Experiences of Aging with Opioid Use Disorder and Comorbidity in Opioid Treatment Programs: A Qualitative Analysis

The number of older adults entering opioid treatment programs (OTPs) to treat opioid use disorder (OUD) is increasing. However, the lived experiences of aging in OTPs have not been examined. To explore the aging experience with OUD and barriers to medical care for older adults who receive care in OTPs. From November 2021 to July 2022, we conducted 1-to-1, semi-structured qualitative interviews in English and Spanish, audio-recorded, transcribed, systematically coded, and analyzed to identify key themes regarding the challenges of aging with OUD and managing chronic diseases. Thirty-six adults aged ≥ 55 enrolled in OTPs in San Diego, California. A descriptive qualitative approach was used. Major themes and subthemes were identified through thematic analysis until thematic saturation was reached. All participants were on methadone and had a mean age of 63.4 (SD 5.1) years; 11 (30.6