Journal article
Evaluating racial disparity in referral source and successful completion of substance abuse treatment
Addictive behaviors, Vol.48, pp.25-29
09/2015
DOI: 10.1016/j.addbeh.2015.04.006
PMID: 25935719
Abstract
Health disparity is a significant problem in the United States, and particularly for substance abuse treatment programs. A better understanding of racial differences in treatment pathways associated with successful treatment completion is needed to reduce the existing health disparities. Referral source is a strong predictor of treatment success and most research on health disparities has focused on the criminal justice referrals. However, little research has examined other types of referral sources, and the interaction with race. The current study sought to compare the effect of referral sources on national substance abuse successful treatment completion rates between Black clients (n=324,625) and White clients (n=1,060,444) by examining the interaction of race on referral source and successful treatment completion. Race significantly moderated the difference between referral source and successful treatment completion (Wald χ(2)=1477.73, df=6, p<0.0001). Employment referral was associated with the greatest percentage of successful treatment completion for Black clients. Criminal justice referral was associated with the greatest percentage of successful treatment completion for White clients. Results from the present study support a reevaluation of incentives leading to successful treatment completion with a multicultural perspective.
Details
- Title: Subtitle
- Evaluating racial disparity in referral source and successful completion of substance abuse treatment
- Creators
- Ethan Sahker - Iowa Consortium for Substance Abuse Research and Evaluation, 100 MTP4, University of Iowa, Iowa City, IA 52245-5000, USA; Department of Psychological and Quantitative Foundations, Counseling Psychology Program, College of Education, University of Iowa, 361 Lindquist Center, Iowa City, IA 52242, USAMaisha N Toussaint - Department of Epidemiology, College of Public Health, University of Iowa, 145 N. Riverside Drive, Iowa City, IA 52242, USAMarizen Ramirez - Department of Occupational and Environmental Health, College of Public Health, University of Iowa, 145 N. Riverside Drive, 100 CPHB, Iowa City, IA 52242, USASaba R Ali - Department of Psychological and Quantitative Foundations, Counseling Psychology Program, College of Education, University of Iowa, 361 Lindquist Center, Iowa City, IA 52242, USAStephan Arndt - Iowa Consortium for Substance Abuse Research and Evaluation, 100 MTP4, University of Iowa, Iowa City, IA 52245-5000, USA; Department of Psychiatry, Carver College of Medicine, University of Iowa, 451 Newton Road, 200 Medicine Administration Building, Iowa City, IA 52242, USA; Department of Biostatistics, College of Public Health, University of Iowa, 145 N. Riverside Drive, 100 CPHB, Iowa City, IA 52242, USA. Electronic address: stephan-arndt@uiowa.edu
- Resource Type
- Journal article
- Publication Details
- Addictive behaviors, Vol.48, pp.25-29
- DOI
- 10.1016/j.addbeh.2015.04.006
- PMID
- 25935719
- NLM abbreviation
- Addict Behav
- ISSN
- 0306-4603
- eISSN
- 1873-6327
- Publisher
- England
- Language
- English
- Date published
- 09/2015
- Academic Unit
- Psychiatry; Occupational and Environmental Health; Biostatistics; Nursing; Injury Prevention Research Center; Education Administration; Public Policy Center (Archive); Psychological and Quantitative Foundations
- Record Identifier
- 9983993485802771
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