title: Health insurance coverage and the receipt of specialty treatment for substance use disorders among U.S. adults.
abstract: OBJECTIVE
  The study examined the association between private health insurance and the receipt of specialty substance use disorder treatment.
  
  
  METHODS
  Weighted logistic regressions were estimated to examine the association between health insurance and the receipt of any specialty substance use disorder treatment in national samples of nonelderly adults with alcohol abuse or dependence (N=22,778), alcohol dependence (N=10,104), drug abuse or dependence (N=9,427), and drug dependence (N=6,736). Receipt of any specialty substance abuse treatment was compared among the uninsured and privately insured persons who reported known coverage, no coverage, or unknown coverage for alcohol and drug abuse treatment. Regressions adjusted for sociodemographic characteristics, treatment need, criminal justice involvement, and year of survey.
  
  
  RESULTS
  Compared with being uninsured, private insurance was associated with greater use of any specialty substance use disorder treatment only among those with alcohol dependence with known coverage for alcohol treatment (p<.05).
  
  
  CONCLUSIONS
  Private insurance was associated with increased use of specialty treatment among persons with severe alcohol use disorders who knew they had coverage for alcohol abuse treatment.
authors.forename: Janet R
authors.initials: JR
authors.lastname: Cummings
authors.forename: Hefei
authors.initials: H
authors.lastname: Wen
authors.forename: Alexis
authors.initials: A
authors.lastname: Ritvo
authors.forename: Benjamin G
authors.initials: BG
authors.lastname: Druss
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data*; D007348:Insurance, Health / Q000706:statistics & numerical data*; D008297:Male; D017057:Medically Uninsured / Q000706:statistics & numerical data*; D008875:Middle Aged; D019966:Substance-Related Disorders / Q000191:economics / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D055815:Young Adult
references.citation: Lancet. 2009 Jun 27;373(9682):2223-33
references.pmid: 19560604
references.citation: Health Aff (Millwood). 2011 Feb;30(2):284-92
references.pmid: 21289350
references.citation: J Subst Abuse Treat. 2012 Apr;42(3):289-300
references.pmid: 22119184
references.citation: Med Care. 1996 Sep;34(9):890-910
references.pmid: 8792779
references.citation: Psychiatr Serv. 2010 Nov;61(11):1081-6
references.pmid: 21041345
references.citation: J Subst Abuse Treat. 2006 Oct;31(3):235-43
references.pmid: 16996386
references.citation: Health Serv Res. 2003 Feb;38(1 Pt 1):233-59
references.pmid: 12650390