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Comparative Study
. 2018 Oct;45(4):533-549.
doi: 10.1007/s11414-018-9586-y.

Disparities in the Treatment of Substance Use Disorders: Does Where You Live Matter?

Andrea Acevedo  1   2 , Lee Panas  3 , Deborah Garnick  3 , Dolores Acevedo-Garcia  4 , Jennifer Miles  3 , Grant Ritter  3 , Kevin Campbell  5
Affiliations
Comparative Study

Disparities in the Treatment of Substance Use Disorders: Does Where You Live Matter?

Andrea Acevedo et al. J Behav Health Serv Res. 2018 Oct.

Erratum in

Abstract

This study focused on (1) whether disparities in timely receipt of substance use services can be explained in part by the characteristics of the community in which the clients reside and (2) whether the effect of community characteristics on timely receipt of services was similar across racial/ethnic groups. The sample was composed of adults receiving publicly funded outpatient treatment in Washington State. Treatment data were linked to data from the US census. The outcome studied was "Initiation and Engagement" in treatment (IET), a measure noting timely receipt of services at the beginning of treatment. Community characteristics studied included community level economic disadvantage and concentration of American Indian, Latino, and Black residents in the community. Black and American Indian clients were less likely to initiate or engage in treatment compared to non-Latino white clients, and American Indian clients living in economically disadvantaged communities were at even greater risk of not initiating treatment. Community economic disadvantage and racial/ethnic makeup of the community were associated with treatment initiation, but not engagement, although they did not entirely explain the disparities found in IET.

Keywords: Community; Disparities; Quality; Treatment.

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Conflict of interest statement

Conflict of Interest

The authors have no conflict of interests to declare.

Figures

Figure 1
Figure 1
Unadjusted Treatment Initiation and Engagement by Race/Ethnicity *Significantly lower initiation/engagement rates than Whites for the overall p < .05 level, using a Bonferroni correction for multiple comparisons
See this image and copyright information in PMC

References

    1. SAMHSA. 2015 National Survey on Drug Use and Health: Detailed Tables. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2016.
    1. Schmidt LA, Ye Y, Greenfield TK, et al. Ethnic disparities in clinical severity and services for alcohol problems: results from the National Alcohol Survey. Alcoholism, clinical and experimental research. 2007;31(1):48–56. - PubMed
    1. Keyes KM, Liu XC, Cerda M. The role of race/ethnicity in alcohol-attributable injury in the United States. Epidemiologic Reviews. 2012;34:89–102. - PMC - PubMed
    1. Snyder HN, Mulako-Wangota J. Bureau of Justice Statistics. Arrests by Race and Age in the U.S 2012. [December 30, 2015];Generated using the Arrest Data Analysis Tool. 2015 at www.bjs.gov.
    1. Calcaterra S, Glanz J, Binswanger IA. National trends in pharmaceutical opioid related overdose deaths compared to other substance related overdose deaths: 1999–2009. Drug and alcohol dependence. 2013;131(3):263–270. - PMC - PubMed

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