Understanding barriers to specialty substance abuse treatment among Latinos
Understanding barriers to specialty substance abuse treatment among Latinos
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DOI：
10.1016/j.jsat.2018.08.004
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发表时间：
2018-11-01
影响因子：
3.9
通讯作者：
Rogers, Shannon
中科院分区：
文献类型：
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作者：
Pinedo, Miguel;Zemore, Sarah;Rogers, Shannon
背景：国家研究表明，拉丁美洲人不太可能使用特殊的药物滥用治疗（例如，康复计划，住院/门诊服务）比其他种族/民族群体。拉丁美洲人和白人之间在治疗利用方面的差异特别明显。很少有国家研究明确检查了种族/民族的治疗障碍，目前的结果是不确定的。本研究的目的是为了更好地了解障碍专业药物滥用治疗之间Latinos.Methods：在2017-2018年，进行了深入的定性访谈与54白色，黑人和拉丁裔参与者谁符合资格标准，最近的物质使用障碍。参与者通过在线广告招募，并通过在线调查筛选合格性。访谈问题基于计划行为理论（TBP）：参与者被问及在态度，主观规范和感知控制领域的治疗相关障碍。采访由两名独立编码员逐字转录并编码。障碍进行了比较，在所有的采访和种族/ethnication.Results：拉丁美洲人更有可能报告的态度和主观规范的障碍比他们的白色和黑色同行。在态度域，结果表明，拉丁美洲人在很大程度上避免专业治疗，由于文化因素，感知治疗效果，恢复目标和感知的治疗需要产生的障碍。在主观规范方面，污名化和缺乏家庭社会支持的感觉在拉丁美洲人的叙述中更为普遍。最后，在感知控制方面，少数拉美裔人报告的后勤障碍treatment.Conclusion：专业药物滥用治疗服务已被发现是有效的，无论种族/民族。了解为什么拉丁美洲人使用专业治疗率低是减少现有的种族/民族差异有关的药物滥用的关键。这项研究确定了几个可塑性障碍，干预措施可以针对增加拉丁美洲人的治疗利用率。这些障碍也可能是解释拉丁裔白人在治疗利用方面差异的关键。
Background: National studies have documented that Latinos are less likely to use specialty substance abuse treatment (e.g., rehabilitation programs, in/out-patient services) than other racial/ethnic groups. Disparities in treatment utilization are particularly pronounced between Latinos and Whites. Few national studies have explicitly examined barriers to treatment by race/ethnicity, and current results are inconclusive. The purpose of this study was to gain a better understanding of barriers to specialty substance abuse treatment among Latinos.Methods: In 2017-2018, in-depth qualitative interviews were conducted with 54 White, Black, and Latino participants who met eligibility criteria for a recent substance use disorder. Participants were recruited via online ads and screened for eligibility through an online survey. Interview questions were grounded in the Theory of Planned Behavior (TBP): Participants were asked about treatment-related barriers in the domains of attitudes, subjective norms, and perceived control. Interviews were transcribed verbatim and coded by two independent coders. Barriers were compared across all interviews and by race/ethnicity.Results: Latinos were significantly more likely to report attitudinal and subjective norm barriers than their White and Black counterparts. Within the attitudes domain, results suggested that Latinos largely avoided specialty treatment due to barriers stemming from cultural factors, perceived treatment efficacy, recovery goals, and perceived treatment need. In the area of subjective norms, stigma and perceived lack of social support from family were more pervasive among Latinos' narratives. Lastly, in terms of perceived control, a minority of Latinos reported logistical barriers to treatment.Conclusion: Specialty substance abuse treatment services have been found to be effective regardless of race/ethnicity. Understanding why Latinos use specialty treatment at low rates is key to reducing existing racial/ethnic disparities related to substance abuse. This study identified several malleable barriers that interventions can target to increase Latinos' utilization of treatment. These barriers may also be key to explaining Latino-White disparities in treatment utilization.