Pinedo Miguel
Department of Kinesiology & Health Education, College of Education, University of Texas, Austin, 2109 San Jacinto Blvd., Stop D3700, Austin, TX, 78712-1415, USA.
Drug Alcohol Depend. 2021 Sep 1;226:108851. doi: 10.1016/j.drugalcdep.2021.108851. Epub 2021 Jun 24.
The objectives of this study were to: (1) investigate racial/ethnic differences in being offered information on alcohol treatment options by a health care provider; and (2) conduct stratified subgroup analyses to explore racial/ethnic differences in the use of alcohol treatment utilization among those who have received information on alcohol treatment services by a health care provider.
Data from National Survey on Drug Use and Health (2015-2017) was used. Analyses were restricted to adult White, Black, and Latino participants who met diagnostic criteria for a past-year alcohol use disorder (AUD) and reported visiting a health care provider in the past-year (n = 4,939). A multivariable logistic regression model was estimated to investigate differences in being offered information on alcohol treatment by a health care provider by race/ethnicity. A sub analysis that was limited to participants who reported receiving information on alcohol treatment services by a health care provider (n = 481) was also conducted to explore racial/ethnic differences in treatment utilization.
Overall, health care providers rarely provided information on alcohol treatment services to persons with AUD. In multivariable analyses, Latinos were less likely to receive information on alcohol treatment services than Whites, but no White-Black differences were documented. When analyses were restricted to those who had received information on alcohol treatment options, no racial/ethnic differences in the use of alcohol treatment services were found.
Health care providers can potentially encourage use of alcohol treatment among those in need and contribute to reducing existing alcohol-related racial/ethnic disparities.
本研究的目的是：（1）调查医疗保健提供者向患者提供酒精治疗选择信息方面的种族/民族差异；（2）进行分层亚组分析，以探讨在从医疗保健提供者处获得酒精治疗服务信息的人群中，使用酒精治疗的种族/民族差异。
使用了来自全国药物使用和健康调查（2015 - 2017年）的数据。分析仅限于符合过去一年酒精使用障碍（AUD）诊断标准且报告在过去一年中拜访过医疗保健提供者的成年白人、黑人及拉丁裔参与者（n = 4939）。估计了一个多变量逻辑回归模型，以调查医疗保健提供者按种族/民族提供酒精治疗信息的差异。还进行了一项仅限于报告从医疗保健提供者处获得酒精治疗服务信息的参与者（n = 481）的亚分析，以探讨治疗利用方面的种族/民族差异。
总体而言，医疗保健提供者很少向患有酒精使用障碍的人提供酒精治疗服务信息。在多变量分析中，拉丁裔比白人获得酒精治疗服务信息的可能性更小，但未发现白人与黑人之间存在差异。当分析仅限于那些获得酒精治疗选择信息的人时，未发现使用酒精治疗服务方面的种族/民族差异。
医疗保健提供者有可能鼓励有需要的人使用酒精治疗，并有助于减少现有的与酒精相关的种族/民族差异。
