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DOE OSTI2024

PROVABGS: The Probabilistic Stellar Mass Function of the BGS One-percent Survey

We present the probabilistic stellar mass function (pSMF) of galaxies in the DESI Bright Galaxy Survey (BGS), observed during the One-percent Survey. The One-percent Survey was one of DESI's survey validation programs conducted from 2021 April to May, before the start of the main survey. It used the same target selection and similar observing strategy as the main survey and successfully observed the spectra and redshifts of 143,017 galaxies in the r < 19.5 magnitude-limited BGS Bright sample and 95,499 galaxies in the fainter surface-brightness- and color-selected BGS Faint sample over z < 0.6. We derive pSMFs from posteriors of stellar mass, M*, inferred from DESI photometry and spectroscopy using the Hahn et al. PRObabilistic Value-Added BGS (PROVABGS) Bayesian spectral energy distribution modeling framework. We use a hierarchical population inference framework that statistically and rigorously propagates the M* uncertainties. Furthermore, we include correction weights that account for the selection effects and incompleteness of the BGS observations. We present the redshift evolution of the pSMF in BGS, as well as the pSMFs of star-forming and quiescent galaxies classified using average specific star formation rates from PROVABGS. Overall, the pSMFs show good agreement with previous stellar mass function measurements in the literature. Our pSMFs showcase the potential and statistical power of BGS, which in its main survey will observe >100 × more galaxies. Moreover, we present the statistical framework for subsequent population statistics measurements using BGS, which will characterize the global galaxy population and scaling relations at low redshifts with unprecedented precision.

79 ASTRONOMY AND ASTROPHYSICS↗

DOE OSTI2024

Astrometric Microlensing by Primordial Black Holes with the Roman Space Telescope

Abstract Primordial black holes (PBHs) could explain some fraction of dark matter and shed light on many areas of early-Universe physics. Despite over half a century of research interest, a PBH population has so far eluded detection. The most competitive constraints on the fraction of dark matter comprised of PBHs ( f DM ) in the (10 −9 –10) M ⊙ mass ranges come from photometric microlensing and bound f DM ≲ 10 −2 –10 −1 . With the advent of the Roman Space Telescope with its submilliarcsecond astrometric capabilities and its planned Galactic Bulge Time Domain Survey (GBTDS), detecting astrometric microlensing signatures will become routine. Compared with photometric microlensing, astrometric microlensing signals are sensitive to different lens masses–distance configurations and contain different information, making it a complimentary lensing probe. At submilliarcsecond astrometric precision, astrometric microlensing signals are typically detectable at larger lens–source separations than photometric signals, suggesting a microlensing detection channel of pure astrometric events. We use a Galactic simulation to predict the number of detectable microlensing events during the GBTDS via this pure astrometric microlensing channel. Assuming an absolute astrometric precision floor for bright stars of 0.1 mas for the GBTDS, we find that the number of detectable events peaks at ≈10 3 f DM for a population of 1 M ⊙ PBHs and tapers to ≈10 f DM and ≈100 f DM at 10 −4 M ⊙ and 10 3 M ⊙ , respectively. Accounting for the distinguishability of PBHs from stellar lenses, we conclude the GBTDS will be sensitive to a PBH population at f DM down to ≈10 −1 –10 −3 for (10 −1 –10 2 ) M ⊙ likely yielding novel PBH constraints.

