title: Racial/Ethnic Differences in Recent Drug Detoxification Enrollment and the Role of Discrimination and Neighborhood Factors.
abstract: Drug detoxification and long-term drug treatment utilization is lower for drug-dependent minorities than Whites. Log-binomial regression was used to assess discrimination and neighborhood-level factors on past 6-month drug treatment utilization among 638 New York City (NYC) drug users between 2006 and 2009. Drug-use discrimination was positively associated with detoxification and long-term treatment. Participants in higher concentrated Black neighborhoods were less likely to attend long-term treatment. Significantly fewer Blacks versus Whites and Hispanics reported drug-use discrimination, which may systematically filter drug users into treatment. More research is needed to understand social forms of discrimination and drug treatment.
authors: a 1 Department of Epidemiology, University of Michigan , Ann Arbor, Michigan, USA.|b 2 Division and Epidemiology and Biostatistics, School of Public Health, Georgia State University , Atlanta, Georgia, USA.
authors: Natalie D
authors: ND
authors: Crawford
authors: c 3 San Diego School of Medicine , La Jolla, California, USA.
authors: Abby E
authors: AE
authors: Rudolph
authors: d 4 Mailman School of Public Health, Columbia University , New York, New York, USA.
authors: Crystal M
authors: CM
authors: Fuller
keywords: discrimination; drug treatment; neighborhood; race/ethnicity; urban health
references: Subst Abuse Treat Prev Policy. 2009 Mar 13;4:3
references: 19284669
references: Ann Epidemiol. 2011 Apr;21(4):280-9
references: 21376275
references: Health Place. 2011 Mar;17(2):438-48
references: 21236721
references: Arch Gen Psychiatry. 2007 May;64(5):566-76
references: 17485608
references: Sex Transm Dis. 1994 May-Jun;21(3):161-7
references: 8073344
references: Am J Drug Alcohol Abuse. 1999 Feb;25(1):117-27
references: 10078981
references: Drug Alcohol Depend. 2002 Aug 1;67(3):269-79
references: 12127198
references: J Subst Abuse Treat. 2003 Dec;25(4):279-85
references: 14693257
references: Ethn Dis. 2009 Summer;19(3):330-7
references: 19769017
references: Soc Sci Med. 2007 Jan;64(2):462-76
references: 17055634
references: Subst Use Misuse. 2008;43(12-13):1865-81
references: 19016169
references: Adm Policy Ment Health. 2005 Mar;32(4):457-76
references: 15844860
references: Am J Addict. 2007 Jan-Feb;16(1):38-45
references: 17364420
references: Am J Public Health. 2003 Feb;93(2):200-8
references: 12554570
references: J Health Care Poor Underserved. 2010 May;21(2 Suppl):49-66
references: 20453376
references: Hosp Top. 2007 Winter;85(1):27-34
references: 17405422
references: Drug Alcohol Depend. 2007 May 11;88(2-3):188-96
references: 17118578
references: Soc Sci Med. 2008 Aug;67(3):409-19
references: 18450350
references: Psychiatr Serv. 2008 Nov;59(11):1285-91
references: 18971404
references: Am J Public Health. 2005 Apr;95(4):689-95
references: 15798131
references: Soc Sci Med. 2003 Feb;56(3):465-76
references: 12570967
references: Drug Alcohol Rev. 2010 Sep;29(5):491-7
references: 20887572
references: J Res Adolesc. 2007 Dec 1;17(4):669-682
references: 20700391
references: J Public Health Med. 1991 Nov;13(4):318-26
references: 1764290
references: J Health Soc Behav. 2001 Jun;42(2):151-65
references: 11467250
references: Am J Drug Alcohol Abuse. 2005;31(3):371-91
references: 16161724
references: Am J Drug Alcohol Abuse. 2005;31(4):555-70
references: 16320434