Evidence mapPaperPMID 40523570Full record

ArticleAmerican journal of preventive medicine2025

Social Safety Net Programs: The Relationship With Drug Treatment Among Women.

Sam D Gardner, Shota W Hasui, Sarah Gutkind, Emilie Bruzelius, Megan E Marziali, Nicole D Fitzgerald, Pia M Mauro, Morgan M Philbin, Silvia S Martins

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sam D GardnerDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York; School of Social Work, Columbia University, New York, New York.
Shota W HasuiDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.
Sarah GutkindDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York; Department of Population Health Sciences, Weill Cornell Medicine, New York, New York.
Emilie BruzeliusDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.
Megan E MarzialiDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.
Nicole D FitzgeraldDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.
Pia M MauroDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.
Morgan M PhilbinDivision of Health Equity and Society, Department of Medicine, University of California San Francisco School of Medicine, San Francisco, California.
Silvia S MartinsDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York. Electronic address: ssm2183@cumc.columbia.edu.

Funding

Social safety net programs as interventions to reduce opioid-related harms in reproductive-age womenR01DA059376 · COLUMBIA UNIVERSITY HEALTH SCIENCES · 2025 to 2025
$798k
County incarceration and substance use treatment need, availability, use, and outcomes.R01DA055606 · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · 2025 to 2025
$707k
Substance Abuse Epidemiology Training Program (SAETP) at Columbia UniversityT32DA031099 · COLUMBIA UNIVERSITY HEALTH SCIENCES · 2025 to 2025
$582k
Dissecting the role of loneliness on substance use- and HIV-related outcomes among sexual minority men in the United States and CanadaR36DA061635 · COLUMBIA UNIVERSITY HEALTH SCIENCES · 2025 to 2025
$52k
NIDA NIH HHS K01 DA045224NIDA NIH HHS R01 DA055606NIDA NIH HHS R01 DA059376NIDA NIH HHS R36 DA061635NIDA NIH HHS T32 DA031099
6 · The paper itself

Abstract

introductionSocial safety net programs (e.g., Medicaid and government assistance) may facilitate drug use disorder treatment receipt. This study explored the associations of social safety net programs with drug treatment and medication for opioid use disorder receipt among women with drug use disorder and opioid use disorder, respectively.

methodsData were from the 2022 public-use National Survey on Drug Use and Health (analyzed in 2024) from women aged 18-64 years who met the criteria for past-year DSM-5 drug use disorder (n=2,784) and opioid use disorder (n=458). Odds of past-year drug use disorder treatment among women with drug use disorder and past-year medication for opioid use disorder treatment among women with opioid use disorder were estimated by government assistance and/or Medicaid receipt in primary analyses, followed by secondary categorizations of exposure (any government assistance, number of programs received), using separate logistic regressions, controlling for sociodemographics.

resultsIn primary analyses, women with drug use disorder receiving both Medicaid and government assistance were more likely to report past-year drug use disorder treatment (AOR=2.91; 95% CI=1.60, 5.29) than women receiving neither. Women with past-year opioid use disorder receiving both Medicaid and government assistance were more likely to report medication for opioid use disorder (AOR=3.41; 95% CI=1.01, 11.61) than those receiving neither. Secondary analyses results were in the same direction.

conclusionsLikelihood of drug treatment and medication for opioid use disorder receipt among women with drug use disorder and opioid use disorder, respectively, increased when Medicaid was combined with other forms of government assistance. Treatment costs and other barriers such as lack of insurance, childcare, and employment support are critical determinants of drug treatment; This study's findings suggest that government support programs may help to buffer these known barriers.

Indexed as

MedicaidOpioid-Related DisordersSafety-net ProvidersAdolescentAdultFemaleHumansMiddle AgedUnited StatesYoung Adult

Identifiers

PMID40523570
PMCPMC12354329

What Socratic holds

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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 Socratic graph.