142nd APHA Annual Meeting and Exposition

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Predictors of substance use among Asian Americans with mental illness in residential treatment programs

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Minjeong Kim, RN, MSN, PhD(c) , Department of Community Health Systems, University of California, San Francisco, San Francisco, CA
Midori Nakajima, RN, MSN , Department of Community Health Systems, University of California, San Francisco, San Francisco, CA
Jinhee Lee, RN, MSN , Department of Community Health Systems, University of California, San Francisco, San Francisco, CA
Linda Chafetz, RN, PhD , Department of Community Health Systems, University of California, San Francisco, San Francisco, CA
Purpose: This study examined predictors of substance use among Asian Americans with mental illness in San Francisco.

Methods: This cross-sectional study used data from clinical records of 375 patients in 11 residential treatment programs, 2007-2011. Bivariate analyses (χ2s) identified demographic and diagnostic factors significantly associated with substance use. These were used in binary logistic regressions, to examine their contribution to risk.

Results: For alcohol, predictors explained 31% to 43% of the total variance (χ2 (df) = 121(7), p < .01). Risk was significantly lower among younger patients (18-35 years old, OR: .33) and the middle aged (35-50 years old, OR: .45), compared to older patients (50-87 years old). Homelessness and schizophrenic diagnosis reduced risk of alcohol use (OR: .38; OR: .22, respectively). Male gender and depression increased risk of alcohol use (OR: 5.4; OR: 5.3, respectively). For stimulants, predictors explained 24% to 34% of the total variance (χ2 (df) = 88(7), p < .01). Males, the homeless, and smokers were more likely to use stimulants than their counterparts (OR: 6.5; OR: 4.5; OR: 2.8, respectively). For marijuana, predictors explained 26% to 38% of the total variance (χ2 (df) = 113(5), p < .01). Younger patients and males were more likely to use marijuana (OR: 3.6; OR: 8.4, respectively).

Conclusions: In this study, specific demographic and diagnostic factors significantly predicted alcohol, stimulant, or marijuana use. Therefore, appropriate substance use prevention and treatment services should be provided for this high risk group.

Learning Areas:

Chronic disease management and prevention
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related nursing
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe the prevalence of alcohol, stimulants, and marijuana use of Asian Americans with mental illness in residential programs Identify significant predictors of alcohol, stimulants, and marijuana use of Asian Americans with mental illness in residential programs

Keyword(s): Alcohol Use, Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been focusing on the prevalence and predictors of co-occurring mental and substance use disorders of Asian Americans.
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.

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