Evidence map›Paper›PMID 39344041›Full record

ArticleSubstance use & addiction journal2025

Disparities in Alcohol Treatment Use at the Intersection of Race, Ethnicity, Gender, and Insurance.

Andrea Acevedo, Rachel Sayko Adams, Benjamin Lê Cook, Sage R Feltus, Lee Panas, Maureen T Stewart

Abstract read
In one paragraph

Article in Substance use & addiction journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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  5. 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

6 authors.

Andrea AcevedoBooz Allen Hamilton, Inc., McLean, VA, USA.ORCID 0000-0002-8564-6147
Rachel Sayko AdamsDepartment of Health Law, Policy & Management, Boston University School of Public Health, Boston, MA, USA.ORCID 0000-0003-4450-0712
Benjamin Lê CookHealth Equity Research Lab, Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, USA.
Sage R FeltusInstitute for Behavioral Health, The Heller School for Social Policy & Management, Brandeis University, Waltham, MA, USA.
Lee PanasInstitute for Behavioral Health, The Heller School for Social Policy & Management, Brandeis University, Waltham, MA, USA.
Maureen T StewartInstitute for Behavioral Health, The Heller School for Social Policy & Management, Brandeis University, Waltham, MA, USA.

Funding

Research Support CoreP30DA035772 · NIDA · BRANDEIS UNIVERSITY · PI Maureen T Stewart · 2015 to 2026
$11.3M
Alcohol treatment in Medicaid managed care plans: Disparities in policies and outcomesR01AA029821 · NIAAA · BRANDEIS UNIVERSITY · PI STEWART, MAUREEN T · 2021 to 2025
$2.9M
NIAAA NIH HHS R01 AA029821NIDA NIH HHS P30 DA035772
6 · The paper itself

Abstract

backgroundTreatment for alcohol use disorder (AUD) has the potential to improve health and quality of life. Little is known about disparities in AUD treatment utilization at the intersection of race and gender. We examined disparities in AUD treatment utilization among those diagnosed with AUD in a community sample, by race, ethnicity, and gender, and whether disparities varied by insurance. We also examined whether criminal legal history and socioeconomic status moderated disparities in treatment.

methodsWe used data from the nationally representative 2017 to 2019 National Survey on Drug Use and Health, the most recent 3-year period available. The analytic sample included noninstitutionalized adults aged 18 to 64 who met criteria for past year AUD and identified as White, Black, or Latinx (

resultsOnly 5.4% of adults with AUD in the United States utilized AUD treatment in the past year. AUD treatment utilization did not significantly differ between White males and other racial, ethnic, and gender groups; however, we did identify disparities among Medicaid enrollees and those who were uninsured. Among Medicaid enrollees, Latinx females (3.2%) had lower treatment utilization than White males (9.3%,

conclusionsAUD treatment utilization was extremely low among adults in the United States aged 18 to 64 who met criteria for AUD. Ethnic and gender disparities in treatment utilization were revealed when examining differences in AUD treatment utilization by insurance status. Strategies for improving access to AUD treatment that address structural barriers to care are needed and should consider targeted approaches for Medicaid enrollees and those uninsured.

Indexed as

Healthcare DisparitiesInsurance CoverageAdolescentAdultAlcoholismBlack or African AmericanFemaleHispanic or LatinoHumansInsurance, HealthMaleMedicaidMiddle AgedPatient Acceptance of Health CareSex FactorsUnited Statesalcohol use disorderdisparitiesethnicitygenderMedicaidracetreatment

Identifiers

PMID39344041
PMCPMC11972884

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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.