Drug use and service utilization among Hispanics in the United States
Drug use and service utilization among Hispanics in the United States
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DOI：
10.1007/s00127-015-1111-5
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发表时间：
2015-11-01
影响因子：
4.4
通讯作者：
Vaughn, Michael G.
中科院分区：
文献类型：
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作者：
Mancini, Michael A.;Salas-Wright, Christopher P.;Vaughn, Michael G.
为了研究美国出生和外国出生的西班牙裔美国人的非法药物使用和服务利用模式，NESARC中18岁及以上的西班牙裔受访者被分类为墨西哥人（n = 3，556），波多黎各人（n = 785），古巴人（n = 346），中美洲人（n = 513）或南美洲人（n = 381）。我们检查了美国出生的和西班牙裔移民的药物使用和药物滥用治疗利用模式的终生患病率，在控制了年龄，性别，收入，教育，城市化，父母的药物使用问题史和终生DSM-IV情绪/焦虑障碍后，美国出生的西班牙裔移民的药物使用终生患病率高于西班牙裔移民。美国出生和移民的西班牙裔吸毒者比非西班牙裔白色吸毒者更不可能使用任何形式的药物滥用治疗（美国出生的AOR = 0.89，移民AOR = 0.64），更可能使用家庭或社会服务（美国出生的AOR = 1.17，移民AOR = 1.19）。与美国出生的西班牙裔吸毒者相比，西班牙裔移民吸毒者不太可能使用任何形式的药物滥用治疗（AOR = 0.81），更有可能利用家庭或社会服务（AOR = 1.22）增加西班牙裔吸毒者在药物滥用治疗中的参与和保留的战略包括增加获得语言和文化上有能力的方案的机会，家庭和社会需求。需要进一步研究西班牙裔亚组内药物使用和服务利用模式的差异。
To examine illicit drug use and service utilization patterns of US-born and foreign-born Hispanics in the United States.Hispanic respondents 18 years and older in the NESARC were categorized as being of Mexican (n = 3,556), Puerto Rican (n = 785), Cuban (n = 346), Central American (n = 513), or South American (n = 381) origin. We examined lifetime prevalence of drug use and substance abuse treatment utilization patterns for US-born and Hispanic immigrants across subgroups.Lifetime prevalence of drug use was greater among US-born Hispanics than Hispanic immigrants after controlling for age, gender, income, education, urbanicity, parental history of drug use problems and lifetime DSM-IV mood/anxiety disorders. Both US-born and immigrant Hispanic drug users were less likely than non-Hispanic white drug users to have utilized any form of substance abuse treatment (US-born AOR = 0.89, immigrant AOR = 0.64) and more likely to have utilized family or social services (US-born AOR = 1.17, immigrant AOR = 1.19). Compared to US-born Hispanic drug users, Hispanic immigrant drug users were less likely to have used any form of substance abuse treatment (AOR = 0.81) and were more likely to have utilized family or social services (AOR = 1.22).Strategies to increase engagement and retention of Hispanic drug users in substance abuse treatment include increasing access to linguistically and culturally competent programs that address unmet family and social needs. Further studies examining differences in drug use and service utilization patterns within Hispanic subgroups are needed.