The role of perceived treatment need in explaining racial/ethnic disparities in the use of substance abuse treatment services

Pinedo, Miguel; Villatoro, Alice P.

doi:10.1016/j.jsat.2020.108105

Cited by 22 publications

(15 citation statements)

References 26 publications

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“…Recent literature suggests that the disparities in SUD treatment access experienced among African American and Hispanic individuals may be partially driven by lower perceived need for treatment (Pinedo and Villatoro 2020). However, the finding that REM groups reported receiving more services than non-Hispanic Whites is not explained by differences in perceived need for treatment in the current sample.…”

Section: Discussioncontrasting

confidence: 65%

Racial/Ethnic Differences in Tobacco Use and Cessation Services among Individuals in Substance Use Treatment

McCuistian

Delucchi

et al. 2021

Journal of Psychoactive Drugs

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Few studies explore racial/ethnic disparities in tobacco use and access to cessation services among people with substance use disorders (SUD). We collected data from Hispanics (n = 255), non-Hispanic Whites (n = 195), and non-Hispanic Blacks (n = 126) across 24 Californian residential SUD treatment programs. Data were analyzed via regression models adjusting for demographics, cigarettes per day, past quit attempts, intent to quit in the next 30 days, and physical health status. Non-Hispanic Whites smoked at a higher rate (68.7%) than both Hispanics (54.9%) and non-Hispanic Blacks (55.6%) and smoked more cigarettes per day (M = 11.2, SD = 6.5).Hispanics were more likely than non-Hispanic Whites to receive a referral to a cessation specialist (adjusted odds ratio; AOR = 2.34, 95% CI = 1.15, 4.78) and tobacco-cessation counseling (AOR = 2.68, 95% CI = 1.28, 5.62). Non-Hispanic Blacks were also more likely than non-Hispanic Whites to receive cessation counseling (AOR = 3.61, 95% CI = 1.01, 12.87) and NRT/pharmacotherapy (AOR = 2.65, 95% CI = 1.57, 4.47). Despite their decreased smoking prevalence and severity, REMs were accessing smoking cessation services while in treatment, suggesting that SUD treatment could serve as a place to address tobacco-related racial inequities.

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Section: Discussioncontrasting

confidence: 65%

Racial/Ethnic Differences in Tobacco Use and Cessation Services among Individuals in Substance Use Treatment

McCuistian

Delucchi

et al. 2021

Journal of Psychoactive Drugs

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“…A vivência de problemas decorrentes do consumo de álcool e/ou outras substâncias pode favorecer ao indivíduo a percepção sobre sua condição de saúde e a necessidade de ajuda profissional. 25 Na terapêutica medicamentosa, pesquisa realizada com pacientes em acompanhamento nos centros de atenção psicossocial de Curitiba (n=300) demonstrou que aqueles com histórico de tentativa de suicídio foram mais propensos a não aderir à terapêutica medicamentosa 1,82 vez quando comparados aos que aderiram. 15 Este estudo apresenta limitações quanto ao delineamento transversal, impossibilitando relação temporal entre a tentativa de suicídio e os aspectos do perfil sociodemográfico, econômico, clínico e terapêutico avaliados.…”

Section: Discussionunclassified

Tentativa de suicídio por pessoas com transtornos relacionados ao uso de substâncias em tratamento

Ferreira

Capistrano²,

Kaled³

et al. 2022

REME Rev Min Enferm.

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Objetivo: identificar os fatores associados à tentativa de suicídio por pessoas com transtornos relacionados ao uso de substâncias em tratamento nos Centros de Atenção Psicossocial de Álcool e outras Drogas. Método: estudo observacional e transversal realizado com 137 pessoas com transtornos relacionados ao uso de substâncias em tratamento em Centros de Atenção Psicossocial de Álcool e outras Drogas de uma capital da região Sul do Brasil. Os dados foram coletados entre abril e novembro de 2018 por entrevista estruturada e submetidos à análise quantitativa descritiva, univariada e múltipla. Resultados: 51,8% dos participantes apresentaram ao menos uma tentativa de suicídio alguma vez na vida. Pensamentos suicidas ativos com intenção e com planejamento permaneceram associadas de modo independente ao histórico de tentativa de suicídio (RP: 2,87; IC: 1,04-7,91; p: 0,041). Na análise univariada houve associação entre tentativa de suicídio e dias de problema físico, intensidade dos pensamentos suicidas, comportamento preparatório, sentimentos depressivos, histórico familiar de transtorno mental, internamento em hospital psiquiátrico, importância de tratamento em saúde mental e prescrição de medicamentos. Conclusão: mais gravidade de pensamentos suicidas foi identificada como fator associado ao histórico de tentativa de suicídio. Enfatiza-se a importância da escuta ativa na prática profissional em saúde, do vínculo terapêutico e do acolhimento nos serviços de atenção à saúde.

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“…This question has been extensively studied by service utilization researchers (e.g., Green et al 2020;Roberts et al 2018), focusing on factors identified by Andersen's (1968Andersen's ( , 2008 three-factor model of medical treatment-seeking: severity of symptoms ("perceived need"), attitudes toward and beliefs about medical care ("predispositions"), and structural "barriers" (e.g., costs of care, distance to services). Investigators view the most commonly cited reason for not seeking care-"I wanted to handle the problem on my own"-as an "attitudinal" or "psychological" barrier to treatment-seeking (e.g., Andrade et al 2014;Green et al 2020;Kessler et al 2001;Mojtabai et al 2011;Pinedo and Villatoro 2020;Walker et al 2015). They additionally see respondents' frequent belief that treatment is ineffective as a knowledge deficiency to be overcome with better information.…”

Section: Met Needmentioning

confidence: 99%

Clinical Need, Perceived Need, and Treatment Use: Estimating Unmet Need for Mental Health Services in the Adult Population

Thoits

2022

J Health Soc Behav

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Estimates of unmet need for mental health services in the adult population are too high because many recover without treatment. Untreated recovery suggests that individuals accurately perceive professional help as unnecessary and do not pursue it. If so, perceived need for treatment should predict service use/nonuse more strongly than the presence or seriousness of disorder. With National Comorbidity Survey-Replication data, respondents who recovered from prior disorder by the current year (N = 1,054) were compared to currently unrecovered respondents with less serious (N = 999) and more serious disorders (N = 294). Perceived need covaried positively with the presence and seriousness of disorder and linked to far higher odds of treatment use than disorder seriousness, supporting perceptual accuracy. Two-thirds of respondents who perceived a treatment need obtained care; only one-third had unmet need. Need perceptions may better estimate a treatment gap and prompt research on individuals’ self-assessments and treatment decision-making.

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The role of perceived treatment need in explaining racial/ethnic disparities in the use of substance abuse treatment services

Cited by 22 publications

References 26 publications

Racial/Ethnic Differences in Tobacco Use and Cessation Services among Individuals in Substance Use Treatment

Racial/Ethnic Differences in Tobacco Use and Cessation Services among Individuals in Substance Use Treatment

Tentativa de suicídio por pessoas com transtornos relacionados ao uso de substâncias em tratamento

Clinical Need, Perceived Need, and Treatment Use: Estimating Unmet Need for Mental Health Services in the Adult Population

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