79 ASTRONOMY AND ASTROPHYSICS↗

DOE OSTI2024

Forecasts for Galaxy Formation and Dark Matter Constraints from Dwarf Galaxy Surveys

Abstract The abundance of faint dwarf galaxies is determined by the underlying population of low-mass dark matter (DM) halos and the efficiency of galaxy formation in these systems. Here, we quantify potential galaxy formation and DM constraints from future dwarf satellite galaxy surveys. We generate satellite populations using a suite of Milky Way (MW)–mass cosmological zoom-in simulations and an empirical galaxy–halo connection model, and assess sensitivity to galaxy formation and DM signals when marginalizing over galaxy–halo connection uncertainties. We find that a survey of all satellites around one MW-mass host can constrain a galaxy formation cutoff at peak virial masses of M 50 = 10 8 M ⊙ at the 1 σ level; however, a tail toward low M 50 prevents a 2 σ measurement. In this scenario, combining hosts with differing bright satellite abundances significantly reduces uncertainties on M 50 at the 1 σ level, but the 2 σ tail toward low M 50 persists. We project that observations of one (two) complete satellite populations can constrain warm DM models with m WDM ≈ 10 keV (20 keV). Subhalo mass function (SHMF) suppression can be constrained to ≈70%, 60%, and 50% that in cold dark matter (CDM) at peak virial masses of 10 8 , 10 9 , and 10 10 M ⊙ , respectively; SHMF enhancement constraints are weaker (≈20, 4, and 2 times that in CDM, respectively) due to galaxy–halo connection degeneracies. These results motivate searches for faint dwarf galaxies beyond the MW and indicate that ongoing missions like Euclid and upcoming facilities including the Vera C. Rubin Observatory and Nancy Grace Roman Space Telescope will probe new galaxy formation and DM physics.

79 ASTRONOMY AND ASTROPHYSICS↗

DOE OSTI2024

Distance Estimate Method for Asymptotic Giant Branch Stars Using Infrared Spectral Energy Distributions

We present a method to estimate distances to asymptotic giant branch (AGB) stars in the Galaxy, using spectral energy distributions (SEDs) in the near- and mid-infrared. By assuming that a given set of source properties (initial mass, stellar temperature, composition, and evolutionary stage) will provide a typical SED shape and brightness, sources are color matched to a distance-calibrated template and thereafter scaled to extract the distance. The method is tested by comparing the distances obtained to those estimated from very long baseline interferometry or Gaia parallax measurements, yielding a strong correlation in both cases. Additional templates are formed by constructing a source sample likely to be close to the Galactic center, and thus with a common, typical distance for calibration of the templates. These first results provide statistical distance estimates to a set of almost 15,000 Milky Way AGB stars belonging to the Bulge Asymmetries and Dynamical Evolution (BAaDE) survey, with typical distance errors of ±35%. With these statistical distances, a map of the intermediate-age population of stars traced by AGBs is formed, and a clear bar structure can be discerned, consistent with the previously reported inclination angle of 30° to the GC–Sun direction vector. These results motivate deeper studies of the AGB population to tease out the intermediate-age stellar distribution throughout the Galaxy, as well as determining statistical properties of the AGB population luminosity and mass-loss-rate distributions.

79 ASTRONOMY AND ASTROPHYSICS↗

DOE OSTI2024

Characterizing the γ-Ray Emission from FR0 Radio Galaxies

Abstract FR0 galaxies constitute the most abundant jet population in the local Universe. With their compact jet structure, they are broadband photon emitters and have been proposed as multimessenger sources. Recently, these sources have been detected for the first time inγrays. Using a revised FR0 catalog, we confirm that the FR0 population as a whole areγ-ray emitters, and we also identify two significant sources. For the first time, we find a correlation between the 5 GHz core radio luminosity andγ-ray luminosity in the 1–800 GeV band, having a 4.8σstatistical significance. This is clear evidence that the jet emission mechanism is similar in nature for FR0s and the well-studied canonical FR (FRI and FRII) radio galaxies. Furthermore, we perform broadband spectral energy distribution modeling for the significantly detected sources as well as the subthreshold source population using a one-zone synchrotron self-Compton model. Within the maximum jet power budget, our modeling shows that the detectedγrays from the jet can be explained as inverse Compton photons. To explain the multiwavelength observations for these galaxies, the modeling results stipulate a low bulk Lorentz factor and a jet composition far from equipartition, with the particle energy density dominating over the magnetic field energy density.

