Racial disparities in substance abuse treatment and the ecological fallacy.
Racial disparities in substance abuse treatment and the ecological fallacy.
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药物滥用治疗的种族差异和生态谬误。
DOI：
10.1080/15332640.2011.600201
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发表时间：
2011
影响因子：
1.3
通讯作者：
Cleland,CharlesM
中科院分区：
文献类型：
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作者：
Melnick,Gerald;Duncan,Alexandra;Thompson,Azure;Wexler,HarryK;Chaple,Michael;Cleland,CharlesM
这项研究调查了主要治疗非裔美国人或白人客户的药物滥用治疗计划的治疗参与情况。调查结果显示，白人项目的参与度更高；然而，非裔美国人对白人项目的参与程度与白人相似，并且比白人对非裔美国人项目的参与程度更高。当混合模型分析考虑了工作人员共识（关于治疗要素）、治疗氛围、医疗补助客户的接受程度、授权治疗的比例以及物理空间的质量等其他变量时，没有出现显着差异。尽管非裔美国人项目的参与度可能低于白人项目，但应谨慎地将治疗参与度归因于客户级别的种族/民族。
This study examined engagement in treatment in substance abuse treatment programs that treated primarily either African American or White clients. Findings showed higher levels of engagement in White programs; however, engagement of African Americans in White programs was similar to that of Whites and was greater than Whites in African American programs. No significant differences emerged when a mixed model analysis considered additional variables of staff consensus (regarding treatment elements), treatment climate, acceptance of Medicaid clients, the proportion mandated to treatment, and the quality of the physical space. Although African American programs may show poorer levels of engagement than White programs, attribution of engagement in treatment to client level race/ethnicity should be made with caution.