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Using multivariable mixed\u2010effect regression models, we examined associations between participant technology access and SUD treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Of 3,026 participants, 71% used heroin and 76% used methamphetamine. Thirty\u2010five percent had no cell phone and 10% had no prior 30\u2010day internet use. Having both a cell phone and the internet was associated with increased days of medication for opioid use disorder (MOUD) use (aIRR 1.29 [95% CI 1.11\u20101.52]) and a higher likelihood of SUD counseling in the prior 30 days (aOR 1.28 [95% CI 1.05\u20101.57]). Lack of cell phone was associated with decreased days of MOUD (aIRR 0.77 [95% CI 0.66\u20100.91]) and a lower likelihood of prior 30\u2010day SUD counseling (aOR 0.77 [95% CI 0.62\u20100.94]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Expanding US rural SUD treatment engagement via telemedicine may require increased cell phone and mobile network access.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12737","type":"journal-article","created":{"date-parts":[[2022,12,28]],"date-time":"2022-12-28T03:34:36Z","timestamp":1672198476000},"page":"772-779","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Substance use disorder treatment and technology access among people who use drugs in rural areas of the United States: A cross\u2010sectional survey"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8373-1444","authenticated-orcid":false,"given":"Dana","family":"Button","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine and Geriatrics, Department of Medicine, Section of Addiction Medicine Oregon Health &amp; Science University Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ximena A.","family":"Levander","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Geriatrics, Department of Medicine, Section of Addiction Medicine Oregon Health &amp; Science University Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan R.","family":"Cook","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Geriatrics, Department of Medicine, Section of Addiction Medicine Oregon Health &amp; Science University Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William C.","family":"Miller","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, College of Public Health The Ohio State University Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth M.","family":"Salisbury\u2010Afshar","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Community Health, School of Medicine and Public Health University of Wisconsin Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith I.","family":"Tsui","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umedjon","family":"Ibragimov","sequence":"additional","affiliation":[{"name":"Rollins School of Public Health Emory University Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6389-0421","authenticated-orcid":false,"given":"Wiley D.","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Department of Population Science and Policy Southern Illinois University School of Medicine Springfield Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan P.","family":"Westergaard","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Medicine and Public Health University of Wisconsin Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. 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