Evidence map›Paper›PMID 26503509›Full record

ArticleSubstance abuse treatment, prevention, and policy2015

Paths to improving engagement among racial and ethnic minorities in addiction health services.

Erick G Guerrero, Karissa Fenwick, Yinfei Kong, Christine Grella, Thomas D'Aunno

Abstract read
In one paragraph

Article in Substance abuse treatment, prevention, and policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

5 authors.

Erick G GuerreroSchool of Social Work, University of Southern California, 655 West 34th Street, Los Angeles, CA, 90089, USA. erickgue@usc.edu.
Karissa FenwickSchool of Social Work, University of Southern California, 655 West 34th Street, Los Angeles, CA, 90089, USA. kfenwick@usc.edu.
Yinfei KongSchool of Social Work, University of Southern California, 655 West 34th Street, Los Angeles, CA, 90089, USA. yinfeiko@usc.edu.
Christine GrellaDepartment of Psychiatry & Biobehavioral Sciences, University of California, Los Angeles, Integrated Substance Abuse Programs, Los Angeles, USA. cgrella@mednet.ucla.edu.
Thomas D'AunnoWagner Graduate School of Public Service, New York University, New York, USA. td2268@columbia.edu.

Funding

IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Organizational Capacity to Eliminate Outcome Disparities under Healthcare ReformR33DA035634 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI VALDEZ, AVELARDO · 2015 to 2017
$1.6M
NIDA NIH HHS R33 DA035634NIDA NIH HHS R33DA035634-03NIMH NIH HHS R25 MH080916
6 · The paper itself

Abstract

backgroundMembers of racial and ethnic minority groups are most likely to experience limited access and poor engagement in addiction treatment. Research has been limited on the role of program capacity and delivery of comprehensive care in improving access and retention among minorities with drug abuse issues. The goal of this study was to examine the extent to which access and retention are enhanced when racial and ethnic minorities receive care from high-capacity addiction health services (AHS) programs and via coordination with mental health and receipt of HIV testing services.

methodsThis multilevel cross-sectional analysis involved data from 108 programs merged with client data from 2011 for 13,478 adults entering AHS. Multilevel negative binomial regression models were used to test interactions and indirect relationships between program capacity and days to enter treatment (wait time) and days in treatment (retention).

resultsCompared to low-capacity programs and non-Latino and non-African American clients, Latinos and African Americans served in high-capacity programs reported shorter wait times to admission, as hypothesized. African Americans also had longer treatment retention in high-capacity programs. Receipt of HIV testing and program coordination of mental health services played an indirect role in the relationship between program capacity and wait time.

conclusionsProgram capacity and coordinated services in AHS may reduce disparities in access to care. Implications for supporting low-capacity programs to eliminate the disparity gap in access to care are discussed.

Indexed as

Mental Health ServicesBehavior, AddictiveBlack or African AmericanCross-Sectional StudiesHealth Care SurveysHealth Services AccessibilityHispanic or LatinoHumansLos AngelesPatient ComplianceTime FactorsWhite People

Identifiers

PMID26503509
PMCPMC4624163

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.