Racial-ethnic disparities across substance use disorder treatment settings

Sources of treatment insurance, socioeconomic correlates and clinical features

Datos Bibliográficos

ID15414853
AutoresMatthew E Archibald (0000-0002-5801-2587, College of Mount Saint Vincent, autor de correspondencia), Pamela Behrman (0000-0001-9825-1673, College of Mount Saint Vincent), Jordan Yakoby (0000-0002-2270-4565, College of Mount Saint Vincent)
Año2022
Volumen23
Número4
Páginas616-640
Fecha de publicación2022-10-08
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaJournal of Ethnicity in Substance Abuse (JOURNAL)
Identificadores de la revistaISSN: 1533-2640 • E-ISSN: 1533-2659
EditorialTaylor & Francis (PUBLISHER • GB)
DOI10.1080/15332640.2022.2129537
PMID36208872
OpenAlexW4303685541
IdiomaEN
Citas recibidas3
Referencias citadas44

Aim: Contrary to expectations, studies of racial-ethnic disparities in substance use disorder (SUD) treatment frequently uncover minority-majority parity in access and utilization of services. What accounts for the anomaly? To answer the question, this study explores racial-ethnic differences in the odds of utilization of SUD treatment in varied settings (e.g., the criminal justice system, private doctor's office, etc.), adjusting for sources of treatment insurance, socioeconomic correlates of treatment (e.g., employment, income, education), as well as clients' clinical features (e.g., type of substance abuse/dependence, co-morbidities, health status). Methods: Data were compiled from the National Survey of Drug Use and Health (NSDUH) dataset, 2002-2014. The sample consisted of respondents with a past year diagnosis of a substance use disorder, who also reported having received treatment (n = 6,207). Data were pooled to maximize subgroup analyses. Weight- and design- adjusted logistic regressions were use to analyze factors predicting SUD treatment source. Results: Blacks were more likely than Whites to receive treatment through the criminal justice system and Whites more likely than Blacks and Latinx to receive treatment at a doctor's office. Blacks were also more likely than Whites to receive treatment through inpatient/outpatient rehabilitation, before adjustments but not afterwards. Discussion: In this study we show that even after adjusting for mechanisms expected to shape pathways from race-ethnicity to SUD treatment sites, significant racial-ethnic disparities persist. This fills an important gap in the literature in that disparities research has not explicitly modeled racial-ethnic variation across the full range of SUD treatment sites

Criminal justice · Criminology · Environmental health · Ethnic group · Health equity · Logistic regression · Odds · Political science · Population · Psychiatry · Public health · Socioeconomic status · Substance abuse · Demography · Medicine · Mental Health Treatment and Access · Psychology · Racial and Ethnic Identity Research · Substance Abuse Treatment and Outcomes · Gerontology