Department of Kinesiology & Health Education, University of Texas, 2109 San Jacinto Blvd., Stop D3700, Austin, TX, 78712-1415, USA.
Alcohol Research Group, Emeryville, USA.
J Immigr Minor Health. 2020 Aug;22(4):653-660. doi: 10.1007/s10903-019-00933-2.
To explore barriers to specialty substance abuse treatment programs among women with recent substance use disorders by race/ethnicity. Qualitative interviews were conducted with 28 women of White, Black, and Latino racial/ethnic descent who reported a substance use disorder in the past 5 years. Interviews were conducted by telephone and were audio-recorded. A codebook was developed using the Theory of Planned Behavior to code and identify barriers within the domains of attitudes, subjective norms, and perceived control toward specialty treatment. Frequencies for coded themes were then compared across all participants and by race/ethnicity. We identified several key differences in barriers to treatment by race/ethnicity. Attitudinal barriers were more pervasive among the narratives of Latinas relative to Black and White women. Latinas were more likely to report not needing treatment and that treatment would not be effective; Latinas were the only group to describe cultural barriers to treatment. Within the subjective norms domain, namely stigma and lack of support, were key barriers. Stigma was more pervasive among the narratives of Latinas and Black women than White women; Latinas were more likely to report a lack of social support for using treatment than both Black and White women. Findings provide deeper insight into barriers that may be contributing to racial/ethnic disparities in the use of substance abuse treatment among women.
探讨不同种族/民族背景下近期有药物使用障碍的女性进入专业药物滥用治疗项目的障碍。对 28 名过去 5 年内有药物使用障碍的白人、黑人和拉丁裔女性进行了定性访谈。访谈通过电话进行，并进行了音频记录。使用计划行为理论开发了一个编码手册，对态度、主观规范和对专业治疗的感知控制领域内的障碍进行编码和识别。然后根据所有参与者和种族/民族对编码主题的频率进行比较。我们发现，种族/民族差异在治疗障碍方面存在几个关键差异。与黑人和白人女性相比，拉丁裔女性的态度障碍更为普遍。拉丁裔女性更有可能表示不需要治疗，而且治疗不会有效；拉丁裔女性是唯一描述治疗文化障碍的群体。在主观规范领域，即耻辱感和缺乏支持，是关键障碍。耻辱感在拉丁裔和黑人群体的叙述中比白人女性更为普遍；拉丁裔女性比黑人和白人女性更有可能表示缺乏社会支持来接受治疗。研究结果更深入地了解了可能导致女性药物滥用治疗使用方面存在种族/民族差异的障碍。
