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Abstract #155347

Sharon M. Smith, PhD, Risė B. Goldstein, PhD, MPH, and Bridget F. Grant, PhD, PhD. Laboratory of Epidemiology and Biometry, Division of Intramural Clinical and Biological Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 5635 Fishers Lane, Bethesda, MD 20892-9304, 301-443-3308, smithsh1@mail.nih.gov

Because minorities disproportionately experience negative consequences of alcohol/drug misuse, it is important to study race/ethnic variation in characteristics influencing treatment utilization. Using the Andersen-Newman Behavioral Model of Health Services Use we explore predisposing, enabling, and need factors related to past-year (PY) treatment utilization in individuals with PY alcohol and drug use disorders (AUD, n=3182; DUD, n=728). Data were drawn from the National Epidemiologic Survey on Alcohol and Related Conditions, a representative sample of non-institutionalized U.S. adults &ge18 years. Regarding factors associated with AUD treatment, the relationships of family history of AUD (negative) and early-onset AUD (positive) were significant only among Hispanics. The positive association with severity (number of symptoms) was stronger among Hispanics than Whites, and the positive association with urban residence was greater among Blacks than Whites. Regarding factors associated with DUD treatment, the positive relationship with education was significant only for Whites, and marriage had a negative association only among Hispanics. Early DUD onset was negatively associated with treatment among Hispanics but positively among Blacks and Whites; the association with prior-to-the-past year treatment for mood/anxiety disorders was negative among Blacks but positive for Whites and Hispanics; and frequency of drug use was positively associated among Hispanics compared to negatively among Blacks. The positive association with urban residence in Blacks was stronger than for Whites. As numerous factors seem to operate differently among race/ethnic groups, targeted interventions for AUD/DUD may be necessary to overcome differential social, cultural, and logistical barriers in race/ethnic subsets of the population.

Learning Objectives:

• 1.Participants will be able to recognize factors that may influence treatment utilization among race/ethnic groups.
• 2.Participants will be able to discuss the influence of different factors on treatment utilization among race/ethnic groups.
• 3.Describe the use of the Andersen-Newman Behavioral Model of Health Services Use in understanding treatment utilization.

Keywords: Substance Abuse Treatment, Health Disparities

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.