Racial/Ethnic Differences in Treatment for Substance Use Disorders Among US Adolescents
Racial/Ethnic Differences in Treatment for Substance Use Disorders Among US Adolescents
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DOI：
10.1016/j.jaac.2011.09.006
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发表时间：
2011-12-01
影响因子：
13.3
通讯作者：
Druss, Benjamin G.
中科院分区：
文献类型：
--
作者：
Cummings, Janet R.;Wen, Hefei;Druss, Benjamin G.
目的：本研究检查了白色、黑色、西班牙裔、亚洲人、美洲原住民/阿拉斯加原住民和夏威夷原住民/太平洋岛民种族/民族青少年中物质使用障碍（SUD）治疗率的差异。方法：8年的横断面数据（2001-2008）来自全国药物使用和健康调查，以获得144，197名青少年（12-17岁）的全国代表性样本; 12，634名青少年在前一年被确定为SUD。使用年固定效应估计加权概率单位回归，以检查种族/族裔少数群体在任何环境中的治疗率是否较低，在医疗环境中（即，医院、康复设施、心理健康诊所和/或医生办公室），以及自助方案。初始模型控制人口统计学和健康状况。其他型号进一步调整家庭收入和健康保险状况。结果：在SUD青少年中，未调整的治疗率从黑人的8.4%到夏威夷土著/太平洋岛民的23.5%不等。调整人口统计学和健康状况后，黑人（RD =-3.9%，95% CI =-6.4%，-1.3%）和西班牙裔（RD =-2.3%，95% CI =-4.1%，-0.4%）接受SUD治疗的可能性显著低于白人（调整后的治疗率为10.7%）。这些差异在调整家庭收入和保险状况后加剧。在医疗机构和自助项目中检查SUD治疗率时，黑人和西班牙裔青少年的治疗率较低。其他种族/族裔群体的治疗率一般与白人没有差异。结论：结果突出了所有青少年中SUD的治疗率异常低，黑人和西班牙裔在所有种族/族裔群体中的治疗率最低。J. Am. Acad.儿童青少年精神病学，2011;50（12）：1265-1274.
Objective: This study examined differences in treatment rates for substance use disorders, (SUD) among adolescents of white, black, Hispanic, Asian, Native American/Alaska Native, and Native Hawaiian/Pacific Islander race/ethnicity. Method: Eight years of cross-sectional data (2001-2008) were pooled from the National Survey on Drug Use and Health to derive a nationally representative sample of 144,197 adolescents (aged 12-17 years); 12,634 adolescents were identified with SUD in the previous year. Weighted probit regressions were estimated with year fixed effects to examine whether racial/ethnic minorities had lower rates of treatment in any setting, in medical settings (i.e., hospital, rehabilitation facility, mental health clinic, and/or doctor's office), and in self-help programs. Initial models controlled for demographics and health status. Additional models further adjusted for family income and health insurance status. Results: Among adolescents with SUD, unadjusted treatment rates ranged from 8.4% among blacks to 23.5% among Native Hawaiian/Pacific Islanders. After adjusting for demographics and health status, blacks (RD = -3.9%, 95% CI = -6.4%, -1.3%) and Hispanics (RD = -2.3%, 95% CI = -4.1%, -0.4%) were significantly less likely to receive SUD treatment than whites (adjusted treatment rate 10.7%). These differences were exacerbated after adjusting for family income and insurance status. Lower treatment rates for black and Hispanic adolescents persisted when examining SUD treatment rates in medical settings and self-help programs. Treatment rates for other racial/ethnic groups did not generally differ from whites. Conclusion: Results highlight exceptionally low treatment rates for SUD among all adolescents, with blacks and Hispanics experiencing the lowest treatment rates across all racial/ethnic groups. J. Am. Acad. Child Adolesc. Psychiatry, 2011;50(12): 1265-1274.