Astronomy & Astrophysics↗

DOE OSTI2024

A Strong Gravitational Lens Is Worth a Thousand Dark Matter Halos: Inference on Small-scale Structure Using Sequential Methods

Strong gravitational lenses are a singular probe of the Universe’s small-scale structure—they are sensitive to the gravitational effects of low-mass (<10 10 M ⊙ ) halos even without a luminous counterpart. Recent strong-lensing analyses of dark matter structure rely on simulation-based inference (SBI). Modern SBI methods, which leverage neural networks as density estimators, have shown promise in extracting the halo-population signal. However, it is unclear whether the constraints from these models are limited by the methodology or the data. In this study, we introduce an accelerator-optimized simulation pipeline that can generate lens images with realistic subhalo populations in milliseconds. Leveraging this simulator, we identify the main limitation of our fiducial SBI analysis: training set size. We then adopt a sequential neural posterior estimation (SNPE) approach, allowing us to refine the training distribution to align with the observed data. Using only one-fifth as many mock Hubble Space Telescope images, SNPE matches the constraints on the low-mass halo population produced by our best nonsequential model. Our experiments suggest that an over 3 order-of-magnitude increase in training set size and GPU hours would be required to achieve an equivalent result without sequential methods. While the full potential of the existing lens sample remains to be explored, the notable improvement in constraining power enabled by our sequential approach highlights that current constraints are limited primarily by methodology and not the data itself. Moreover, our results emphasize the need to treat training set generation and model optimization as interconnected stages of any cosmological analysis using SBI.

79 ASTRONOMY AND ASTROPHYSICS↗

DOE OSTI2025

The Roman View of Strong Gravitational Lenses

Galaxy–galaxy strong gravitational lenses can constrain dark matter models and the Lambda cold dark matter cosmological paradigm at subgalactic scales. Currently, there is a dearth of images of these rare systems with high signal-to-noise ratio (SNR) and angular resolution. The Nancy Grace Roman Space Telescope (hereafter Roman), scheduled for launch in late 2026, will play a transformative role in strong-lensing science with its planned wide-field surveys. With its remarkable 0.281 square degree field of view and diffraction-limited angular resolution of ~0$^{''}_.$1, Roman is uniquely suited to characterizing dark matter substructure from a robust population of strong lenses. We present a yield simulation of detectable strong lenses in Roman’s planned High Latitude Wide Area Survey (HLWAS). We simulate a population of galaxy–galaxy strong lenses across cosmic time with cold dark matter subhalo populations, select those detectable in the HLWAS, and generate simulated images accounting for realistic Wide Field Instrument detector effects. For a fiducial case of single 146 s exposures, we predict around 160,000 detectable strong lenses in the HLWAS, of which about 500 will have sufficient SNR to be amenable to detailed substructure characterization. We investigate the effect of variation of the point-spread function across Roman’s field of view on detecting individual subhalos and the suppression of the subhalo mass function at low masses. Our simulation products are available to support strong-lens science with Roman, such as training neural networks and validating dark matter substructure analysis pipelines.

79 ASTRONOMY AND ASTROPHYSICS↗

DOE OSTI2025

SAGAbg. III. Environmental Stellar Mass Functions, Self-quenching, and the Stellar-to-halo Mass Relation in the Dwarf Galaxy Regime

