Drug and alcohol treatment utilization and barriers among Black, American Indian/Alaskan Native, Latine, Asian/Pacific Islander/Native Hawaiian, and White adults: Findings from NESARC-III.
Drug and alcohol treatment utilization and barriers among Black, American Indian/Alaskan Native, Latine, Asian/Pacific Islander/Native Hawaiian, and White adults: Findings from NESARC-III.
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DOI：
10.1016/j.jsat.2021.108569
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发表时间：
2021-12
影响因子：
3.9
通讯作者：
O'Malley, Stephanie
中科院分区：
文献类型：
--
作者：
Haeny, Angela M.;Oluwoye, Oladunni;Cruz, Rick;Iheanacho, Theddeus;Jackson, Asti B.;Fisher, Sycarah;Crouch, Maria;O'Malley, Stephanie
关键词：
现有的流行病学数据表明，不同种族/民族在药物和酒精治疗的使用率和治疗障碍方面存在差异，通常只包括黑人、拉丁裔和白人成年人。这项研究的目的是检查DSM-5终生酒精使用障碍(AUD)和药物使用障碍(DUD)治疗利用率是否存在差异，以及黑人、美国印第安人/阿拉斯加原住民(AI/AN)、拉丁人、亚洲/太平洋岛民/夏威夷原住民(亚洲/PI/NH)和白人成年人之间的差异。目前的研究对全国酒精及相关疾病流行病学调查(NESARC-III)的数据进行了二次分析。回归分析，然后是成对比较，调查了不同种族/民族之间的差异。分析表明，不同种族/民族在使用AUD治疗方面存在差异。白人和AI/AN成年人比黑人成年人更有可能使用医疗保健专业人员。亚裔/非裔/非裔成年人和拉丁裔成年人比白人成年人更有可能支持语言作为AUD治疗的障碍。黑人成年人比白人和拉丁裔成年人更有可能使用12步计划进行无意义的治疗，黑人和白人成年人比拉丁裔成年人更有可能使用门诊计划。此外，黑人成年人比亚裔/PI/NH和拉丁裔成年人更有可能使用特殊的DUD治疗。与黑人成年人相比，AI/An、亚裔/PI/NH和白人成年人更有可能支持对其他人认为的阻碍不良待遇的恐惧。与黑人、拉丁裔和白人成年人相比，AI/AN成年人更有可能支持对住院的恐惧。与黑人和白人成年人相比，亚裔/PI/NH和拉丁裔成年人更有可能表示工作时间不方便。与黑人成年人相比，白人成年人更有可能支持反对的家庭成员。与黑人、亚裔/PI/NH和拉丁裔成年人相比，AI/An和白人成年人更有可能支持他们自己停下来。此外，人工智能/成人和白人成年人报告的哑巴治疗障碍最多。在药物和酒精治疗的使用情况和治疗障碍方面，各种族/族裔群体之间仍然存在差异。今后旨在提高各种族/民族群体的治疗利用率的研究应侧重于健康的社会决定因素。
Existing epidemiological data suggest differences across racial/ethnic groups in drug and alcohol treatment utilization and barriers to treatment and typically include only Black, Latine, and White adults. The objective of this study was to examine whether disparities remain for DSM-5 lifetime alcohol use disorder (AUD) and drug use disorder (DUD) treatment utilization and barriers across Black, American Indian/Alaska Native (AI/AN), Latine, Asian/Pacific Islander/Native Hawaiian (Asian/PI/NH), and White adults. The current study conducted secondary analyses on data from the National Epidemiological Survey on Alcohol and Related Conditions (NESARC-III). Regression analyses, followed by pairwise comparisons, investigated differences across racial/ethnic groups. Analyses indicated differences across racial/ethnic groups in AUD treatment utilization. White and AI/AN adults were more likely to utilize a health care professional than were Black adults. Asian/PI/NH and Latine adults were more likely to endorse language as a barriers to AUD treatment than were White adults. Black adults were more likely to use 12-step programs for DUD treatment utilization than were White and Latine adults, and Black and White adults were more likely to use outpatient programs than were Latine adults. Further, Black adults were more likely than Asian/PI/NH and Latine adults to use specialty DUD treatment. AI/AN, Asian/PI/NH, and White adults were more likely to endorse fear of what others would think as a barrier to DUD treatment relative to Black adults. AI/AN adults were more likely to endorse fear of being hospitalized relative to Black, Latine, and White adults. Asian/PI/NH and Latine adults were more likely to indicate that the hours were inconvenient relative to Black and White adults. White adults were more likely to endorse a family member objected relative to Black adults. AI/AN and White adults were more likely to endorse they stopped on their own relative to Black, Asian/PI/NH, and Latine adults. Further, AI/AN and White adults reported the greatest number of barriers to DUD treatment. Differences remain across racial/ethnic group in drug and alcohol treatment utilization and barriers to treatment. Future research aimed at increasing treatment utilization across racial/ethnic groups should focus on social determinants of health.
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影响因子：
5.5
作者：
Hargraves D;White C;Frederick R;Cinibulk M;Peters M;Young A;Elder N
通讯作者：
Elder N
影响因子：
1.3
作者：
Peavy KM;Garrett S;Doyle S;Donovan D
通讯作者：
Donovan D
影响因子：
6
作者：
Mohatt, Gerald V.;Rasmus, Stacy M.;Marlatt, G. Alan
通讯作者：
Marlatt, G. Alan
DOI：
10.1111/acer.13907
发表时间：
2019-01-01
期刊：
ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH
影响因子：
--
作者：
Emerson, Marc A.;Moore, Roland S.;Caetano, Raul
通讯作者：
Caetano, Raul
影响因子：
4.4
作者：
Mancini, Michael A.;Salas-Wright, Christopher P.;Vaughn, Michael G.
通讯作者：
Vaughn, Michael G.