How long does it take to complete outpatient substance use disorder treatment? Disparities among Blacks,Hispanics, and Whites in the US |
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| Institution: | 1. Department of Geography and Urban Studies, Temple University, Philadelphia, PA, United States;2. Department of Psychiatry, Cairo University, Giza, Egypt;3. Office of the Vice President for External and Clinical Affairs, Western University of the Health Sciences, Los Angeles, CA, United States;1. Department of Psychology, University of Houston, Houston, TX, USA;2. Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA;3. HEALTH Institute, University of Houston, Houston, TX, USA;4. College of Social Work, University of Houston, Houston, TX, USA;5. Department of Psychology, Syracuse University, Syracuse, NY, USA;1. College of Nursing, The University of Iowa, 101 College of Nursing Building, 50 Newton Road, Iowa City, IA 52242;2. Department of Psychological and Quantitative Foundations, Counseling Psychology Program College of Education, University of Iowa, 361 Lindquist Center Iowa City, IA 52242;3. Iowa Consortium for Substance Abuse Research and Evaluation, 100 MTP4, University of Iowa, Iowa City, IA 52245-5000, USA;4. Department of Psychiatry, Carver College of Medicine, University of Iowa, 451 Newton Road 200 Medicine Administration Building, Iowa City, IA 52242;1. Suzanne Dworak-Peck School of Social Work, Marshall School of Business, University of Southern California, 655 West 34th Street, Los Angeles, CA 90089, United States;2. RTI, 3040 E Cornwallis Rd, Durham, NC 27709, United States;3. Department of Psychiatry, Harvard Medical School, 2 West - Room 305 - 401 Park Drive, Boston, MA 02215, United States;4. Mihaylo College of Business and Economics, California State University, Fullerton, CA 90089, United States;1. Iowa Consortium for Substance Abuse Research and Evaluation, 100 MTP4, University of Iowa, Iowa City, IA 52245-5000, USA;2. Department of Psychological and Quantitative Foundations, Counseling Psychology Program, College of Education, University of Iowa, 361 Lindquist Center, Iowa City, IA 52242, USA;3. Department of Epidemiology, College of Public Health, University of Iowa, 145 N. Riverside Drive, Iowa City, IA 52242, USA;4. Department of Occupational and Environmental Health, College of Public Health, University of Iowa, 145 N. Riverside Drive, 100 CPHB, Iowa City, IA 52242, USA;5. Department of Psychiatry, Carver College of Medicine, University of Iowa, 451 Newton Road, 200 Medicine Administration Building, Iowa City, IA 52242, USA;6. Department of Biostatistics, College of Public Health, University of Iowa, 145 N. Riverside Drive, 100 CPHB, Iowa City, IA 52242, USA |
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| Abstract: | This research investigates racial and ethnic disparities in outpatient substance use disorder treatment completion and duration in treatment, for different substances, across the US, using the national 2014 Treatment Episode Dataset-Discharge (TEDS-D) data set. Moderated fixed effects logistic regression models assessed effects of race/ethnicity on length of stay in treatment and treatment completion for different substances of use. Moderated models also assessed the differential effect of length of stay on treatment completion among Blacks, Hispanics, and Whites. While Blacks and Hispanics both have significantly lower treatment completion rates than Whites, treatment duration is substantially similar across the three groups. Blacks and Hispanics generally take longer to complete treatment than Whites, though this varies by substance for Hispanics. Disparities in treatment completion persist even after controlling for treatment duration. These results indicate that observed racial and ethnic disparities in treatment completion are not due to differences in length of stay in treatment. Economic, cultural, accessibility, or, potentially, discriminatory, factors may suppress the likelihood of treatment completion for minorities and result in longer treatment durations required for completion. Recognition by treatment providers of the unique challenges to treatment completion faced by minorities may enhance treatment outcomes for minorities in the US. |
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