Ethnic differences among substance-abusing adolescents in a treatment dissemination project
Ethnic differences among substance-abusing adolescents in a treatment dissemination project
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DOI：
10.1016/j.jsat.2011.08.007
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发表时间：
2012-04-01
影响因子：
3.9
通讯作者：
Hersh, Jacqueline
中科院分区：
文献类型：
--
作者：
Becker, Sara J.;Stein, Gabriela Livas;Hersh, Jacqueline
尽管有证据表明社区样本中青少年的物质使用模式存在种族差异，但临床研究并未发现治疗后结局的种族差异。以前的临床研究受到样本量小、侧重于广泛的治疗方式以及缺乏对重要协变量的考虑的限制。我们调查了大样本白色（60%），非洲裔美国人（12%）和拉丁美洲人（28%）青少年在循证治疗前后物质使用频率和问题的种族差异。参与者包括4，502名青少年（29%为女性），年龄在13-18岁之间，他们接受了5次动机增强疗法/认知行为疗法。在基线时，非裔美国青少年表现出较低的使用频率，较少的问题，比白人或拉丁美洲人较少的并发症。与先前的研究一致，在控制基线差异时，评估完成者（71%）的物质使用结果没有种族差异。然而，非裔美国人、年龄较大的青少年和男性完成治疗后评估的可能性较小。临床服务和有效性研究的影响进行了讨论。(C)2012 Elsevier Inc. All rights reserved.
Despite evidence of ethnic differences in substance use patterns among adolescents in community samples, clinical studies have not found ethnic differences in posttreatment outcomes. Prior clinical studies have been limited by small samples, focus on broad treatment modalities, and lack of consideration of important covariates. We investigated ethnic differences in substance use frequency and problems in a large sample of White (60%), African American (12%), and Latino (28%) adolescents prior to and following an evidence-based treatment. Participants included 4,502 adolescents (29% female), with ages 13-18 years, who received Motivational Enhancement Therapy/Cognitive Behavior Therapy 5 Sessions. At baseline, African American adolescents demonstrated less frequent use, fewer problems, and less comorbidity than Whites or Latinos. Consistent with prior research, there were no ethnic differences in substance use outcomes among assessment completers (71%) when controlling for baseline differences. However, African Americans, older adolescents, and males were less likely to complete the posttreatment assessment. Implications for clinical service and effectiveness research are discussed. (C) 2012 Elsevier Inc. All rights reserved.