This study investigates how
racial and ethnic disparities in treatment episode completion vary across
different problem substances in an urban sample of 416,224 outpatient treatment
discharges drawn from the 2011 U.S. Treatment Episode Dataset-Discharge (TEDS-D)
data set. Fixed effects logistic regression is employed to test for the
association of race and ethnicity with treatment episode completion for
different substances of use while controlling for confounding demographic,
socioeconomic, and geographic clustering factors.
Results show that African
Americans and Hispanics are less likely to complete a treatment episode than
Whites, and that these disparities vary among users of different substances.
For African Americans, this disparity is observed over all substances, but is
particularly acute among users of alcohol and methamphetamine, substances for
which African Americans generally have lower rates of use disorder as compared
to Whites.
For Hispanics, this disparity is driven primarily by users of heroin,
for which Hispanics are only 75% as likely as Whites to complete a treatment
episode.
For users of cocaine and methamphetamine, there is no significant
difference between Hispanics and Whites in the likelihood of treatment episode
completion.
These results contribute to emerging research on the mechanisms of
substance use disorder treatment outcomes and highlight the need for culturally
appropriate treatment programs to enhance treatment program retention and
associated positive post-treatment outcomes.
Purchase full article at: http://goo.gl/YrNvnx
By:
- 1Department of Geography and Urban Studies, Temple University, 1115 W. Polett Walk, 328 Gladfelter Hall, Philadelphia, PA 19122. Electronic address: jmennis@temple.edu.
- 2Department of Geography and Urban Studies, Temple University, 1115 W. Polett Walk, 328 Gladfelter Hall, Philadelphia, PA 19122.
- J Subst Abuse Treat. 2015 Dec 29. pii: S0740-5472(15)00317-7. doi: 10.1016/j.jsat.2015.12.007
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