208048 Developing interventions for Hispanics with substance use disorders

Tuesday, November 10, 2009: 1:10 PM

Carlos Blanco, MD, PhD , Columbia University, New York, NY
Despite our increased understanding of its determinants, substance abuse remains a major public health problem in the United States. Substantial evidence suggests that ethnic and cultural factors exert great influence on the prevalence, course, and treatment of substance use disorders (SUD), and that traditional Hispanic culture has a protective effect against the risk of SUD. However, these findings are based mainly on small or selected samples. The mechanisms of this protective effect, in particular, are poorly understood, both generally and as differentiated by gender. This impedes the development of targeted preventive and treatment interventions for this ethnic group. Data are being used from a large national survey of substance use and psychiatric disorders, the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) to examine the effect of Hispanic ethnicity on the etiology and course of SUD, and treatment-seeking patterns of individuals suffering from SUD. The NESARC was conducted in 2001-2002, with follow up in 2004-2005. It included 43,093 respondents with oversampling for Hispanics. In addition, this study examines whether Hispanic ethnicity exerts the same effects across Hispanic subgroups. These findings may have widespread public health implications for Hispanics, the largest and fastest growing ethnic/racial minority group in the U.S. The data generated from this large, nationally representative dataset can serve as the basis for developing empirically-informed interventions to improve prevention and treatment of SUD in Hispanics.

Learning Objectives:
1. Demonstrate knowledge of the prevalence of substance use disorders (SUD) in Hispanics and non-Hispanic Whites. 2. Compare rates of treatment-seeking between Hispanics and non-Hispanic Whites. 3. Discuss the use of data to design treatment and preventive interventions for Hispanics with SUD.

Keywords: Hispanic, Drug Use

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have an MD and Ph.D., and am a researcher with knowledge of the content. I have written and published in the area.
Any relevant financial relationships? No

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.