Recent efforts have extended our view of the number and properties of satellite galaxies beyond the Local Group firmly down to M ⋆ ∼ 10 6 M ⊙ . A similarly complete view of the field dwarf population has lagged behind. Using the background galaxy sample from the Satellites Around Galactic Analogs (SAGA) survey at z < 0.05, we take inventory of the dwarf population down to M ⋆ ∼ 5 × 10 6 M ⊙ using three metrics: the stellar mass function (SMF) as a function of environment, the stellar-to-halo mass relation (SHMR) of dwarf galaxies inferred via abundance matching, and the quenched fraction of highly isolated dwarfs. We find that the low-mass SMF shape shows minimal environmental dependence, with the field dwarf SMF described by a low-mass power-law index of α 1 = −1.44 ± 0.09 down to M ⋆ ∼ 5 × 10 6 M ⊙ , and that the quenched fraction of isolated dwarfs drops monotonically to f q ∼ 10 −3 at M ⋆ ∼ 10 8.5 M ⊙ . Though slightly steeper than estimates from H I kinematic measures, our inferred SHMR agrees with literature measurements of satellite systems, consistent with minimal environmental dependence of the SHMR in the probed mass range. Finally, although most contemporary cosmological simulations against which we compare accurately predict the SAGAbg-SMF SHMR, we find that big-box cosmological simulations largely overpredict isolated galaxy quenched fractions via a turnaround in f q (M ⋆ ) at 10 8 ≲ M ⋆ /M ⊙ ≲ 10 9 , underscoring the complexities in disentangling the drivers of galaxy formation and the need for systematic multidimensional observations of the dwarf population across environments.

Kado-Fong, Erin [Yale Univ., New Haven, CT (United↗

DOE OSTI2026

The Kinematically Hot, Extremely Metal-poor C-19 Stellar Stream in DESI DR2

Stellar streams are the result of a host galaxy’s gravitational potential tidally disrupting satellite dwarf galaxies and globular clusters (GCs), causing them to grow leading and trailing tidal tails. The C-19 stellar stream is an extremely metal-poor stellar population, showing chemical abundance patterns characteristic of a GC. However, its large velocity dispersion is difficult to reconcile with a conventional, purely baryonic, disrupting-GC progenitor. Current techniques for stream characterization are primarily applied to Gaia DR3, relying heavily on proper-motion measurements. Using the Dark Energy Spectroscopic Instrument (DESI), which provides radial velocities and metallicities for over 10 million stars and reaches significantly fainter magnitudes than comparable surveys, we employ a mixture model approach to jointly characterize stream populations in proper motions, radial velocities, and metallicities against a Milky Way halo background. By applying this framework to the C-19 stellar stream, we identify a total of 47 spectroscopically confirmed member stars, of which 41 are newly identified and only 6 were previously reported in the literature. In this work, we measure a velocity dispersion of $7.8^{+1.5}_{-1.3}$km s −1 and a mean metallicity of [Fe/H] = $-3.36^{+0.12}_{-0.10}$. We further identify a novel “spur” feature within the stream. We conclude that our measurements are in line with previous works identifying C-19 as a “hot,” metal-poor stream. In forthcoming work, we will apply this approach to many more streams in the DESI footprint, enabling population-level comparisons with predictions from simulations.

Mohammed, Nasser [University of Toronto; Dunlap In↗

DOE OSTI2025

LandScan Global 2024

The LandScan program is excited to share LandScan 2024, the latest annual update of a global gridded population dataset at 30 arc-second resolution that serves as foundational GEOINT Human Geography data. Substantial changes were continued from last year in the new ML methodological approach with the goal to retain the knowledge and expertise represented through improvements with each annual release over the past quarter century. Through these annual releases, Oak Ridge National Laboratory (ORNL) has consistently produced the most accurate global gridded population data, reflecting both ambient and unwarned population patterns that meet the United States Department of Defense (U.S. DoD) requirements. Additionally, the dataset is used widely across various U.S. government programs and is released publicly through an NGA and ORNL collaborative open portal (https://LandScan.ornl.gov) to expand its availability to researchers, humanitarian organizations, and the public at large.

