The 130th Annual Meeting of APHA

5003.0: Wednesday, November 13, 2002 - 9:24 AM

Abstract #45115

Sociodemographic disparities in service utilization among men on methadone

Elwin Wu, PhD1, Nabila El-Bassel, DSW2, Louisa Gilbert, MS3, Jorge Fontdevila, PhD1, and Deidre Ashton, MS1. (1) Social Intervention Group, Columbia University School of Social Work, 475 Riverside Drive, Suite 1842, New York, NY 10115, (212) 870-2044,, (2) School of Social Work, Columbia University, 622 West 113 St., New York, NY 10025, (3) Social Intervention Group, Columbia University, 475 Riverside Drive, Ste. #1842, New York, NY 10115

In this NIDA-funded study of men on methadone, we examined the relationship between sociodemographic factors and use of non-methadone services while controlling for number of stressful life events (SLEs). METHODS: Randomly selected men (N=780) attending methadone treatment programs in New York City provided self-reported data on sociodemographics (e.g., age, race/ethnicity, health insurance); number of SLEs (e.g., being mugged, homeless periods, life-threatening illness) using the Life Events Questionnaire; and use of non-methadone services (e.g., primary/emergency healthcare, mental health, social work) using the Treatment Services Review. The latter two instruments were modified and tailored for urban, poverty-stricken communities and assessed events/behaviors over the preceding 6 months. Logistic regression analyses were used to calculate adjusted odds-ratios (AORs), regressing service use on sociodemographic variables and number of SLEs. RESULTS: The median age of participants was 46 years, with 35% identifying as African American, 46% as Latino, and 13% as white. The number of SLEs ranged from 0 to 11 (median=1). About one-fourth (29%) of the participants used non-methadone services. On average, the likelihood of service use increased with each additional SLE (AOR=1.5, 95%CI: 1.3-1.7). After controlling for number of SLEs, service use was lower among men identifying as African American (AOR=.43, 95%CI: .26-.73) and Latino (AOR=.48, 95%CI: .29-.78) compared to white, and participants who reported having health insurance were more likely to use services compared to their uninsured counterparts (AOR=2.0, 95%CI: 1.3-3.1). CONCLUSIONS: Findings indicate a need to reduce a disparity in access and use of services among minority and uninsured men on methadone.

Learning Objectives:

Keywords: Methadone Maintenance, Service Delivery

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

New Findings in Methadone Maintenance

The 130th Annual Meeting of APHA