Journal article
Differences in barriers to specialty alcohol treatment between Latino and White adults with an alcohol use disorder
Drug and alcohol dependence, Vol.269, 112594
04/2025
DOI: 10.1016/j.drugalcdep.2025.112594
PMCID: PMC13587156
PMID: 39965430
Abstract
Among individuals with an alcohol use disorder (AUD), little is known about why Latino adults are less likely to use formal alcohol treatment than their non-Hispanic White counterparts.BACKGROUNDAmong individuals with an alcohol use disorder (AUD), little is known about why Latino adults are less likely to use formal alcohol treatment than their non-Hispanic White counterparts.To investigate Latino-White differences in barriers to specialty alcohol treatment, including sex differences by race/ethnicity.OBJECTIVETo investigate Latino-White differences in barriers to specialty alcohol treatment, including sex differences by race/ethnicity.In 2021, a national sample of 1200 Latino and White adults with AUD were recruited to complete a structured online questionnaire. Alcohol treatment barriers were assessed using the 36-item Barriers to Specialty Alcohol Treatment (BSAT) scale. Differences in barriers to specialty alcohol treatment between Latino and White participants were examined using multivariable regression models.METHODSIn 2021, a national sample of 1200 Latino and White adults with AUD were recruited to complete a structured online questionnaire. Alcohol treatment barriers were assessed using the 36-item Barriers to Specialty Alcohol Treatment (BSAT) scale. Differences in barriers to specialty alcohol treatment between Latino and White participants were examined using multivariable regression models.Latino (vs. White) adults had greater odds of reporting that specialty alcohol treatment was not culturally accepted (AOR): 1.43; 95 % CI: 1.29-1.59), concerns that providers might not understand their cultural background (AOR: 1.45; 95 % CI: 1.32-1.61), and that providers would not be of the same racial/ethnic or cultural background as them (AOR: 1.58; 95 % CI: 1.42-1.76) as reasons for not using treatment. Further, Latino (vs. White) adults were more likely to endorse immigration-related barriers to treatment, including concerns about disclosing sensitive information, such as their immigration status (AOR: 1.34; 95 % CI: 1.21-1.48) or that using treatment would negatively affect their own immigration status (AOR: 1.35; 95 % CI: 1.21-1.48) or the immigration status of someone in their family (AOR: 1.36; 95 % CI: 1.23-1.50). No sex differences by race/ethnicity were documented.RESULTSLatino (vs. White) adults had greater odds of reporting that specialty alcohol treatment was not culturally accepted (AOR): 1.43; 95 % CI: 1.29-1.59), concerns that providers might not understand their cultural background (AOR: 1.45; 95 % CI: 1.32-1.61), and that providers would not be of the same racial/ethnic or cultural background as them (AOR: 1.58; 95 % CI: 1.42-1.76) as reasons for not using treatment. Further, Latino (vs. White) adults were more likely to endorse immigration-related barriers to treatment, including concerns about disclosing sensitive information, such as their immigration status (AOR: 1.34; 95 % CI: 1.21-1.48) or that using treatment would negatively affect their own immigration status (AOR: 1.35; 95 % CI: 1.21-1.48) or the immigration status of someone in their family (AOR: 1.36; 95 % CI: 1.23-1.50). No sex differences by race/ethnicity were documented.Culturally tailoring existing alcohol treatment services that incorporate immigration-related concerns may be key for encouraging Latino adults to use formal alcohol treatment services.CONCLUSIONCulturally tailoring existing alcohol treatment services that incorporate immigration-related concerns may be key for encouraging Latino adults to use formal alcohol treatment services.
Details
- Title: Subtitle
- Differences in barriers to specialty alcohol treatment between Latino and White adults with an alcohol use disorder
- Creators
- M Pinedo - The University of Texas at AustinS E Zemore - Alcohol Research GroupP A Gilbert - University of IowaY Castro - The University of Texas at AustinR Caetano - Pacific Institute For Research and Evaluation
- Resource Type
- Journal article
- Publication Details
- Drug and alcohol dependence, Vol.269, 112594
- DOI
- 10.1016/j.drugalcdep.2025.112594
- PMID
- 39965430
- PMCID
- PMC13587156
- NLM abbreviation
- Drug Alcohol Depend
- ISSN
- 1879-0046
- eISSN
- 1879-0046
- Publisher
- ELSEVIER IRELAND LTD
- Grant note
- National Institute of Alcohol Abuse and Alcoholism: R01AA027767
Funding This work was supported in part by the National Institute of Alcohol Abuse and Alcoholism (R01AA027767) . The content is solely the re-sponsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
- Language
- English
- Date published
- 04/2025
- Academic Unit
- International Programs; Community and Behavioral Health
- Record Identifier
- 9984792373102771
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