Evidence map›Paper›PMID 34053408›Full record

ArticleJournal of prevention & intervention in the community

Understanding the preference for receiving mental health and substance use support in African Americans 50 and older.

Bukola Usidame, Ethlyn McQueen Gibson, Ana Diallo, Courtney Blondino, James Clifford, Richmond Health and Wellness Community Advisory Board, Faika Zanjani, Lana Sargent, Elvin Price, Patricia Slattum and 2 more

Open access · greenAbstract read
In one paragraph

Article in Journal of prevention & intervention in the community. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

12 authors at 2 institutions in 1 country.

Bukola UsidameDepartment of African American Studies, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID 0000-0002-9716-0670
Ethlyn McQueen GibsonSchool of Nursing, Hampton University, Hampton, Virginia, USA.
Ana DialloSchool of Nursing, Virginia Commonwealth University, Richmond, Virginia, USA.
Courtney BlondinoDivision of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia, USA.
James CliffordDivision of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia, USA.
Richmond Health and Wellness Community Advisory Board
Faika ZanjaniDepartment of Gerontology, College of Health Professions, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID 0000-0001-5808-6116
Lana SargentSchool of Nursing, Virginia Commonwealth University, Richmond, Virginia, USA.
Elvin PriceDepartment of Pharmacotherapy & Outcomes Science, School of Pharmacy, Virginia Commonwealth University, Richmond, Virginia, USA.
Patricia SlattumDepartment of Pharmacotherapy & Outcomes Science, School of Pharmacy, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID 0000-0003-1858-5089
Pamela ParsonsSchool of Nursing, Virginia Commonwealth University, Richmond, Virginia, USA.
Elizabeth Prom-WormleyDivision of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia, USA.
Virginia Commonwealth University · USHampton University · US

Funding

Center for Clinical and Translational ResearchUL1TR000058 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2012 to 2015
$12.5M
NCATS NIH HHS UL1 TR000058
6 · The paper itself

Abstract

objectiveThis study aims to determine whether current tobacco and/or alcohol use is associated with setting preferences for seeking support for substance use (SU) and mental health (MH) services to African Americans ages 50 and older.

methodsData from 368 African American individuals (aged 50+) who participated in a community-based needs assessment survey were used. Preferences included community-based (e.g., health centers) and traditional settings (e.g., doctor's office). SU was measured as a categorical variable detailing past-month use of conventional cigarettes and alcohol graded by risk levels. Logistic regression models tested the associations between SU and setting preference before and after adjusting for the influence of self-reported MH diagnoses.

resultsPrior to adjustment for the influence of MH outcomes, high-risk use of tobacco and alcohol in the past month was associated with a lower odds of preferring MH/SU support in traditional settings (OR = 0.23, 95% CI = 0.06-0.85) compared to participants engaged in no-/low- risk substance use. This association was no longer significant after accounting for the influence of mental health symptoms and covariates. DISCUSSION: These results provide preliminary evidence that mental health outcomes mediate the association between substance use and setting preference for seeking MH/SU support in traditional settings. TRANSLATIONAL SIGNIFICANCE: This exploratory study encourages additional investigation of the association between substance use, setting preferences, and the likelihood of seeking treatment in community health centers using larger sample sizes. Additional opportunities to offer mental health/substance use support to African American older adults within clinical settings should be explored.

Indexed as

Mental Health ServicesSubstance-Related DisordersAgedBlack or African AmericanHumansMental HealthSurveys and QuestionnairesAfrican Americansalcoholhealth servicesmental healthsmoking

Identifiers

PMID34053408
PMCPMC11139063
OpenAlexW3164629338

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.