{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T17:56:53Z","timestamp":1794333413830,"version":"4.9.0"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,8,15]],"date-time":"2023-08-15T00:00:00Z","timestamp":1692057600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Addict"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Only 10% of Americans with substance use disorders (SUDs) receive treatment with insufficient treatment access and screening practices proposed and potential contributing factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cross\u2010sectional study used National Survey on Drug Use and Health (NSDUH) data to assess individuals with SUDs receiving treatment between 2016 and 2019 (survey <jats:italic>n<\/jats:italic>\u2009=\u200912,111; weighted <jats:italic>n<\/jats:italic>\u2009=\u200912,394,214). Demographic, access, and screening characteristics were investigated as predictors of treatment receipt using time\u2010series logistic regression analyses to test trends and assessed treatment receipt odds, controlling for demographic and treatment characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For those with past\u2010year SUDs, 13.0% reported receiving past\u2010year SUD treatment (survey <jats:italic>n<\/jats:italic>\u2009=\u20091605; weighted <jats:italic>n<\/jats:italic>\u2009=\u20091,612,154). The SUD treatment receipt rate remained statistically stable from 2016 to 2019, with a nonsignificant treatment receipt trend declining from 14% to 12%. Treatment changes were notable among Native Americans (+53.80%), Pacific Islanders (+94.10%), multiracial (\u221259.96%), ages 65+ (\u221270.18%), and ages 12\u221217 (\u221250.70%). In the regression model, race, sex, age, insurance status, and receiving mental health treatment were associated with SUD treatment receipt.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>The treatment gap remains substantial and stable. Annually, about 87% of Americans with SUDs are not receiving the treatment they need. Asian Americans were less likely and those attending general mental health services were more likely to receive treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Scientific Significance<\/jats:title><jats:p>We present an updated SUD treatment gap evaluation, and identify access and screening characteristics associated with SUD treatment receipt. Policymakers, clinicians, and researchers must continue improving access and identification of those in need of care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajad.13465","type":"journal-article","created":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T05:04:52Z","timestamp":1692421492000},"page":"36-47","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Evaluating the substance use disorder treatment gap in the United States, 2016\u22122019: A population health observational study"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4269-4800","authenticated-orcid":false,"given":"Ethan","family":"Sahker","sequence":"first","affiliation":[{"name":"Graduate School of Medicine, Population Health and Policy Research Unit, Medical Education Center Kyoto University  Kyoto Japan"},{"name":"Department of Health Promotion and Human Behavior, Graduate School of Medicine\/School of Public Health Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Pro","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Health Education, Southern Public Health and Criminal Justice Research Center, Fay W. Boozman College of Public Health University of Arkansas for Medical Sciences  Little Rock Arkansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hemant","family":"Poudyal","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Population Health and Policy Research Unit, Medical Education Center Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshi A.","family":"Furukawa","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Human Behavior, Graduate School of Medicine\/School of Public Health Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,15]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"United Nations Office on Drugs and Crime. 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