School of Social Work, University of Southern California, Los Angeles, CA 90089–041, USA.
Addict Behav. 2012 Oct;37(10):1162-6. doi: 10.1016/j.addbeh.2012.05.006. Epub 2012 May 22.
A growing body of research has revealed disparities with respect to drug use patterns within Latino subgroups. However, the extent to which these potential disparities enable different Latino subgroups to respond favorably to treatment is unclear.
This study analyzed a subset of multicross-sectional data (2006-2009) on Latinos collected from publicly funded facilities in Los Angeles County, CA (N=12,871). We used multilevel logistic regressions to examine individual and service-level factors associated with treatment completion among subgroups of first-time Latino treatment clients.
Univariate analysis showed that Cubans and Puerto Ricans were less likely to complete treatment than Mexicans and other Latinos. Cubans and Puerto Ricans entered treatment at an older age and with higher formal education than Mexicans, yet they were more likely to report mental health issues and use of cocaine and heroin as primary drugs of choice respectively. Multivariate analysis showed that age, having mental health issues, reporting high use of drugs at intake, and use of methamphetamines and marijuana were associated with decreased odds of completing treatment among all Latino subgroups. In contrast, age at first drug use, treatment duration, and referral monitoring by the criminal system increased the odds of completing treatment for all members.
These findings have implications for targeting interventions for members of different Latinos groups during their first treatment episode. Promising individual and service factors associated with treatment completion can inform the design of culturally specific recovery models that can be evaluated in small-scale randomized pilot studies.
越来越多的研究表明，拉丁裔亚群内部的药物使用模式存在差异。然而，这些潜在的差异在何种程度上使不同的拉丁裔亚群能够对治疗产生有利的反应尚不清楚。
本研究分析了加利福尼亚州洛杉矶县公共资助机构收集的拉丁裔多横断面数据（2006-2009 年）的一个子集（N=12871）。我们使用多水平逻辑回归来检查与首次接受拉丁裔治疗者亚组治疗完成相关的个体和服务水平因素。
单变量分析显示，古巴裔和波多黎各裔比墨西哥裔和其他拉丁裔完成治疗的可能性更小。古巴裔和波多黎各裔进入治疗的年龄比墨西哥裔大，正规教育程度更高，但他们更有可能报告心理健康问题，分别将可卡因和海洛因作为主要选择药物。多变量分析显示，年龄、心理健康问题、入组时高毒品使用量以及使用冰毒和大麻与所有拉丁裔亚群完成治疗的几率降低有关。相比之下，首次吸毒年龄、治疗持续时间和刑事系统的转介监测增加了所有成员完成治疗的几率。
这些发现对在首次治疗期间针对不同拉丁裔群体成员的干预措施具有重要意义。与治疗完成相关的有希望的个体和服务因素可以为设计特定于文化的康复模型提供信息，这些模型可以在小规模随机试点研究中进行评估。
