Zhang Wenyu, Wu Hui
Independent Researcher, Jersey City, NJ 07302, USA.
Independent Researcher, Bayonne, NJ 07002, USA.
Healthcare (Basel). 2025 Feb 10;13(4):369. doi: 10.3390/healthcare13040369.
: Treatment dropout in substance use disorder (SUD) programs poses a significant challenge to achieving successful outcomes and leads to legal and financial issues. Socioeconomic factors have been identified as key contributors to treatment attrition; yet, the specific impact of patients' socioeconomic conditions remains underexplored. The purpose of this study is to examine the relationship between socioeconomic factors and SUD treatment dropout. : We conducted a retrospective analysis of socioeconomic factors associated with treatment dropout among individuals with alcohol, marijuana, and heroin substance abuse. Logistic regression was used to examine the association between patients' socioeconomic factors and treatment dropout. Adjusted odds ratios were calculated to quantify the strength of these associations. : Our findings demonstrate that demographic factors and financial status, including age (12-19 years), Black or African American race, and reliance on public assistance, correlate with an increased likelihood of treatment dropout. Black or African American patients receiving public assistance exhibit elevated dropout rates in ambulatory services, while patients of other single races without private insurance show higher dropout rates in detox services. Individuals aged 18-49 who are not part of the labor force have increased dropout rates in rehab services. Interestingly, patients in dependent living situations, who pay for services through private insurance or receive them at no charge, experience lower dropout rates as the number of arrests increases. Conversely, independently living patients with prior SUD treatments have higher dropout rates compared to those undergoing treatment for the first time. : This study underscores the critical importance of addressing financial barriers to treatment access and retention in order to improve outcomes for individuals with substance use disorders (SUDs). Targeted interventions that support economically disadvantaged populations are essential for reducing treatment dropout rates and enhancing the effectiveness of SUD treatment programs.
物质使用障碍（SUD）项目中的治疗中断对取得成功结果构成了重大挑战，并导致法律和财务问题。社会经济因素已被确定为治疗减员的关键因素；然而，患者社会经济状况的具体影响仍未得到充分探索。本研究的目的是探讨社会经济因素与SUD治疗中断之间的关系。
我们对酒精、大麻和海洛因物质滥用个体中与治疗中断相关的社会经济因素进行了回顾性分析。采用逻辑回归分析来检验患者社会经济因素与治疗中断之间的关联。计算调整后的优势比以量化这些关联的强度。
我们的研究结果表明，人口统计学因素和财务状况，包括年龄（12 - 19岁）、黑人或非裔美国人种族以及对公共援助的依赖，与治疗中断可能性增加相关。接受公共援助的黑人或非裔美国患者在门诊服务中的中断率较高，而没有私人保险的其他单一种族患者在戒毒服务中的中断率较高。年龄在18 - 49岁且不属于劳动力的个体在康复服务中的中断率增加。有趣的是，通过私人保险支付服务费用或免费接受服务的依赖生活状况患者，随着被捕次数增加，中断率较低。相反，与首次接受治疗的患者相比，有过SUD治疗史的独立生活患者中断率较高。
本研究强调了解决治疗获取和留存方面财务障碍对于改善物质使用障碍（SUD）个体结局的至关重要性。支持经济弱势群体的针对性干预措施对于降低治疗中断率和提高SUD治疗项目的有效性至关重要。
