Asian American and Pacific Islander substance use treatment admission trends

Ethan Sahker; Chi W Yeung; Yunkyoung L Garrison; Soeun Park; Stephan Arndt

doi:10.1016/j.drugalcdep.2016.11.022

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Asian American and Pacific Islander substance use treatment admission trends

Journal article

Peer reviewed

Asian American and Pacific Islander substance use treatment admission trends

Ethan Sahker, Chi W Yeung, Yunkyoung L Garrison, Soeun Park and Stephan Arndt

Drug and alcohol dependence, Vol.171, pp.1-8

02/01/2017

DOI: 10.1016/j.drugalcdep.2016.11.022

PMID: 27988403

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Abstract

A national analysis of Asian Americans and Pacific Islanders (AAPI) substance use treatment admissions has yet to be studied. We sought to explore admission trends for AAPI, demographic and treatment variable change, and individual state admission change over time. We used retrospective time-series logistic regression treating year as a predictor of yearly treatment admission trends, between-state test for heterogeneity of treatment effects among states' AAPI admissions, and percent-changes of AAPI demographic and treatment characteristics. Participants included AAPI (n=135,356) and comparison non-AAPI (n=8,938,982) treatment groups' first-time admissions (N=9,074,338) in United States treatment centers receiving public funding from 2000 to 2012. AAPI demonstrated a greater increase in admissions than non-AAPI from 2000 to 2012 (p<0.0001; OR=1.02, 95% CI=1.019-1.022). Large percent increases were demonstrated in multiple demographic and treatment characteristic, most notably in prescription opioids as a problem substance, age of first use for the oldest and youngest groups, and homelessness. In addition, trends are provided for individual states to help prioritize resource need. The present demographic and treatment characteristics revealed specific variables that may help to improve a culturally competent understanding of increasing risk factors among AAPI clients. The present findings may help to demonstrate which states may need to increase AAPI-specific resources and interventions.

Adolescent

Adult

Asian Americans - psychology

Child

Cultural Competency - psychology

Female

Humans

Male

Middle Aged

Oceanic Ancestry Group - ethnology

Patient Admission - trends

Retrospective Studies

Substance Abuse Treatment Centers - trends

Substance-Related Disorders - ethnology

Substance-Related Disorders - psychology

Substance-Related Disorders - therapy

Treatment Outcome

United States - ethnology

Young Adult

Details

Title: Subtitle: Asian American and Pacific Islander substance use treatment admission trends
Creators: Ethan Sahker - University of Iowa
Chi W Yeung - University of Iowa
Yunkyoung L Garrison - University of Iowa
Soeun Park - University of Iowa
Stephan Arndt - University of Iowa
Resource Type: Journal article
Publication Details: Drug and alcohol dependence, Vol.171, pp.1-8
DOI: 10.1016/j.drugalcdep.2016.11.022
PMID: 27988403
ISSN: 0376-8716
eISSN: 1879-0046
Language: English
Date published: 02/01/2017
Academic Unit: Psychiatry; Biostatistics; Nursing; Injury Prevention Research Center
Record Identifier: 9985132073202771

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