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美国青少年门诊物质使用障碍治疗中的种族和族裔差异、转诊来源与流失情况

Racial and Ethnic Disparities, Referral Source and Attrition From Outpatient Substance Use Disorder Treatment Among Adolescents in the United States.

作者信息

Marotta Phillip L, Tolou-Shams Marina, Cunningham-Williams Renee M, Washington Durrell Malik, Voisin Dexter

机构信息

Yale University, New Haven, CT, USA.

School of Medicine, University of California, San Francisco, USA.

出版信息

Youth Soc. 2022 Jan;54(1):148-173. doi: 10.1177/0044118x20960635. Epub 2020 Sep 30.

DOI:10.1177/0044118x20960635
PMID:38322360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10846866/
Abstract

The following study examined the association between race, ethnicity, referral source, and reasons for attrition from substance use treatment in a sample of 72,643 discharges of adolescent youth in the United States from 2014 to 2016. Black and Hispanic adolescents were more likely to be discharged due to incarceration and termination by the facility compared to White adolescents. Adolescents referred by probation, diversion, other juvenile justice organizations, health care providers, community agencies, and individual referrals were significantly more likely to be discharged due to incarceration and terminated by the treatment facility compared to youth who were referred by schools. Findings suggest that enhancing linkage to treatment from systems in the social environment may play a role in attenuating racial and ethnic disparities in rates of attrition from substance abuse treatment among adolescent youth in the United States.

摘要

以下研究调查了2014年至2016年美国72643名青少年戒毒治疗出院样本中种族、族裔、转诊来源与戒毒治疗中断原因之间的关联。与白人青少年相比,黑人和西班牙裔青少年因监禁和机构终止治疗而出院的可能性更高。与学校转诊的青少年相比,由缓刑、转处、其他少年司法组织、医疗保健提供者、社区机构和个人转诊的青少年因监禁而被治疗机构终止治疗并出院的可能性显著更高。研究结果表明,加强社会环境中各系统与治疗的联系,可能有助于减少美国青少年药物滥用治疗中断率方面的种族和族裔差异。

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本文引用的文献

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Adolesc Psychiatry (Hilversum). 2019 May;9(1):4-10. doi: 10.2174/2210676608666181102145040.
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Can We Predict Which Adolescents Will Engage in Outpatient Substance Abuse Treatment?我们能否预测哪些青少年会接受门诊药物滥用治疗?
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