Needs and scientific opportunities for research on substance abuse treatment among Hispanic adults.
The results of a focused search of the literature on empirical studies of substance abuse treatment outcomes with Hispanic adults are reviewed. Also provided are key research opportunities and recommendations on substance abuse treatment for Hispanics. The paper is divided into two major sections: the first focuses on behavioral drug treatment studies on Hispanic adults, and the second identifies published original articles in pharmacotherapy, namely that more empirical research is needed to determine which treatments are efficacious with Hispanic populations. For treatment modalities not associated with promising effect sizes with Hispanic samples, cultural modifications may be needed to improve the compatibility of the treatment with Hispanic culture. For those treatments found to have promising effect sizes with various Hispanic subgroups, with Hispanics at different levels of acculturation, and with Hispanics from various socioeconomic backgrounds. The authors stress the need for theory-driven interventions to be developed specifically for well-characterized Hispanic subgroups (e.g., suburban middle-income Puerto Ricans living in the Northeast).
Amaro
Hortensia
H
Institute on Urban Health Research, Bouvé College of Health Sciences, Northeastern University, Boston, MA 02215, USA. h.amaro@neu.edu
Arévalo
Sandra
S
Gonzalez
Gerardo
G
Szapocznik
José
J
Iguchi
Martin Y
MY
D000328:Adult; D017408:Guidelines as Topic; D006301:Health Services Needs and Demand; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D012106:Research; D012586:Science; D019966:Substance-Related Disorders / Q000208:ethnology* / Q000628:therapy*