Substance abuse treatment readmission patterns of Asian Americans: comparisons with other ethnic groups.
BACKGROUND
According to New York statewide substance abuse treatment and discharge data, Asians are a small minority who differ significantly from other racial-ethnic groups on income, primary language, treatment setting, substance abuse, referral source, and discharge status.


OBJECTIVE
The present study further compares alcohol and substance abuse service utilization patterns of Asians with those of Whites, Blacks, and Hispanics in New York State.


METHODS
Cox regressions were employed to examine the differences in treatment admission patterns among Asians and other ethnic groups, while controlling a number of demographic, treatment-related, and non-treatment-related factors. A sample of 408,158 clients was selected from the Client Data System of the New York State Office of Alcoholism and Substance Abuse Services for the analysis.


RESULTS
While Asians in general are less likely to use treatment services and to have multiple treatment admissions compared with other groups, those Asians with multiple admissions tend to show utilization patterns - the period of greatest risk for readmission, the rate at which readmissions occur, and the likelihood of readmission - similar to the other groups at each subsequent admission.


CONCLUSIONS
These findings suggest both similarities and differences in treatment readmission patterns between Asians and other clients of substance abuse treatment services. Future research on the cultural and linguistic factors related to Asians' recovery and service utilization patterns after the initial treatment experience may be particularly important for systems of care seeking to be responsive to Asians' needs.
New York State Office of Alcoholism and Substance Abuse Services, Albany, NY, USA. johnyu@oasas.ny.gov
Jiang
J
Yu
Lynn A
LA
Warner
D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000437:Alcoholism / Q000453:epidemiology / Q000208:ethnology / Q000534:rehabilitation*; D001213:Asian / Q000706:statistics & numerical data*; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D009518:New York / Q000453:epidemiology; D010359:Patient Readmission / Q000706:statistics & numerical data; D016016:Proportional Hazards Models; D011446:Prospective Studies; D012044:Regression Analysis; D012189:Retrospective Studies; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000208:ethnology* / Q000534:rehabilitation*; D044465:White People / Q000706:statistics & numerical data