The role of perceived treatment need in explaining racial/ethnic disparities in the use of substance abuse treatment services.
Blacks
Healthcare disparities
Latinos
Mental health treatment
Racial/ethnic disparities
Substance abuse treatment
Substance use disorders
Journal
Journal of substance abuse treatment
ISSN: 1873-6483
Titre abrégé: J Subst Abuse Treat
Pays: United States
ID NLM: 8500909
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
27
03
2020
revised:
30
07
2020
accepted:
07
08
2020
pubmed:
26
8
2020
medline:
29
7
2021
entrez:
26
8
2020
Statut:
ppublish
Résumé
The current study examined the role of perceived treatment need in explaining racial/ethnic disparities in treatment utilization for a substance use disorder (SUD). We pooled data from the National Survey on Drug Use and Health survey for years 2014-2017. The analytic sample included adult white, Black, and Latino participants with a past-year SUD (n = 16,393). Multivariable logistic regressions examined racial/ethnic disparities in perceived treatment need-the perception of needing mental health and/or SUD treatment services within the past 12 months-and utilization of past-year substance use, mental health, and any treatment. Latinos with SUD were less likely to perceive a need for treatment than whites. Black and Latino participants, relative to white participants, had lower odds of past-year treatment utilization, regardless of treatment type. In models stratified by perceived treatment need, racial/ethnic differences in the use of past-year SUD treatment and any treatment service were only significant among persons without a perceived need for treatment. We found no disparities in use of mental health treatment. Adults with SUD have low perceived treatment need overall but especially among Latinos. Furthermore, Black and Latino disparities in SUD treatment use may be driven in part by lower perceived need for treatment. Interventions that promote better perceived need and delivery models that strengthen the integration of SUD treatment in mental health services may help to reduce these disparities.
Identifiants
pubmed: 32839050
pii: S0740-5472(20)30361-5
doi: 10.1016/j.jsat.2020.108105
pmc: PMC7529997
mid: NIHMS1620183
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
108105Subventions
Organisme : NICHD NIH HHS
ID : P2C HD042849
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01 AA027767
Pays : United States
Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest None.
Références
J Subst Abuse Treat. 2015 Jul;54:14-20
pubmed: 25753655
Psychiatr Serv. 2011 Nov;62(11):1273-81
pubmed: 22211205
J Behav Health Serv Res. 2002 May;29(2):126-37
pubmed: 12032970
J Health Soc Behav. 2005 Mar;46(1):102-19
pubmed: 15869123
Drug Alcohol Depend. 2015 Mar 1;148:27-33
pubmed: 25595052
J Subst Abuse Treat. 2014 Feb;46(2):268-73
pubmed: 23992953
Health Aff (Millwood). 2015 Oct;34(10):1774-8
pubmed: 26378026
Addiction. 2011 May;106(5):866-7
pubmed: 21477226
Alcohol Clin Exp Res. 2011 Aug;35(8):1485-97
pubmed: 21575015
J Subst Abuse Treat. 2018 Nov;94:1-8
pubmed: 30243409
J Subst Abuse Treat. 2017 Apr;75:54-61
pubmed: 28237055
Subst Use Misuse. 2019;54(13):2108-2116
pubmed: 31232135
Alcohol Res Health. 2006;29(1):49-54
pubmed: 16767854
Drug Alcohol Depend. 2019 Sep 1;202:162-167
pubmed: 31352305
Alcohol Clin Exp Res. 2007 Jan;31(1):48-56
pubmed: 17207101
Arch Gen Psychiatry. 2002 Jan;59(1):77-84
pubmed: 11779286
Subst Use Misuse. 2002 Feb;37(3):291-312
pubmed: 11913905
Alcohol Clin Exp Res. 2014 Aug;38(8):2286-96
pubmed: 25041173
J Subst Abuse Treat. 2020 Feb;109:41-45
pubmed: 31856949
J Ethn Subst Abuse. 2020 Jan 21;:1-15
pubmed: 31961283
Psychiatr Serv. 2009 Aug;60(8):1068-74
pubmed: 19648194
Psychol Med. 2002 Aug;32(6):959-76
pubmed: 12214795