Disparities in completion of substance abuse treatment among Latino subgroups in Los Angeles County, CA
Disparities in completion of substance abuse treatment among Latino subgroups in Los Angeles County, CA
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DOI：
10.1016/j.addbeh.2012.05.006
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发表时间：
2012-10-01
影响因子：
4.4
通讯作者：
Kim, Tina
中科院分区：
文献类型：
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作者：
Guerrero, Erick G.;Cepeda, Alice;Kim, Tina
理由：越来越多的研究表明，拉美裔亚群中的药物使用模式存在差异。然而，这些潜在的差异在多大程度上使不同的拉丁裔亚群对治疗产生积极反应尚不清楚。方法：本研究分析了从加利福尼亚州洛杉矶县(N=12,871)公共资助机构收集的拉丁裔多横断面数据子集(2006-2009)。我们使用多水平Logistic回归分析了首次接受治疗的拉丁裔患者亚群中与治疗完成相关的个体和服务水平因素。结果：单因素分析显示，古巴人和波多黎各人完成治疗的可能性低于墨西哥人和其他拉美人。与墨西哥人相比，古巴人和波多黎各人接受治疗的年龄更大，受教育程度更高，但他们更有可能报告精神健康问题，并分别将可卡因和海洛因作为主要毒品的使用。多变量分析显示，在所有拉丁裔亚群中，年龄、有心理健康问题、报告在摄入时大量使用药物以及使用甲基苯丙胺和大麻与完成治疗的几率降低有关。相反，首次吸毒的年龄、治疗持续时间和刑事系统的转诊监测增加了所有成员完成治疗的几率。结论：这些发现对不同拉丁裔群体成员在第一次治疗期间进行针对性干预具有一定的意义。与治疗完成相关的有前途的个人和服务因素可以为特定文化恢复模式的设计提供信息，这些模式可以在小规模随机试点研究中进行评估。(C)2012爱思唯尔有限公司。保留所有权利。
Rationale: A growing body of research has revealed disparities with respect to drug use patterns within Latino subgroups. However, the extent to which these potential disparities enable different Latino subgroups to respond favorably to treatment is unclear.Methods: This study analyzed a subset of multicross-sectional data (2006-2009) on Latinos collected from publicly funded facilities in Los Angeles County, CA (N = 12,871). We used multilevel logistic regressions to examine individual and service-level factors associated with treatment completion among subgroups of first-time Latino treatment clients.Results: Univariate analysis showed that Cubans and Puerto Ricans were less likely to complete treatment than Mexicans and other Latinos. Cubans and Puerto Ricans entered treatment at an older age and with higher formal education than Mexicans, yet they were more likely to report mental health issues and use of cocaine and heroin as primary drugs of choice respectively. Multivariate analysis showed that age, having mental health issues, reporting high use of drugs at intake, and use of methamphetamines and marijuana were associated with decreased odds of completing treatment among all Latino subgroups. In contrast, age at first drug use, treatment duration, and referral monitoring by the criminal system increased the odds of completing treatment for all members.Conclusion: These findings have implications for targeting interventions for members of different Latinos groups during their first treatment episode. Promising individual and service factors associated with treatment completion can inform the design of culturally specific recovery models that can be evaluated in small-scale randomized pilot studies. (C) 2012 Elsevier Ltd. All rights reserved.