Department of Sociology, Center on Drug & Alcohol Research, Center for Health Equity Transformation, University of Kentucky, 1531 Patterson Office Tower, Lexington, KY 40506, United States.
Department of Sociology, The University of Alabama at Birmingham, Heritage Hall, Room 460, 1401 University Blvd, Birmingham, AL 35233, United States.
Drug Alcohol Depend. 2024 Jul 1;260:111326. doi: 10.1016/j.drugalcdep.2024.111326. Epub 2024 May 8.
The purpose of this study includes: 1) identifying classes of substance-related needs among Black women, and 2) examining the effect of substance-related need classes and culturally-relevant factors on Black women's use of substance use disorder (SUD) treatment and mutual support groups.
As part of a longitudinal cohort study, Black women were recruited in prison nearing release, on probation, and in the community without involvement in the criminal legal system (CLS, n=565) and followed-up at 18-months. We conducted a baseline latent class analysis of substance-related needs among Black women. Logistic regression models adjusted for culturally-relevant factors to predict the use of treatment and frequency of mutual support group participation over 18-months among Black women who use drugs.
Four classes by level of needs were found: low, daily marijuana use, high mental health, and high comorbidity. During the 18-month follow-up, women characterized by the high comorbidity need class and with higher scores of religious well-being were more likely to frequently participate in mutual support groups. Non-CLS-involved women were less likely to engage with both treatment and mutual support groups than women from the prison sample at 18-months.
This study highlights four distinct classes of substance-related needs among Black women, highlighting the complex patterns of behavior and within-racial group differences among Black women. Black women with high comorbidity needs were more likely to participate in mutual support groups, but the latent classes did not predict SUD treatment indicating other non-medical and social contextual need factors may be at play.
本研究的目的包括：1）确定黑人女性物质相关需求的类别，以及 2）研究物质相关需求类别和与文化相关的因素对黑人女性使用物质使用障碍（SUD）治疗和互助小组的影响。
作为一项纵向队列研究的一部分，在接近释放、缓刑和没有参与刑事法律系统（CLS）的社区中招募黑人女性（n=565），并在 18 个月时进行随访。我们对黑人女性的物质相关需求进行了基线潜在类别分析。调整与文化相关的因素的逻辑回归模型预测了在 18 个月内使用治疗和互助小组的频率，其中包括使用毒品的黑人女性。
发现了四个按需求水平划分的类别：低、每日使用大麻、高心理健康和高合并症。在 18 个月的随访期间，具有高合并症需求类别的女性和宗教幸福感得分较高的女性更有可能频繁参加互助小组。非 CLS 参与的女性在 18 个月时比监狱样本中的女性更不可能参与治疗和互助小组。
本研究强调了黑人女性中存在四种不同的物质相关需求类别，突出了黑人女性行为的复杂模式和种族内差异。具有高合并症需求的黑人女性更有可能参加互助小组，但潜在类别并没有预测 SUD 治疗，这表明可能存在其他非医疗和社会背景需求因素。
