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Health Center Visits by Adults With Opioid Use Disorder: United States, 2023
NCHS Data Brief
|February 12, 2026
Summary
Adults with opioid use disorder (OUD) visited health centers at a rate of 4.8 per 1,000 in 2023. Many visits also involved nicotine use disorder and mental health conditions, with nearly half receiving buprenorphine prescriptions.
Area of Science:
- Public Health
- Health Services Research
- Substance Use Disorders
Background:
- Health centers are crucial for primary care in underserved areas.
- Opioid Use Disorder (OUD) presents complex health needs requiring integrated care.
- Understanding health center utilization by OUD patients is vital for service planning.
Purpose of the Study:
- To determine the visit rates and characteristics of health center care for adults with Opioid Use Disorder (OUD).
- To identify demographic patterns and co-occurring conditions among OUD patients in health centers.
- To examine treatment modalities, such as buprenorphine prescriptions, within these visits.
Main Methods:
- Utilized data from the 2023 National Ambulatory Medical Care Survey (NAMCS) Health Center Component.
- Included federally qualified health centers (FQHCs) and FQHC look-alikes across all 50 U.S. states and D.C.
- Employed weighting to ensure nationally representative estimates of health center visits.
Main Results:
- The health center visit rate for adults with OUD was 4.8 per 1,000 adults in 2023.
- Visit rates were highest for ages 25-49 (7.7) and lowest for ages 18-24 (0.8).
- Co-occurring nicotine use disorder (29.0%), mood disorders, and anxiety disorders were common. Nearly half (49.6%) received buprenorphine prescriptions.
Conclusions:
- Health centers serve a significant number of adults with OUD, particularly middle-aged adults.
- Integrated care for OUD often involves co-occurring substance use and mental health conditions.
- Buprenorphine is frequently prescribed, indicating its role in OUD treatment within health centers.
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