Department of Kinesiology & Health Education, College of Education, University of Texas, Austin, 2109 San Jacinto Blvd., Stop D3700, Austin, TX 78712, USA.
J Subst Abuse Treat. 2020 Feb;109:41-45. doi: 10.1016/j.jsat.2019.11.006. Epub 2019 Nov 14.
Perceiving a need for substance abuse treatment is a strong predictor of substance abuse treatment utilization among those with substance use disorders (SUD). Studies have found that when persons with SUD perceive a need for treatment, they are more likely to use mental health treatment rather than substance abuse treatment. Substance abuse treatment utilization is low among Latinos, relative to other racial/ethnic groups. It is unknown if Latinos with SUD who perceive a need for treatment are more likely to use mental health or substance abuse treatment.
Data were pooled from the National Survey on Drug Use and Health survey years 2014, 2015, 2016, and 2017. Analyses were limited to adult Latino participants who met DSM-IV criteria for a past-year substance use disorder (n = 1889). Multinomial logistic regression analyses examined the role of perceived treatment need on the past-year use of (1) no treatment, (2) substance abuse treatment only, and (3) mental health treatment only. Important covariates included socio-demographics, problem severity, currently being on parole or probation, and poor mental health status.
Only 5% of Latinos with SUD reported perceiving a need for treatment. Treatment utilization was also low: 83% reported not using any treatment in the past-year. In multinomial logistic regressions, compared to not using any treatment, Latinos with SUD who perceived a need for substance abuse treatment were more likely to report using mental health treatment only. Perceiving a need for treatment and using substance abuse treatment services only was not statistically different from not using any treatment.
Findings underscore the need for better integration of substance abuse and mental health treatment services to address the health needs of Latinos.
对药物滥用治疗的认知是患有药物使用障碍（SUD）者接受药物滥用治疗的重要预测因素。研究发现，当患有 SUD 的人意识到需要治疗时，他们更有可能接受心理健康治疗而不是药物滥用治疗。拉丁裔人群接受药物滥用治疗的比例相对较低，与其他种族/族裔群体相比。目前尚不清楚是否患有 SUD 且意识到需要治疗的拉丁裔更有可能接受心理健康治疗还是药物滥用治疗。
本研究数据来自 2014 年、2015 年、2016 年和 2017 年的全国药物使用和健康调查。分析仅限于符合 DSM-IV 标准的过去一年有药物使用障碍的成年拉丁裔参与者（n=1889）。多项逻辑回归分析考察了感知治疗需求对过去一年（1）未接受任何治疗、（2）仅接受药物滥用治疗、（3）仅接受心理健康治疗的影响。重要的协变量包括社会人口统计学因素、问题严重程度、目前处于假释或缓刑期以及心理健康状况不佳。
只有 5%的患有 SUD 的拉丁裔表示意识到需要治疗。治疗利用率也很低：83%的人报告在过去一年中未接受任何治疗。在多项逻辑回归分析中，与未接受任何治疗相比，患有 SUD 且认为需要药物滥用治疗的拉丁裔更有可能报告仅接受心理健康治疗。感知治疗需求并仅使用药物滥用治疗服务与未使用任何治疗在统计学上无差异。
研究结果强调需要更好地整合药物滥用和心理健康治疗服务，以满足拉丁裔的健康需求。
