Abstract

Increasing mortality from opioid overdose and low treatment engagement are significant public health concerns. Along with increasing health care and criminal justice enforcement costs, there is an urgent need to study the factors associated with treatment retention in opioid use disorder. The study investigated the relative impact of the biomarker cholesterol on treatment retention in an opioid treatment program (OTP) clinic. Further, it examined the medical comorbidities, treatment, and socio-demographic variables that impact opioid use disorder treatment retention. This study was a secondary analysis of patient health records (n=267) in an opioid treatment program clinic. The study employed a hierarchical logistic regression of three models to test the relationship of treatment retention with a cholesterol biomarker, treatment, and socio-demographic factors. This study finds that cholesterol affects positively and significantly opioid treatment retention across three domains.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 29395246; ProQuest document ID: 2725256645. The author still retains copyright.

Author Details

Fernand A. De Los Reyes, PhD, RN, PMH-BC

Sigma Membership

Alpha Phi

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Opioid Use Disorder, Socio-Demographic Factors, Opioid Treatment Programs

Advisor

Martha V. Whetsell

Second Advisor

Juan Battle

Third Advisor

Steven L. Baumann

Fourth Advisor

Sr. Callista Roy

Degree

PhD

Degree Grantor

The City University of New York

Degree Year

2022

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-12-02

Full Text of Presentation

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