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Ethnic patterns in drug abuse treatment utilization
D Longshore1, S C Hsieh, M D Anglin
1University of California, Los Angeles 90024.
Summary
African American and Hispanic drug users in Los Angeles access drug abuse treatment less often than their Anglo counterparts. Perceptions of need, cost, and availability influence these disparities.
Area of Science:
- Public Health
- Sociology
- Substance Abuse Research
Background:
- Drug abuse treatment utilization varies across demographic groups.
- Understanding ethnic disparities in treatment access is crucial for public health interventions.
- Previous research has not fully explored ethnic differences in predisposing and enabling factors for treatment.
Purpose of the Study:
- To examine ethnic variations in drug abuse treatment utilization among African American, Hispanic, and Anglo arrestees in Los Angeles.
- To investigate the relationship between ethnicity and factors influencing treatment seeking, including attitudes, perceived need, cost, and availability.
Main Methods:
- Analysis of drug abuse treatment utilization and perceptions among diverse ethnic groups of arrestees.
- Statistical control for non-ethnic demographic factors and past drug dependence.
- Exploration of predisposing factors (attitude toward treatment, perceived need) and enabling factors (perceived cost, availability).
Main Results:
- African American and Hispanic drug users reported lower rates of treatment utilization compared to Anglo users, even after controlling for demographic factors and drug dependence.
- Hispanic individuals were more likely to report not seeking treatment due to a perceived lack of need.
- African American individuals expressed more negative attitudes toward drug abuse treatment compared to Anglo individuals.
Conclusions:
- Ethnic disparities exist in drug abuse treatment utilization among arrestees in Los Angeles.
- Attitudinal barriers and perceived need significantly influence treatment seeking among minority ethnic groups.
- Targeted interventions addressing specific perceptions and barriers are needed to improve equitable access to drug abuse treatment.