{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T04:46:39Z","timestamp":1791780399185,"version":"4.3.4"},"reference-count":41,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004543","name":"China Scholarship Council","doi-asserted-by":"publisher","award":["202108440067"],"award-info":[{"award-number":["202108440067"]}],"id":[{"id":"10.13039\/501100004543","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and aim<\/jats:title>\n                    <jats:p>Co\u2010occurring chronic pain affects nearly half of people receiving opioid use disorder (OUD) treatment. Although this pain is often severe, it is usually inadequately managed. Stigma and clinical complexity associated with OUD are thought to further restrict access to pain care. This study examined barriers to pain treatment from the perspectives of people with both chronic pain and OUD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A qualitative study was conducted using semi\u2010structured interviews with 20 adults with lived experience of chronic pain and opioid agonist treatment (OAT) (i.e. prescribed methadone or buprenorphine) for OUD, across three sites in Melbourne, Australia. Interviews were conducted in person, between December 2024 and February 2025. Interviews were audio\u2010recorded and transcribed verbatim. NVivo 15 was used to manage and organise the transcripts. Data were analysed using reflexive thematic analysis informed by Levesque\n                      <jats:italic>et al<\/jats:italic>\n                      .\u2019s patient\u2010centred access to healthcare framework.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three interrelated themes were identified regarding barriers to accessing pain care among people with chronic pain and OUD. \u201cMisalignment between health systems and everyday life\u201d highlighted issues such as fragmented service delivery, limited coordination between pain and addiction services, and inconsistent pathways for referral and ongoing care. \u2018Stigma, distrust and exclusion in pain care\u2019 reflected participants' experiences of perceived and enacted stigma within healthcare settings, contributing to reduced help\u2010seeking, delayed disclosure of pain and reluctance to engage with services. \u2018Deprioritised pain care in the context of OAT\u2019 illustrated how pain was often not systematically assessed or treated in addiction\u2010focused care, with OUD frequently taking precedence over pain\u2010related concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pain care for people with opioid use disorder (OUD) appears to be influenced by intersecting structural, social and clinical barriers, including socioeconomic disadvantage and stigma. Pain management is reported as being deprioritised within OUD treatment contexts, with inconsistent attention to the assessment and treatment of chronic pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.70629","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T04:15:53Z","timestamp":1791778553000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Chronic pain treatment experiences and barriers among opioid agonist treatment participants who inject drugs: A qualitative study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9547-7298","authenticated-orcid":false,"given":"Jie","family":"Yang","sequence":"first","affiliation":[{"name":"Monash Addiction Research Centre, Eastern Health Clinical School, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne 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