Evidence map›Paper›PMID 30243409›Full record

ArticleJournal of substance abuse treatment2018

Understanding barriers to specialty substance abuse treatment among Latinos.

Miguel Pinedo, Sarah Zemore, Shannon Rogers

Abstract read
In one paragraph

Article in Journal of substance abuse treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 92 citations in OpenAlex.

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5 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

3 authors at 2 institutions in 1 country.

Miguel PinedoThe University of Texas at Austin, Department of Kinesiology and Health Education, United States of America; Alcohol Research Group, United States of America. Electronic address: mpinedo@austin.utexas.edu.
Sarah ZemoreThe University of Texas at Austin, Department of Kinesiology and Health Education, United States of America; Alcohol Research Group, United States of America. Electronic address: szemore@arg.org.
Shannon RogersThe University of Texas at Austin, School of Public Health, United States of America. Electronic address: Shannon.rogers@uth.tmc.edu.
The University of Texas at Austin · USAlcohol Research Group · US

Funding

TREND &STRUCTURE OF ALCOHOL DEPENDENCE--GENERAL POPULATION 1990 SURVEY DATAP50AA005595 · NIAAA · WESTERN CONSORTIUM FOR PUBLIC HEALTH · PI LUI, CAMILLIA K. · 1985 to 2025
$34.1M
Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI Elizabeth T. Gershoff · 2017 to 2026
$5.2M
Understanding disparities in alcohol treatment services utilizationR01AA027767 · NIAAA · UNIVERSITY OF TEXAS AT AUSTIN · PI PINEDO, MIGUEL · 2019 to 2021
$1.1M
NIAAA NIH HHS P50 AA005595NIAAA NIH HHS R01 AA027767NICHD NIH HHS P2C HD042849NIMHD NIH HHS L60 MD011078
6 · The paper itself

Abstract

backgroundNational studies have documented that Latinos are less likely to use specialty substance abuse treatment (e.g., rehabilitation programs, in/out-patient services) than other racial/ethnic groups. Disparities in treatment utilization are particularly pronounced between Latinos and Whites. Few national studies have explicitly examined barriers to treatment by race/ethnicity, and current results are inconclusive. The purpose of this study was to gain a better understanding of barriers to specialty substance abuse treatment among Latinos.

methodsIn 2017-2018, in-depth qualitative interviews were conducted with 54 White, Black, and Latino participants who met eligibility criteria for a recent substance use disorder. Participants were recruited via online ads and screened for eligibility through an online survey. Interview questions were grounded in the Theory of Planned Behavior (TBP): Participants were asked about treatment-related barriers in the domains of attitudes, subjective norms, and perceived control. Interviews were transcribed verbatim and coded by two independent coders. Barriers were compared across all interviews and by race/ethnicity.

resultsLatinos were significantly more likely to report attitudinal and subjective norm barriers than their White and Black counterparts. Within the attitudes domain, results suggested that Latinos largely avoided specialty treatment due to barriers stemming from cultural factors, perceived treatment efficacy, recovery goals, and perceived treatment need. In the area of subjective norms, stigma and perceived lack of social support from family were more pervasive among Latinos' narratives. Lastly, in terms of perceived control, a minority of Latinos reported logistical barriers to treatment.

conclusionSpecialty substance abuse treatment services have been found to be effective regardless of race/ethnicity. Understanding why Latinos use specialty treatment at low rates is key to reducing existing racial/ethnic disparities related to substance abuse. This study identified several malleable barriers that interventions can target to increase Latinos' utilization of treatment. These barriers may also be key to explaining Latino-White disparities in treatment utilization.

Indexed as

AdultAttitude to HealthBlack or African AmericanFemaleHealthcare DisparitiesHispanic or LatinoHumansInterviews as TopicMaleMiddle AgedPsychological TheorySocial SupportSubstance-Related DisordersWhite PeopleAlcohol use disordersLatinosRacial/ethnic disparitiesSpecialty treatmentSubstance use disordersTreatment utilization

Identifiers

PMID30243409
PMCPMC6157272
OpenAlexW2885463704

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.