Sexual Orientation, Social Determinants of Health, and Unmet Substance Use Treatment Need: Findings from a National Survey
Sexual Orientation, Social Determinants of Health, and Unmet Substance Use Treatment Need: Findings from a National Survey
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DOI：
10.1080/10826084.2020.1853775
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发表时间：
2020-11-24
影响因子：
2
通讯作者：
Haney, Jolynn L.
中科院分区：
文献类型：
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作者：
Haney, Jolynn L.
背景：2018年，估计有89%需要治疗的物质使用者没有得到满足。与异性恋者相比，性少数群体需要和接受治疗之间的差距被认为更大。然而，很少有研究调查性取向及其与未满足的治疗需求的关系，或性取向与无法进入治疗的具体原因之间的关联。了解这些原因对于消除性少数群体接受治疗的障碍至关重要。目标：利用2015-2018年全国药物使用和健康调查的汇总数据，并在Andersen的卫生服务使用行为模型的指导下，本研究探讨了受访者的性取向与他们对未满足物质使用治疗需求原因的看法之间的关系。结果：调查结果表明，性少数群体由于获得和保险障碍而无法满足需求的几率增加了一倍以上。结论：虽然需要进一步的研究和更大的样本来更充分地了解这项研究揭示的关系，但很明显，性少数群体相对于异性恋者没有平等的机会获得药物使用治疗服务。对未来研究的意义和方向进行了讨论。
Background: In 2018, an estimated 89% of individuals who needed treatment for substance use did not have their need met. Compared to heterosexuals, the disparity between needing and receiving treatment is thought to be even higher for sexual minorities. Yet, few studies have investigated sexual orientation and its relationship to unmet treatment need or the association between sexual orientation and specific reasons for the inability to enter treatment. Understanding these reasons is critical to eradicating barriers to treatment for sexual minorities. Obejctives: Using pooled data from the 2015-2018 National Survey of Drug Use and Health and guided by Andersen's behavioral model of health services use, this study examined the relationship between respondents' sexual orientation and their perceptions of reasons for unmet substance use treatment need. Results: Findings indicated that sexual minorities had more than double the odds of having unmet need due to access and insurance barriers. Conclusions: While further research and larger samples are needed to understand the relationships revealed by this study more fully, it is clear is that sexual minorities do not have equitable access to substance use treatment services relative to heterosexuals. Implications and directions for future research are discussed.