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FAIR Well being Releases Report on Substance Use Issues, Overdoses Earlier than, Throughout Pandemic

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One of many key findings of the report is that 42 states noticed a rise within the proportion of sufferers with opioid and opioid-like drug overdoses in contrast with the whole variety of sufferers utilizing medical providers by state.

In yearly of the interval 2016-2021, males accounted for 62% to 63% of the gender distribution of sufferers with a substance use dysfunction prognosis, whereas females made up 37% to 38%, in keeping with a brand new white paper from FAIR Well being .

In yearly of the identical interval, females accounted for 60% to 61% of the gender distribution of sufferers with an overdose prognosis, whereas males made up 39% to 40%. The white paper, launched Tuesday, is entitled A Comparability of Substance Use Issues earlier than and throughout the COVID-19 Pandemic: A Examine of Non-public Healthcare Claims.

On this report, drawing on the nation’s largest repository of personal healthcare claims, FAIR Well being analyzes substance use problems and overdoses previous to the COVID-19 pandemic as in contrast with throughout the pandemic. Traits within the share of sufferers with a substance use dysfunction or overdose prognosis are analyzed, in addition to such elements as age, gender, incidence, related substances, states, preexisting psychological well being circumstances, venues of care and supplier specialties.

Among the many key findings:

From 2019 to 2021, 42 states noticed a rise within the proportion of sufferers with opioid and opioid-like drug overdoses in contrast with the whole variety of sufferers utilizing medical providers by state. The will increase ranged from 148.4% in Pennsylvania to 0.7% in Minnesota.

Throughout the pandemic, the proportion of sufferers with a substance use dysfunction prognosis decreased by 4.4%, from 3.5% of all sufferers in 2019 (pre-pandemic) to three.4% in 2021 (throughout the pandemic). However in a single age group, these 65 and older, the proportion of sufferers with a substance use dysfunction prognosis elevated 5.3%, from 3.3% of all sufferers in that age group in 2019 to three.5% in 2021.

The share of sufferers with an overdose prognosis elevated 4.3%, from 0.56% of all sufferers in 2019 to 0.59% in 2021 (FIGURE 1).

FIGURE 1. P.c of Sufferers With an Overdose Analysis, 2016-2021

Alcohol and opioids had been the highest 2 substances related to substance use problems all through the 2019-2021 timeframe. Substance use problems involving alcohol, nevertheless, elevated over that interval from 47% to 52% of the distribution, whereas opioids fell from 25% of the distribution to 21%.

From 2016 to 2021, the share of sufferers with substance use problems involving using stimulants (eg, amphetamines, methamphetamines) rose 36.4%, from 0.046% of all sufferers to 0.063%; this share elevated these of alcohol, opioids and hashish.

In 2021, the proportion of sufferers with an preliminary prognosis of substance use dysfunction or overdose elevated month over month in contrast with the two prior years.

In 2019 and 2021, New Mexico was the state with the very best proportion of sufferers with a substance use dysfunction or overdose prognosis.

From 2019 to 2021, Nebraska was the state with the best enhance within the proportion of sufferers with a substance use dysfunction prognosis. Maryland was the state with the best enhance within the proportion of sufferers with an overdose prognosis.

Sixty-five p.c of sufferers who had a substance use dysfunction or overdose prognosis in 2021 had a preexisting psychological well being situation. Generalized nervousness dysfunction and main depressive dysfunction, in that order, had been the two most typical psychological well being diagnoses on this inhabitants in 2021.

The share of substance use dysfunction providers rendered by way of telehealth rose from 0.3% in 2019 to 11.3 p.c in 2020, then dropped to 9.3 p.c in 2021 (FIGURE 2).

FIGURE 2. Distribution of Substance Use Dysfunction Declare Strains by Venue of Care, 2019-2021

Psychiatrists’ share of substance use dysfunction declare traces elevated 112.4%, from 3.9% in 2016 to eight.3% in 2021.

This research is the newest in a collection of FAIR Well being research on the COVID-19 pandemic. The brand new research additionally builds upon a collection of white papers launched by FAIR Well being involving substance use problems, particularly opioid abuse and dependence. Earlier entries in that collection embrace:

  • The Opioid Disaster among the many Privately Insured
  • The Affect of the Opioid Disaster on the Healthcare System
  • Peeling Again the Curtain on Regional Variation within the Opioid Disaster
  • Opioid Abuse and Dependence

For the brand new white paper, click on right here.

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