Disparities in Completion of Substance Abuse Treatment between and within Racial and Ethnic Groups
Disparities in Completion of Substance Abuse Treatment between and within Racial and Ethnic Groups
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DOI：
10.1111/1475-6773.12031
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发表时间：
2013-08-01
影响因子：
3.4
通讯作者：
Lee, Benedict
中科院分区：
文献类型：
--
作者：
Guerrero, Erick G.;Marsh, Jeanne C.;Lee, Benedict
Objective.评估加州洛杉矶县公共资助治疗中种族和族裔群体之间和内部药物滥用治疗完成情况的差异。洛杉矶县参与者报告系统与多横截面的年度数据（2006-2009年）的成人参与者（n = 16，637）谁接受了治疗，从公共资助的计划（n = 276）首次。研究设计。县出院和入院数据的回顾性分析。分层线性回归模型用于检验假设。客户端数据收集过程中的个人访谈，在入院和出院的大多数参与者。非洲裔美国人和拉丁美洲人报告完成治疗的几率低于白人。组内分析显示，种族和民族群体内的显着异质性，突出的主要药物问题，入院前的药物使用天数，和无家可归的显着因素影响治疗完成。服务因素，如刑事司法系统的转介，使拉丁美洲人和白人之间完成。这些发现对减少种族和少数民族成员之间的健康差异有影响，通过确定与治疗依从性相关的个人和服务因素，特别是对于首次就诊者。
Objective. To evaluate disparities in substance abuse treatment completion between and within racial and ethnic groups in publicly funded treatment in Los Angeles County, California.Data Source. The Los Angeles County Participant Reporting System with multi-cross-sectional annual data (2006-2009) for adult participants (n = 16,637) who received treatment from publicly funded programs (n = 276) for the first time.Study Design. Retrospective analyses of county discharge and admission data. Hierarchical linear regressions models were used to test the hypotheses.Data Collection. Client data were collected during personal interviews at admission and discharge for most participants.Principal Findings. African Americans and Latinos reported lower odds of completing treatment compared with Whites. Within-group analysis revealed significant heterogeneity within racial and ethnic groups, highlighting primary drug problem, days of drug use before admission, and homelessness as significant factors affecting treatment completion. Service factors, such as referral by the criminal justice system, enabled completion among Latinos and Whites only.Conclusions. These findings have implications for reducing health disparities among members of racial and ethnic minorities by identifying individual and service factors associated with treatment adherence, particularly for first-time clients.