Differences in barriers to specialty alcohol treatment between Latino and White adults with an alcohol use disorder

IF 3.9 2区医学 Q1 PSYCHIATRY

Drug and alcohol dependence Pub Date : 2025-02-10 DOI:10.1016/j.drugalcdep.2025.112594

M. Pinedo , SE Zemore , PA Gilbert , Y. Castro , R. Caetano

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引用次数: 0

Abstract

Background

Among individuals with an alcohol use disorder (AUD), little is known about why Latino adults are less likely to use formal alcohol treatment than their non-Hispanic White counterparts.

Objective

To investigate Latino-White differences in barriers to specialty alcohol treatment, including sex differences by race/ethnicity.

Methods

In 2021, a national sample of 1200 Latino and White adults with AUD were recruited to complete a structured online questionnaire. Alcohol treatment barriers were assessed using the 36-item Barriers to Specialty Alcohol Treatment (BSAT) scale. Differences in barriers to specialty alcohol treatment between Latino and White participants were examined using multivariable regression models.

Results

Latino (vs. White) adults had greater odds of reporting that specialty alcohol treatment was not culturally accepted (AOR): 1.43; 95 % CI: 1.29–1.59), concerns that providers might not understand their cultural background (AOR: 1.45; 95 % CI: 1.32–1.61), and that providers would not be of the same racial/ethnic or cultural background as them (AOR: 1.58; 95 % CI: 1.42–1.76) as reasons for not using treatment. Further, Latino (vs. White) adults were more likely to endorse immigration-related barriers to treatment, including concerns about disclosing sensitive information, such as their immigration status (AOR: 1.34; 95 % CI: 1.21–1.48) or that using treatment would negatively affect their own immigration status (AOR: 1.35; 95 % CI: 1.21–1.48) or the immigration status of someone in their family (AOR: 1.36; 95 % CI: 1.23–1.50). No sex differences by race/ethnicity were documented.

Conclusion

Culturally tailoring existing alcohol treatment services that incorporate immigration-related concerns may be key for encouraging Latino adults to use formal alcohol treatment services.

查看原文本刊更多论文

患有酒精使用障碍的拉丁裔和白人成年人在接受专业酒精治疗方面的障碍差异

背景：在酒精使用障碍（AUD）患者中，拉丁裔成年人比非西班牙裔白人更不可能接受正式酒精治疗的原因尚不清楚。目的调查拉丁裔和白人在接受特殊酒精治疗障碍方面的差异，包括种族/民族的性别差异。方法在2021年，在全国范围内招募了1200名患有AUD的拉丁裔和白人成年人来完成一份结构化的在线问卷。酒精治疗障碍采用36项专业酒精治疗障碍（BSAT）量表进行评估。使用多变量回归模型检查拉丁裔和白人受试者在特殊酒精治疗障碍方面的差异。结果黑人（相对于白人）成年人报告特殊酒精治疗在文化上不被接受的几率更大（AOR）： 1.43；95% CI: 1.29-1.59)，担心提供者可能不了解他们的文化背景(AOR: 1.45；95% CI: 1.32-1.61)，并且提供者不会与他们具有相同的种族/民族或文化背景(AOR: 1.58；95% CI: 1.42-1.76)作为不使用治疗的原因。此外，拉丁裔成年人（相对于白人）更有可能支持与移民有关的治疗障碍，包括对披露敏感信息的担忧，例如他们的移民身份(AOR: 1.34；95% CI: 1.21-1.48)或使用治疗会对自己的移民身份产生负面影响(AOR: 1.35；95% CI: 1.21-1.48)或其家庭成员的移民身份(AOR: 1.36；95% ci: 1.23-1.50)。没有记录种族/民族的性别差异。结论：从文化上调整现有的酒精治疗服务，将移民相关问题纳入其中，可能是鼓励拉丁裔成年人使用正式酒精治疗服务的关键。

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

Drug and alcohol dependence 医学-精神病学

CiteScore

7.40

自引率

7.10%

发文量

409

审稿时长

41 days

期刊介绍： Drug and Alcohol Dependence is an international journal devoted to publishing original research, scholarly reviews, commentaries, and policy analyses in the area of drug, alcohol and tobacco use and dependence. Articles range from studies of the chemistry of substances of abuse, their actions at molecular and cellular sites, in vitro and in vivo investigations of their biochemical, pharmacological and behavioural actions, laboratory-based and clinical research in humans, substance abuse treatment and prevention research, and studies employing methods from epidemiology, sociology, and economics.