Lebakula, Viswadeep [ORNL] (ORCID:0000000152935914↗

DOE OSTI2024

Measurement report: A comparison of ground-level ice-nucleating-particle abundance and aerosol properties during autumn at contrasting marine and terrestrial locations

Abstract. Ice-nucleating particles (INPs) are an essential class of aerosols found worldwide that have far-reaching but poorly quantified climate feedback mechanisms through interaction with clouds and impacts on precipitation. These particles can have highly variable physicochemical properties in the atmosphere, and it is crucial to continuously monitor their long-term concentration relative to total ambient aerosol populations at a wide variety of sites to comprehensively understand aerosol–cloud interactions in the atmosphere. Hence, our study applied an in situ forced expansion cooling device to measure ambient INP concentrations and test its automated continuous measurements at atmospheric observatories, where complementary aerosol instruments are heavily equipped. Using collocated aerosol size, number, and composition measurements from these sites, we analyzed the correlation between sources and abundance of INPs in different environments. Toward this aim, we have measured ground-level INP concentrations at two contrasting sites, one in the Southern Great Plains (SGP) region of the United States with a substantial terrestrially influenced aerosol population and one in the Eastern North Atlantic Ocean (ENA) region with a primarily marine-influenced aerosol population. These measurements examined INPs mainly formed through immersion freezing and were performed at a ≤ 12 min resolution and with a wide range of heterogeneous freezing temperatures (Ts above −31 °C) for at least 45 d at each site. The associated INP data analysis was conducted in a consistent manner. We also explored the additional offline characterization of ambient aerosol particle samples from both locations in comparison to in situ data. From our ENA data, on average, INP abundance ranges from ≈ 1 to ≈ 20 L−1 (−30 °C ≤ T ≤ −20 °C) during October–November 2020. Backward air mass trajectories reveal a strong marine influence at ENA with 75.7 % of air masses originating over the Atlantic Ocean and 96.6 % of air masses traveling over open water, but analysis of particle chemistry suggests an additional INP source besides maritime aerosols (e.g., sea spray aerosols) at ENA. In contrast, 90.8 % of air masses at the SGP location originated from the North American continent, and 96.1 % of the time, these air masses traveled over land. As a result, organic-rich SGP aerosols from terrestrial sources exhibited notably high INP abundance from ≈ 1 to ≈ 100 L−1 (−30 °C ≤ T ≤ −15 °C) during October–November 2019. The probability density function of aerosol surface area-scaled immersion freezing efficiency (ice nucleation active surface site density; ns) was assessed for selected freezing temperatures. While the INP concentrations measured at SGP are higher than those of ENA, the ns(T) values of SGP (≈ 105 to ≈ 107 m−2 for −30 °C ≤ T ≤ −15 °C) are reciprocally lower than ENA for approximately 2 orders of magnitude (≈ 107 to ≈ 109 m−2 for −30 °C ≤ T ≤ −15 °C). The observed difference in ns(T) mainly stems from varied available aerosol surface areas, Saer, from two sites (Saer,SGP > Saer,ENA). INP parameterizations were developed as a function of examined freezing temperatures from SGP and ENA for our study periods.

54 ENVIRONMENTAL SCIENCES↗

DOE OSTI2026

Chronic obstructive pulmonary disease among former United States Department of Energy workers: comorbidities and lung function changes

Chronic Obstructive Pulmonary Disease (COPD) is a major cause of morbidity and mortality in the United States and is frequently associated with multiple comorbidities which lead to poor COPD outcomes in the general population. However, little is known regarding COPD comorbidities in occupational cohorts whose exposure experiences could result in differences in comorbidities compared to the general population. These differences may also be important for assessing COPD outcomes such as lung function changes or decline. Therefore, the objectives of this study were to: (1) identify and describe clusters of COPD comorbidities among Department of Energy (DOE) former workers; (2) assess if the attributes of the identified clusters differ from those identified among the general population based on the published literature, and (3) identify predictors of lung function changes and decline among DOE former workers.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2026

