Disparities in completion of substance abuse treatment between and within racial and ethnic groups
Open accessAbstract
Objective: To evaluate disparities in substance abuse treatment completion between and within racial and ethnic groups in publicly funded treatment in L os A ngeles C ounty, C alifornia. Data Source: The L os A ngeles C ounty P articipant R eporting S ystem with multicross‐sectional annual data (2006–2009) for adult participants (n = 16,637) who received treatment from publicly funded programs (n = 276) for the first time. Study Design: Retrospective analyses of county discharge and admission data. Hierarchical linear regressions models were used to test the hypotheses. Data Collection: Client data were collected during personal interviews at admission and discharge for most participants. Principal Findings: A frican A mericans and L atinos reported lower odds of completing treatment compared with W hites. Within‐group analysis revealed significant heterogeneity within racial and ethnic groups, highlighting primary drug problem, days of drug use before admission, and homelessness as significant factors affecting treatment completion. Service factors, such as referral by the criminal justice system, enabled completion among L atinos and W hites only. Conclusions: These findings have implications for reducing health disparities among members of racial and ethnic minorities by identifying individual and service factors associated with treatment adherence, particularly for first‐time clients.
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Previous reviews have identified various individual, intervention, and organizational level factors affecting the relationship between psychological treatments and anxiety or substance use outcomes.
“Previous reviews have identified various individual (e.g., race/ethnicity, gender), intervention (e.g., loss to follow-up, length of treatment), and organizational level factors (e.g., inpatient versus outpatient setting) affecting the relationship between psychological treatments and anxiety or substance use outcomes.(NIDA, 2020; Committee on Developing Evidence-Based Standards for Psychosocial”
From A systematic review and meta-analysis of psychosocial interventions for persons with comorbid anxiety and substance use disorders (2024) · cites this paper as Guerrero et al., 2013
The Discussion (p. 1460) says individual, service, and system factors played a role in substance-abuse treatment completion across racial and ethnic groups. The source is an original study of outpatient treatment completion, not a review of psychological treatments, and it does not establish effects on anxiety or substance-use outcomes or compare inpatient with outpatient settings. (LLM, conf=0.86)
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- Authors
- Guerrero, E. G., Marsh, J. C., Duan, L., Oh, C., Perron, B., & Lee, B.
- Affiliations
- University of Southern California (US)
- University of Chicago (US)
- Los Angeles County Department of Public Health (US)
- University of Michigan (US)
- Corresponding author
- Guerrero, Erick G.
- Venue
- Health Services Research
- Publisher
- Wiley
- Published
- 2013-01-27
- Volume
- 48
- Issue
- 4
- Pages
- 1450-1467
- ISSN
- 0017-9124 (ISSN-L)
- 1475-6773
- PMC
- PMC3725534
- OpenAlex
- W2126359575
- Cited by
- 168
- References
- 40
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 10 · 2023: 13 · 2022: 22 · 2021: 18 · 2020: 11 · 2019: 16 · 2018: 12 · 2017: 10 · 2016: 11 · 2015: 13 · 2014: 9 · 2013: 5 · 2012: 2
- FWCI
- 9.23
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Health Services Research (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- addiction treatment, treatment completion, racial and ethnic disparities, African Americans, Hispanic Americans, homelessness, criminal justice referral, Los Angeles County, health disparities
- MeSH terms
- Adult, Black or African American, Cross-Sectional Studies, Ethnicity, Female, Hispanic or Latino, Humans, Male, Patient Compliance, Retrospective Studies, Los Angeles, Linear Models, Logistic Models, Substance Abuse Treatment Centers, Substance-Related Disorders, White People, Racial Groups, Healthcare Disparities
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