title: Gender disparities in utilization and outcome of comprehensive substance abuse treatment among racial/ethnic groups.
abstract: This study examined gender differences within Black, Latino, and White subgroups in the utilization of comprehensive services and their relation to posttreatment substance use. Survey data were collected during the National Treatment Improvement Evaluation Study (NTIES), a prospective, longitudinal, multisite study of substance abuse treatment programs and their clients in the United States. The analytic sample consisted of 1,812 blacks (734 women and 1,078 men), 486 Latinos (147 women and 339 men), and 844 whites (147 women and 339 men) from 59 service delivery organizations. Results related to service utilization indicated that compared to men, women in all racial and ethnic groups needed and received more services targeted to their needs and reported more positive relations with service providers. Gender was a significant moderator of the relationship between service receipt and treatment outcomes for all racial and ethnic groups, but especially for the Latino subsample. Findings point to the need to consider race-specific gender differences in the development of culturally competent, comprehensive substance abuse treatment.
authors.affiliation: School of Social Work, University of Southern California, Los Angeles, CA 90089. Electronic address: erickgue@usc.edu.
authors.forename: Erick G
authors.initials: EG
authors.lastname: Guerrero
authors.affiliation: School of Social Service Administration, University of Chicago, Chicago, IL 60637.
authors.forename: Jeanne C
authors.initials: JC
authors.lastname: Marsh
authors.affiliation: Department of Ophthalmology and Visual Sciences, University of Illinois Chicago, Chicago, IL 60612.
authors.forename: Dingcai
authors.initials: D
authors.lastname: Cao
authors.affiliation: National Center for Health Statistics, Hyattsville, MD 20782.
authors.forename: Hee-Choon
authors.initials: HC
authors.lastname: Shin
authors.affiliation: College of Social Work, University of South Carolina, Columbia, SC 29208.
authors.forename: Christina
authors.initials: C
authors.lastname: Andrews
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D054625:Healthcare Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D011446:Prospective Studies; D012737:Sex Factors; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration; D019966:Substance-Related Disorders / Q000208:ethnology / Q000534:rehabilitation*; D016896:Treatment Outcome; D014481:United States; D044465:White People / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Comprehensive services; Gender; Moderator; Race/Ethnicity; Service utilization; Treatment outcome