ArticleDrug and alcohol dependence2019
A current re-examination of racial/ethnic disparities in the use of substance abuse treatment: Do disparities persist?
Article in Drug and alcohol dependence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
76 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Substance use disorder, the workforce, and treatment quality for minoritized populations: a systematic review.Substance abuse treatment, prevention, and policy · 2025Pooled it
- Alcohol use in multiracial American youth compared with monoracial youth: A meta-analysis.Addiction (Abingdon, England) · 2024Pooled it
- Racial and Ethnic Differences in Long-Term Outcomes among Individuals with Opioid Use Disorder at Opioid Treatment Programs.Journal of racial and ethnic health disparities · 2026Trial
- Improvement in coping skills from culturally-adapted digital CBT for Spanish-speaking Hispanics with substance use disorder: Secondary analysis of a randomized clinical trial.Journal of substance use and addiction treatment · 2025Trial
- Examining racial and ethnic differences in youth psychotherapy treatment engagement and outcomes.Journal of consulting and clinical psychology · 2024Trial
- Preventing alcohol use among Hispanic adolescents through a family-based intervention: The role of parent alcohol misuse.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2023Trial
- Alcohol-related consequences and the intention to seek care in treatment naïve women and men with severe alcohol use disorder.Addictive behaviors · 2022Trial
- Race, Ethnicity, and Language Differences in Inpatient Discharge Prescriptions for Alcohol Use Disorder at an Academic Medical Center.Journal of general internal medicine · 2026Article
- Arrest discretion and training needs for interacting with people with substance use disorders: a qualitative secondary analysis among police recruits in Washington State.Health & justice · 2026Article
- Racial and ethnic disparities in the management of risk factors in individuals with atrial fibrillation: A narrative review.American journal of preventive cardiology · 2026Review
- A digital cognitive behavioral therapy program culturally adapted for Spanish-speaking individuals with alcohol use disorder: a stage 1 randomized clinical trial.Frontiers in digital health · 2026Article
- Forecasting alcohol lapse risk up to two weeks in advance using time-lagged machine learning models.PloS one · 2026Article
- Barriers beyond behavior: structural determinants of behavioral health treatment disparities among Hispanics in the U.S.Frontiers in public health · 2026Article
- Preferences and predictors driving opioid-involved polysubstance use profiles and trajectories: a prospective cohort study protocol.BMJ open · 2025Article
- Demographic and regional trends of mortality in patients with cardiovascular disease and liver cirrhosis in the United States between 1999 and 2019.Atherosclerosis plus · 2025Article
- Racial and Ethnic Community Composition and Geographic Distance to Substance Use Disorder Treatment Across the Rural and Urban Divide.Journal of racial and ethnic health disparities · 2025Article
- Understanding the "Paradox" in Black-White Alcohol Outcomes: Examining High-Effort Coping and Health Behaviors with a Focus on Black Populations and College Students.Journal of racial and ethnic health disparities · 2025Review
- Patterns of Drugs Involved in Fatal Overdose and Demographic Correlates: A Latent Class Analysis of Polysubstance-Involved Deaths in the Urban Midwest.Substance use & addiction journal · 2025Article
- A participatory photovoice investigation of community assets, barriers, and opportunities to curb the opioid epidemic.Journal of substance use and addiction treatment · 2025Article
- Characteristics associated with forced treatment discontinuation among people who use drugs in Rhode Island.Drug and alcohol dependence · 2025Article
16 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
Abstract
objectiveRacial/ethnic disparities in the use of substance abuse treatment services have been documented. The objective of this study was to re-examine if racial/ethnic disparities in the use of treatment still exist using current data collected post-implementation of the Affordable Care Act.
methodsData were pooled from the National Survey on Drug Use and Health survey years 2015, 2016, and 2017. Analyses were limited to adult White, Black, and Latino participants who met DSM-IV criteria for a past-year substance use disorder (n = 12,070). Hierarchical multivariate logistic regression models examined the role of race/ethnicity on past-year use of (1) any substance abuse treatment services and (2) specialty treatment. Important covariates included socio-demographics, problem severity, and perceived treatment need. A sub-analysis was also conducted that was limited to participants who reported having health insurance to explore the role of insurance status on treatment utilization by race/ethnicity.
resultsFindings showed that Latinos and Blacks significantly underutilized specialty treatment relative to Whites. These relationships were statistically significant after controlling for socio-demographic characteristics, problem severity, and perceived treatment need. However, when analyses were limited to only those with health insurance, Black-White disparities became non-significant, while Latino-White disparities persisted.
conclusionsFindings highlight that Black-White and Latino-White disparities in the use of substance abuse treatment still persist. However, Black-White disparities may be limited to only those who are uninsured. Public health implications are discussed.
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Registered trials
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.