The Kinematically Hot, Extremely Metal-Poor C-19 Stellar Stream in DESI DR2

Stellar streams are the result of a host galaxy's gravitational potential tidally disrupting satellite dwarf galaxies and globular clusters (GCs), causing them to grow leading and trailing tidal tails. The C-19 stellar stream is an extremely metal-poor stellar population, showing chemical abundance patterns characteristic of a globular cluster. However, its large velocity dispersion is difficult to reconcile with a conventional, purely baryonic, disrupting-GC progenitor. Current techniques for stream characterization are primarily applied to Gaia DR3, relying heavily on proper motion measurements. Using the Dark Energy Spectroscopic Instrument (DESI), which provides radial velocities and metallicites for over 10 million stars reaching significantly fainter magnitudes than comparable surveys, we employ a mixture model approach to jointly characterize stream populations in proper motions, radial velocities, and metallicities against a Milky Way halo background. By applying this framework to the C-19 stellar stream, we identify a total of 47 spectroscopically confirmed member stars, of which 41 are newly identified and only 6 were previously reported in the literature. In this work, we measure a velocity dispersion of $7.8^{+1.5}_{-1.3}$ km s$^{-1}$ and a mean metallicity of [Fe/H] = $-3.36^{+0.12}_{-0.10}$. We further identify a novel 'spur' feature within the stream. We conclude that our measurements are in line with previous works identifying C-19 as a 'hot', metal-poor stream. In forthcoming work, we will apply this approach to many more streams in the DESI footprint, enabling population-level comparisons with predictions from simulations.

Mohammed, Nasser [Toronto U.] (ORCID:0009000812240↗

DOE OSTI2026

The Kinematically Hot, Extremely Metal-Poor C-19 Stellar Stream in DESI DR2

Mohammed, Nasser [Toronto U.] (ORCID:0009000812240↗

DOE OSTI2025

The DECam MAGIC Survey: Spectroscopic Follow-up of the Most Metal-poor Stars in the Distant Milky Way Halo *

In this work, we present high-resolution spectroscopic observations for six metal-poor stars with [Fe/H] < –3 (including one with [Fe/H] < –4), selected using narrowband Ca ii HK photometry from the DECam MAGIC Survey. The spectroscopic data confirm the accuracy of the photometric metallicities and allow for the determination of chemical abundances for 16 elements, from carbon to barium. The program stars have chemical abundances consistent with the [Fe/H] < –3 range. A kinematic/dynamical analysis suggests that all program stars belong to the distant Milky Way halo population (heliocentric distances 35 < d helio /kpc ≲ 55), including three with high-energy orbits that might have been associated with the Magellanic system and one, J0026−5445, having parameters consistent with being a member of the Sagittarius stream. The remaining two stars show kinematics consistent with the Gaia-Sausage/Enceladus dwarf galaxy merger. J0433−5548, with [Fe/H] = –4.12, is a carbon-enhanced ultra metal-poor star, with [C/Fe] = +1.73. This star is believed to be a bona fide second-generation star, and its chemical abundance pattern was compared with yields from metal-free supernova models. Results suggest that J0433−5548 could have been formed from a gas cloud enriched by a single supernova explosion from an ∼11 M ⊙ star in the early Universe. The successful identification of such objects demonstrates the reliability of photometric metallicity estimates, which can be used for target selection and statistical studies of faint targets in the Milky Way and its satellite population. These discoveries illustrate the power of measuring chemical abundances of metal-poor Milky Way halo stars to learn more about early galaxy formation and evolution.

CEMP stars↗

DOE OSTI2024

Ecological trade-offs drive phenotypic and genetic differentiation of Arabidopsis thaliana in Europe

Plant diversity is shaped by trade-offs between traits related to competitive ability, propagule dispersal, and stress resistance. However, we still lack a clear understanding of how these trade-offs influence species distribution and population dynamics. In Arabidopsis thaliana , recent genetic analyses revealed a group of cosmopolitan genotypes that successfully recolonized Europe from its center after the last glaciation, excluding older (relict) lineages from the distribution except for their north and south margins. Here, we tested the hypothesis that cosmopolitans expanded due to higher colonization ability, while relicts persisted at the margins due to higher tolerance to competition and/or stress. We compared the phenotypic and genetic differentiation between 71 European genotypes originating from the center, and the south and north margins. We showed that a trade-off between plant fecundity and seed mass shapes the differentiation of A. thaliana in Europe, suggesting that the success of the cosmopolitan groups could be explained by their high dispersal ability. However, at both north and south margins, we found evidence of selection for alleles conferring low dispersal but highly competitive and stress-resistance abilities. This study sheds light on the role of ecological trade-offs as evolutionary drivers of the distribution and dynamics of plant populations.

