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Characteristics and Correlates of Fentanyl Preferences Among People with Opioid Use Disorder by Karli R. Hochstatter; Mishka Terplan; Shannon Gwin Mitchell; Robert P. Schwartz; Kristi Dusek; Kim Wireman; Jan Gryczynski is a Medicine article available to read on EtoBox.

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## Objectives: Fentanyl has come to dominate the u.s. illicit opioid supply. we aimed to characterize and examine correlates of preferences for fentanyl vs. other opioids among individuals starting oud treatment. ## Methods: We interviewed 250 adults initiating buprenorphine treatment with positive fentanyl toxicology at intake. we characterized opioid preferences and examined bivariate associations between opioid preference (preference for heroin, fentanyl, heroin-fentanyl mix, or other opioid) and sociodemographic characteristics, psychosocial factors, and substance use behaviors. we then used multinomial logistic regression to examine factors independently associated with fentanyl preferences. ## Results: Over half (52.0 %) of participants preferred fentanyl (21.2 % fentanyl alone, 30.8 % heroin-fentanyl mix). in bivariate comparisons, participants who preferred fentanyl were a higher acuity group with respect to risks and problems in general. in the multinomial logistic regression, people who preferred fentanyl, either alone or mixed with heroin, used non-prescribed buprenorphine less in the 30 days preceding treatment entry compared to people who preferred heroin or other opio

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Author

Karli R. Hochstatter; Mishka Terplan; Shannon Gwin Mitchell; Robert P. Schwartz; Kristi Dusek; Kim Wireman; Jan Gryczynski

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Health Sciences)