The criminal justice system in alcohol use treatment: a nationwide analysis of racial disparities in treatment referral and completion.

IF 2.1 4区 医学 Q3 SUBSTANCE ABUSE
Madeline R Stenersen, MacKenzie Peltier, Sherry A McKee
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引用次数: 0

Abstract

Background: Alcohol use and the criminal justice (CJ) system have long been integrally connected in the United States and have both disproportionally impacted Communities of Color. Despite this connection, scholarly literature has largely focused on substance use as a whole, and little literature has examined the influence of race on CJ referral to alcohol treatment and treatment outcomes.

Methods: A total of 749,349 cases from the treatment episodes dataset discharge were used in the current study. A series of ANOVA and logistic regression analyses were conducted to examine the impact of race on (i) likelihood of referral to alcohol treatment by the CJ system and (ii) the association between CJ referral and treatment completion.

Results: Results revealed significant disparities in both who is referred to alcohol treatment by the CJ system and the association of that referral to treatment completion. Notably, American Indian/Alaska Native people were significantly more likely than people of all other races to be referred by the CJ system. However, American Indian/Alaska Native people showed the smallest association between CJ referral and treatment completion.

Conclusions: Contrary to previous literature, findings showed that referral of and positive association between CJ referral and treatment completion are not equal across people of different races. Taken together, these results highlight continued racial inequities in the role of the CJ system in alcohol treatment and the unique potential for non-CJ-related treatment to best serve people combatting alcohol use disorder.

酒精使用治疗中的刑事司法系统:对转诊和完成治疗中的种族差异进行的全国性分析。
背景:在美国,酗酒与刑事司法(CJ)系统长期以来一直密不可分,两者都对有色人种社区造成了极大的影响。尽管存在这种联系,但学术文献主要关注的是药物使用的整体情况,很少有文献研究种族对 CJ 转介酒精治疗和治疗结果的影响:本研究共使用了 749,349 例治疗发作数据集出院病例。通过一系列方差分析和逻辑回归分析,研究种族对(i) CJ系统转介酒精治疗的可能性和(ii) CJ转介与治疗完成之间关系的影响:结果显示,在由 CJ 系统转介到酒精治疗机构的人员以及转介与治疗完成之间的关联方面,存在着明显的差异。值得注意的是,美国印第安人/阿拉斯加原住民被 CJ 系统转介的可能性明显高于所有其他种族的人。然而,美国印第安人/阿拉斯加原住民在 CJ 转介与完成治疗之间的关联性最小:与以往的文献相反,研究结果表明,不同种族的转介情况以及 CJ 转介与完成治疗之间的正相关性并不相同。综合来看,这些结果凸显了 CJ 系统在酒精治疗中的作用在种族上仍然存在不平等,以及与 CJ 无关的治疗在为酒精使用障碍患者提供最佳服务方面的独特潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Alcohol and alcoholism
Alcohol and alcoholism 医学-药物滥用
CiteScore
4.70
自引率
3.60%
发文量
62
审稿时长
4-8 weeks
期刊介绍: About the Journal Alcohol and Alcoholism publishes papers on the biomedical, psychological, and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field. Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results. Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contributions are not of a largely speculative or philosophical nature.
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