59 BASIC BIOLOGICAL SCIENCES↗

DOE OSTI2025

Projected evolution of droughts and human exposure in the contiguous United States under SSP5-8.5: a regional downscaling perspective

The increasingly unpredictable and extreme weather patterns under a warming climate underscore the urgency of accurate regional assessments of future drought risk. This study evaluates the projected drought evolution in the contiguous United States under the high-emission shared socioeconomic pathway 5–8.5 climate scenario for the coming decades. Using a multi-model ensemble of six Coupled Model Intercomparison Project Phase 6 global climate models combined with dynamical downscaling techniques, we analyzed near-term (2020–2039) and mid-term (2040–2059) drought patterns using the self-calibrating palmer drought severity index (ScPDSI), the standardized precipitation index (SPI-12), and the Standardized Precipitation-Evapotranspiration Index (SPEI-12). Results reveal a widespread increase in abnormally dry (D0) and moderate drought (D1) conditions, particularly in urban areas, while severe (D2), extreme (D3), and exceptional (D4) droughts are expected to become less common in many regions. Meanwhile, persistent and intensifying droughts are projected in the western and southwestern U.S., driven by long-term soil moisture deficits. The ScPDSI projects that 1.1 million urban residents will be affected by D0 conditions in 2050, while SPI-12 suggests a decrease in the total affected populations after 2040. ScPDSI indicates prolonged droughts in the West, and SPI-12 captures transient variability. Although the total drought-exposed population is expected to decrease, urban areas will continue to bear a greater burden, particularly for mild droughts (D0, D1). These findings highlight a shift toward more frequent mild droughts, fewer severe droughts, and persistent drying in the Southwest, emphasizing the need for region-specific adaptation strategies.

CMIP6↗

DOE OSTI2024

Spatial inequities in access to medications for treatment of opioid use disorder highlight scarcity of methadone providers under counterfactual scenarios

Access to treatment and medication for opioid use disorder (MOUD) is essential in reducing opioid use and associated behavioral risks, such as syringe sharing among persons who inject drugs (PWID). Syringe sharing among PWID carries high risk of transmission of serious infections such as hepatitis C and HIV. MOUD resources, such as methadone provider clinics, however, are often unavailable to PWID due to barriers like long travel distance to the nearest methadone provider and the required frequency of clinic visits. The goal of this study is to examine the uncertainty in the effects of travel distance in initiating and continuing methadone treatment and how these interact with different spatial distributions of methadone providers to impact co-injection (syringe sharing) risks. A baseline scenario of spatial access was established using the existing locations of methadone providers in a geographical area of metropolitan Chicago, Illinois, USA. Next, different counterfactual scenarios redistributed the locations of methadone providers in this geographic area according to the densities of both the general adult population and according to the PWID population per zip code. We define different reasonable methadone access assumptions as the combinations of short, medium, and long travel distance preferences combined with three urban/suburban travel distance preference. Our modeling results show that when there is a low travel distance preference for accessing methadone providers, distributing providers near areas that have the greatest need (defined by density of PWID) is best at reducing syringe sharing behaviors. However, this strategy also decreases access across suburban locales, posing even greater difficulty in regions with fewer transit options and providers. As such, without an adequate number of providers to give equitable coverage across the region, spatial distribution cannot be optimized to provide equitable access to all PWID. Our study has important implications for increasing interest in methadone as a resurgent treatment for MOUD in the United States and for guiding policy toward improving access to MOUD among PWID.

59 BASIC BIOLOGICAL SCIENCES↗