Evidence map›Paper›PMID 22211205›Full record

ArticlePsychiatric services (Washington, D.C.)2011

Racial-ethnic disparities in substance abuse treatment: the role of criminal history and socioeconomic status.

Benjamin Lê Cook, Margarita Alegría

Open access · greenAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed
8.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 150 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Benjamin Lê CookCenter for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, MA 02143, USA. bcook@charesearch.org
Margarita Alegría
Cambridge Health Alliance · US

Funding

UPR-CHA Research Center of Excellence: Making a Difference for Latino HealthP60MD002261 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI CANINO, GLORISA J · 2007 to 2011
$8.7M
NIMHD NIH HHS P60 MD002261NIMHD NIH HHS P60-MD002261
6 · The paper itself

Abstract

objectiveAmong persons with substance use disorders, those from racial-ethnic minority groups have been found to receive substance abuse treatment at rates equal to or higher than those of non-Latino whites. Little is known about factors underlying this apparent lack of disparities. This study examines racial-ethnic disparities in treatment receipt and mechanisms that reduce or contribute to disparities.

methodsBlack-white and Latino-white disparities in any and in specialty substance abuse treatment were measured among adult respondents with substance use disorders from the 2005-2009 National Survey on Drug Use and Health (N=25,159). Three staged models were used to measure disparities concordant with the Institute of Medicine definition, assess the extent to which criminal history and socioeconomic indicators contributed to disparities, and identify correlates of treatment receipt.

resultsTreatment was rare (about 10%) for all racial-ethnic groups. Odds ratios for black-white and Latino-white differences decreased and became significantly less than 1 after adjustment for criminal history and socioeconomic status factors. Higher rates of criminal history and enrollment in Medicaid among blacks and Latinos and lower income were specific mechanisms that influenced changes in estimates of disparities across models.

conclusionsThe greater likelihood of treatment receipt among persons with a criminal history and lower socioeconomic status is a pattern unlike those seen in most other areas of medical treatment and important to the understanding of substance abuse treatment disparities. Treatment programs that are mandated by the criminal justice system may provide access to individuals resistant to care, which raises concerns about perceived coercion.

Indexed as

Social ClassAdolescentAdultBlack or African AmericanCrimeFemaleHealthcare DisparitiesHealth Care SurveysHealth Status DisparitiesHispanic or LatinoHumansLogistic ModelsMaleMandatory ProgramsMedicaidMental Health Services

Identifiers

PMID22211205
PMCPMC3665009
OpenAlexW2165274400

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.