Asian American and Pacific Islander substance use treatment completion

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

doi:10.1037/ser0000274

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Asian American and Pacific Islander substance use treatment completion

Journal article

Peer reviewed

Asian American and Pacific Islander substance use treatment completion

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

Psychological services, Vol.16(4), pp.636-646

11/01/2019

DOI: 10.1037/ser0000274

PMID: 30148376

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Abstract

Mental health professionals and administrators work to improve substance use treatment for racially and ethnically diverse populations. However, a national comparison study of Asian Americans and Pacific Islanders (AAPIs) and non-AAPIs substance use outpatient treatment completion has received little attention. The present study examined treatment completion by comparing AAPI clients to White and Latinx clients, and identified demographic and treatment-related moderating factors associated with treatment completion using discharge data from the Treatment Episode Data Sets-Discharge (TEDS-D). A retrospective analysis of AAPI treatment completion was conducted using logistic regression for the years 2006-2011 (N = 2,356,883). AAPIs were significantly more likely to complete treatment than non-AAPIs when controlling for all study variables in the multivariate model, Wald χ[1]2 = 158.60, p < .001, AOR = 1.19, 95% CI = 1.15-1.21. Additionally, we found a moderating effect (Wald χ[2]2 = 69.65, p < .001) with large effect sizes in treatment completion differences between the three comparison groups (AAPI, White, and Latinx). Results demonstrated AAPI clients are more likely to complete treatment than White and Latinx clients with small effect sizes. Additionally, being female, an adolescent, in school, living with parents or adult guardians, having more frequent substance use, and being admitted to treatment at younger age in the AAPI samples were associated with higher treatment completion percentages with clinically meaningful effect sizes. These findings may help to enhance and expand culturally competent psychological services to AAPIs at risk for substance use problems. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Adolescent

Adult

Asian American Native Hawaiian and Pacific Islander - statistics & numerical data

Child

Female

Healthcare Disparities - ethnology

Hispanic or Latino - statistics & numerical data

Humans

Male

Mental Health Services - statistics & numerical data

Middle Aged

Patient Acceptance of Health Care - ethnology

Retrospective Studies

Substance-Related Disorders - ethnology

Substance-Related Disorders - therapy

Treatment Adherence and Compliance - ethnology

Treatment Adherence and Compliance - statistics & numerical data

White People - ethnology

Young Adult

Details

Title: Subtitle: Asian American and Pacific Islander substance use treatment completion
Creators: Yunkyoung Loh Garrison - Counseling Center
Ethan Sahker - Counseling Center
Chi W Yeung - Counseling Center
Soeun Park - Counseling Center
Stephan Arndt - Iowa Consortium for Substance Abuse Research and Evaluation
Resource Type: Journal article
Publication Details: Psychological services, Vol.16(4), pp.636-646
DOI: 10.1037/ser0000274
PMID: 30148376
NLM abbreviation: Psychol Serv
ISSN: 1541-1559
eISSN: 1939-148X
Language: English
Date published: 11/01/2019
Academic Unit: Psychiatry; Biostatistics; Nursing; Injury Prevention Research Center
Record Identifier: 9985132185802771

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