Myron B. Thompson School of Social Work, University of Hawaìi, Honolulu, HI, USA.
Department of Social Work, Alabama State University, Montgomery, AL, USA.
Subst Use Misuse. 2020;55(1):133-146. doi: 10.1080/10826084.2019.1657896. Epub 2019 Sep 5.
: Research on substance abuse treatment completion (SATC) among Asian Americans and Native Hawaiian and Other Pacific Islanders (NHOPIs) is extremely limited despite growing concern of SA among these groups. : This study examined predictors of SATC among and within Asian, NHOPI, and White racial groups. : 129,939 cases from the SA and Mental Health Services, Treatment Episode Data Set-Discharges-2016 were used in this study. Logistic regressions were employed to examine the differential impact of race on SATC and to investigate the moderating effect of race on the relationship between socioeconomic factors, type of substance used, and type of treatment setting on SATC. : NHOPIs were less likely to complete SA treatment than Whites. Within-group analysis indicated that NHOPIs who were in outpatient non-intensive treatment were more likely to complete treatment compared to ones in inpatient (more than 30 days), and outpatient intensive settings. In contrast, Asians and Whites in outpatient non-intensive treatment settings were less likely to complete compared to all other types of treatment settings. Older adults for Whites were more likely to complete treatment compared with younger adults. Age was not a significant predictor of SATC for Asians and NHOPIs. Asian and NHOPI methamphetamine users were less likely to complete treatment compared with White users. : Findings highlight the importance of disaggregating Asians and NHOPIs in future SA studies to better understand how specific factors are relevant to each group, and to guide the development of cultural and race-informed treatments for these groups.
研究表明，在美国，针对亚裔和美国原住民及其他太平洋岛民（以下简称“原住民”）的药物滥用治疗完成情况（简称“SATC”）的研究非常有限，尽管这些群体中存在药物滥用问题，引起了越来越多的关注。本研究旨在探讨亚裔、原住民和白人种族群体之间和群体内 SATC 的预测因素。本研究使用了来自 2016 年药物滥用和精神卫生服务，治疗阶段数据设置出院患者的数据，共 129939 例。采用逻辑回归分析，以考察种族对 SATC 的不同影响，并调查种族对社会经济因素、使用物质类型和治疗场所类型与 SATC 之间关系的调节作用。结果表明，与白人相比，原住民完成药物滥用治疗的可能性较小。在群体内分析中，与住院（30 天以上）和门诊强化治疗相比，门诊非强化治疗的原住民更有可能完成治疗。相比之下，门诊非强化治疗的亚裔和白人完成治疗的可能性比其他所有治疗场所都小。与年轻成年人相比，白人中的老年人更有可能完成治疗。年龄不是亚裔和原住民 SATC 的显著预测因素。与白人使用者相比，亚裔和原住民的甲基苯丙胺使用者更不可能完成治疗。研究结果强调了在未来的药物滥用研究中，对亚裔和原住民进行细分的重要性，以更好地了解特定因素对每个群体的影响，并为这些群体制定文化和种族知情的治疗方法。
