Among 5547 adult patients, 374 (4.5%) had current evidence of DUD. The most common DUDs were cannabis (63.0%), sedative (16.8%), stimulant (14.1%), cocaine (13.7%), and opioid use disorder (7.7%). Two hundred ninety-three individuals (85.3%) had a single DUD, while 81 (14.7%) had DUDs involving two or more substances, most often cannabis (N = 49). Table 1 summarizes drug use disorders, demographic characteristics including clinic type, and health status differences between those with and without DUD.
Half (49.7%) of those with a DUD reported discussing drug use with a health professional, 35.7% reported wanting or needing treatment, and 28.3% reported receiving treatment for DUD in the past year (Fig. 1). There were no significant differences between CHC and HCH attendees in reporting past-year discussion of drug use with a health care provider (49% vs. 55%, p = 0.54), wanting or needing DUD treatment (33% vs. 53%, p = 0.15), or receiving DUD treatment (26% vs. 45%, p = 0.16).
Of 102 individuals who reported receiving past-year DUD treatment, 63% did so outside of a HRSA health center. Among 41 respondents who wanted but did not receive DUD treatment, the most commonly reported reasons for not obtaining treatment were stigma (69%), skepticism about treatment (14%), and logistical (12%) and financial barriers (5%).