Department of Population Health, University of Kansas School of Medicine-Wichita, Wichita, Kansas.
College of Population Health, University of New Mexico, Albuquerque, New Mexico, USA.
J Community Psychol. 2020 Mar;48(2):337-350. doi: 10.1002/jcop.22241. Epub 2019 Oct 14.
The aim of this systematic review is to synthesize evidence on treatment barriers among African-American women who seek treatment for substance use disorders. The authors reviewed articles from 1995 to 2018 on the topic of substance use disorders among African-American women. Based on the review of 13 articles, we found African-American women were more likely to encounter treatment readiness barriers compared to access barriers and system-related barriers. Personal and interpersonal barriers were more readily identified throughout the literature reviewed. However, African-American women did encounter other barriers such as access- and system-related barriers. In addition, the intersection of race, gender, and class was not addressed in the specific articles, but should be considered when working to remove treatment barriers for this population. While prevalence of alcohol and drug use is limited among African-American women, it is important to understand how treatment readiness barriers may limit successful completion of treatment and ongoing progress. Implications for treatment and future research in addressing barriers to treatment for African-American women are discussed.
本系统评价的目的是综合有关寻求药物使用障碍治疗的非裔美国妇女的治疗障碍的证据。作者回顾了 1995 年至 2018 年关于非裔美国妇女药物使用障碍的文章。基于对 13 篇文章的回顾，我们发现与获得障碍和系统相关障碍相比，非裔美国妇女更有可能遇到治疗准备障碍。在回顾的文献中，更容易识别个人和人际障碍。然而，非裔美国妇女确实遇到了其他障碍，如获得和系统相关障碍。此外，种族、性别和阶级的交叉在具体文章中没有得到解决，但在努力消除该人群的治疗障碍时应予以考虑。虽然非裔美国妇女的酒精和药物使用患病率有限，但了解治疗准备障碍如何可能限制治疗的成功完成和持续进展非常重要。讨论了针对非裔美国妇女治疗障碍的治疗和未来研究的意义。
