Original Investigation

Travel Time to Methadone Treatment Via Personal Vehicle vs Public Transit

JAMA Network Open 10.1001/jamanetworkopen.2025.57361

February 03, 2026 at 11:00 AM EST

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How does transportation access to methadone treatment for opioid use disorder via personal vehicle vs public transit vary across different demographic groups?This cross-sectional study estimated travel time for 2702 census block groups in Connecticut to the nearest opioid treatment program via personal vehicle vs public transit. Median travel times from the census block groups with the highest per-capita overdose death rates were 8.2 minutes by personal vehicle and 37.6 minutes by public transit, with 34% lacking adequate public transit access.These findings suggest that transportation access to methadone treatment via public transit is poor and that areas with high overdose death rates, low car ownership, and high public transit travel times should be targets for interventions to lower travel-based barriers to methadone treatment.

Corresponding Author: Benjamin A. Howell, MD, MPH, MHS, General Internal Medicine, Yale School of Medicine, PO Box 208088, New Haven, CT 06520 (benjamin.howell@yale.edu).

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