BACKGROUND: Chronic medical diseases require regular and longitudinal care and self-management for effective treatment. When @entity102 include @entity734 , care and treatment of both the medical and addiction disorders may affect access to care and the ability to focus on both conditions. The objective of this paper is to evaluate the association between the presence of chronic medical disease and recent addiction treatment utilization among adults with @entity734 . METHODS: Cross-sectional secondary data analysis of self-reported baseline data from @entity167 and/or drug-dependent adults enrolled in a randomized clinical trial of a disease management program for @entity734 in primary care. The main independent variable was chronic medical disease status, categorized using the Katz Comorbidity Score as none, single condition of lower severity, or higher severity (multiple conditions or single higher severity condition), based on comorbidity scores determined from self-report. @entity565 was also examined in secondary analyses. The primary outcome was any self-reported addiction treatment utilization (excluding detoxification) in the 3 months prior to study entry, including receipt of any addiction-focused counseling or addiction medication from any healthcare provider. @entity2357 models were adjusted for sociodemographics, type of @entity734 , recruitment site, current smoking, and recent @entity148 severity. RESULTS: Of 563 subjects, 184 (33%) reported any @entity102 (20% low severity; 13% higher severity) and 111 (20%) reported @entity565 ; 157 (28%) reported any addiction treatment utilization in the past 3 months. In multivariate regression analyses, no significant effect was detected for @entity102 on addiction treatment utilization (adjusted odds ratio [AOR] 0.88 lower severity vs. none, 95% confidence interval (CI): 0.60, 1.28; AOR 1.29 higher severity vs. none, 95% CI: 0.89, 1.88) nor for @entity565 . CONCLUSIONS: In this cohort of @entity167 and drug dependent @entity1 , there was no significant effect of chronic medical disease on recent addiction treatment utilization. @entity102 may not hinder or facilitate connection to addiction treatment.

XXXX and recent addiction treatment utilization among @entity167 and drug dependent adults.

@entity1 :: ('9606', 'Species') :: ['persons'] @entity167 :: ('CHEBI:16236', 'Chemical') :: ['alcohol'] @entity565 :: ('MESH:D001249', 'Disease') :: ['asthma', 'Asthma'] @entity102 :: ('MESH:D002908', 'Disease') :: ['chronic disease', 'Chronic disease', 'chronic diseases'] @entity2357 :: ('MESH:C537770', 'Disease') :: ['Logistic regression'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety'] @entity734 :: ('MESH:D019966', 'Disease') :: ['substance dependence', 'substance use disorders']
@entity102 :: (MESH:D002908,Disease) :: ['Chronic disease']
