disorders* / diagnosis
  • Opioid-Related Disorders* / drug therapy
  • Opioid-Related Disorders* / epidemiology
  • Opioid-Related Disorders* / psychology
  • Risk-Taking
  • Sex Factors*

Substances

  • Narcotic Antagonists
  • Buprenorphine
  • Naltrexone