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Table 2 Sociodemographic, substance use and treatment variables associated with greater perceived difficulty in accessing SUD treatment (n = 1097)

From: Factors associated with patient-reported experiences and outcomes of substance use disorder treatment in Cape Town, South Africa

Variable

Poor performance on SAATSA Access Scale

n (%)

Unadjusted association

Adjusted association

ORa

95% CIb

aORc

95% CI

Gender

 Male

318 (39.1)

Reference

 

Reference

 

 Female

99 (35.0)

0.84

0.59–1.19

0.89

0.69–1.27

Race

 Black African

44 (57.1)

Reference

 

Reference

 

 Colouredd

308 (34.9)

0.22

0.12–0.40***

0.23

0.11–0.51***

 White

60 (41.6)

0.34

0.21–0.57***

0.28

0.11–0.71**

 Indian

5 (47.6)

1.24

0.10–14.96

1.24

0.11–12.70

 Age (M, SE) in years

33.7 (0.58)

1.01

0.99–1.03

0.98

0.96–1.00

Education

 Not completed school

174 (33.0)

0.66

0.41–1.07

–

 

Employment

 Employed

127 (44.2)

1.42

0.99–2.05

1.13

0.71–1.75

 Comorbid physical noncommunicable disease

56 (50.0)

1.84

1.26–2.70***

1.84

0.99–3.52

 Comorbid mental health

51 (51.0)

1.92

1.01–3.88*

1.91

1.16–3.14**

Primary substance

 Stimulants

145 (35.1)

0.58

0.40–0.84**

0.84

0.46–1.58

 Heroin

96 (36.5)

0.51

0.35–0.74**

1.03

0.45–2.36

 Cannabis

23 (32.1)

0.61

0.38–0.98*

0.81

0.40–1.62

 Methaqualone

34 (40.0)

0.71

0.35–1.44

1.04

0.43–2.23

 Alcohol

73 (48.3)

Reference

 

Reference

 

 Polysubstance use

227 (35.0)

1.32

1.01–1.75*

1.26

0.89–1.79

 Chronicity: years of use (M, SE)

15.12 (0.79)

1.02

1.00–1.03*

1.02

1.02–1.05**

Frequency of use

 Daily

276 (35.7)

2.41

0.52–1.10

–

 

 2–6 times per week

84 (42.2)

3.17

0.69–14.57

  

 Weekly

10 (37.0)

2.54

0.53–12.28

  

 Monthly

3 (18.8)

Reference

   

 Prior SUD treatment No

190 (37.7)

Reference

   

 Yes

227 (38.2)

1.02

0.79–1.32

–

 

Treatment intensity

 Outpatient

215 (31.6)

Reference

 

Reference

 

 Residential

202 (48.4)

2.03

1.40–2.96**

1.69

1.08–2.64**

State-funded treatment

 Yes

286 (34.3)

0.53

0.29–0.96*

0.90

0.53–1.54

 No

131 (49.8)

Reference

 

Reference

 
  1. aOR odds ratio, b95% CI 95% confidence interval; cAOR adjusted odds ratio; d“ Coloured” refers to people of mixed race ancestry- a designated population group in South Africa
  2. * significant at p < 0.05, ** significant at p < 0.01, ***significant at p < 0.001
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Addiction Science & Clinical Practice

ISSN: 1940-0640