Gender disparities in utilization and outcome of comprehensive substance abuse treatment among racial/ethnic groups

J Subst Abuse Treat. 2014 May-Jun;46(5):584-91. doi: 10.1016/j.jsat.2013.12.008. Epub 2013 Dec 21.


This study examined gender differences within Black, Latino, and White subgroups in the utilization of comprehensive services and their relation to posttreatment substance use. Survey data were collected during the National Treatment Improvement Evaluation Study (NTIES), a prospective, longitudinal, multisite study of substance abuse treatment programs and their clients in the United States. The analytic sample consisted of 1,812 blacks (734 women and 1,078 men), 486 Latinos (147 women and 339 men), and 844 whites (147 women and 339 men) from 59 service delivery organizations. Results related to service utilization indicated that compared to men, women in all racial and ethnic groups needed and received more services targeted to their needs and reported more positive relations with service providers. Gender was a significant moderator of the relationship between service receipt and treatment outcomes for all racial and ethnic groups, but especially for the Latino subsample. Findings point to the need to consider race-specific gender differences in the development of culturally competent, comprehensive substance abuse treatment.

Keywords: Comprehensive services; Gender; Moderator; Race/Ethnicity; Service utilization; Treatment outcome.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Black or African American / statistics & numerical data*
  • Female
  • Health Services Needs and Demand / statistics & numerical data
  • Healthcare Disparities
  • Hispanic or Latino / statistics & numerical data*
  • Humans
  • Longitudinal Studies
  • Male
  • Prospective Studies
  • Sex Factors
  • Substance Abuse Treatment Centers / organization & administration
  • Substance-Related Disorders / ethnology
  • Substance-Related Disorders / rehabilitation*
  • Treatment Outcome
  • United States
  • White People / statistics & numerical data*
  • Young Adult