Substance use disorder, the workforce, and treatment quality for minoritized populations: a systematic review.

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Substance Abuse Treatment, Prevention, and Policy Pub Date : 2025-06-19 DOI:10.1186/s13011-025-00656-8

Hannah L Maxey, Brittany J Daulton, Rebekka Boustani, Kelsey E Binion

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引用次数: 0

Abstract

Substance use disorder remains a United States public health concern, particularly for minoritized populations. This systematic review explores the relationship between workforce diversity, cultural competency, and the quality of substance use disorder treatment for minoritized populations. Studies published between 2003 and 2023 were analyzed and nine studies met inclusion criteria. Findings reveal conflicting evidence about the impact of workforce diversity and cultural competency on quality outcomes. While some studies suggest positive associations, others report no relationship or adverse effects. Moreover, inconsistencies in research methodology limited comparative analyses. The literature predominantly focuses on Hispanic/Latinx populations, leaving gaps in understanding other minoritized populations' experiences. Despite national initiatives promoting health equity and diversity, federal research funding regarding substance use disorder treatment for minoritized populations remains limited. This review calls for further research to inform policy and practice, emphasizing multi-agency collaboration, standardized measures of cultural competency, and targeted funding to address disparities in treatment quality outcomes for minoritized populations.

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物质使用障碍、劳动力和少数群体的治疗质量：一项系统综述。

药物使用障碍仍然是美国公共卫生关注的问题，特别是对少数群体而言。本系统综述探讨了劳动力多样性、文化能力和少数族裔人群药物使用障碍治疗质量之间的关系。对2003年至2023年间发表的研究进行了分析，有9项研究符合纳入标准。研究结果揭示了关于劳动力多样性和文化能力对质量结果的影响的相互矛盾的证据。虽然一些研究表明有积极的联系，但其他研究报告没有关系或不利影响。此外，研究方法的不一致性限制了比较分析。文献主要关注西班牙裔/拉丁裔人口，在理解其他少数民族人口的经历方面留下了空白。尽管国家采取了促进健康公平和多样性的举措，但针对少数群体药物使用障碍治疗的联邦研究经费仍然有限。这篇综述呼吁进一步的研究为政策和实践提供信息，强调多机构合作，标准化的文化能力措施，以及有针对性的资助，以解决少数群体治疗质量结果的差异。

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来源期刊

Substance Abuse Treatment, Prevention, and Policy Medicine-Health Policy

CiteScore

5.20

自引率

0.00%

发文量

审稿时长

19 weeks

期刊介绍： Substance Abuse Treatment, Prevention, and Policy is an open access, peer-reviewed journal that encompasses research concerning substance abuse, with a focus on policy issues. The journal aims to provide an environment for the exchange of ideas, new research, consensus papers, and critical reviews, to bridge the established fields that share a mutual goal of reducing the harms from substance use. These fields include: legislation pertaining to substance use; correctional supervision of people with substance use disorder; medical treatment and screening; mental health services; research; and evaluation of substance use disorder programs.