Race and socioeconomic status in substance use progression and treatment entry

J Ethn Subst Abuse. 2018 Apr-Jun;17(2):150-166. doi: 10.1080/15332640.2017.1336959. Epub 2017 Aug 28.

Abstract

This study examined trajectories of progression from early substance use to treatment entry as a function of race, among inpatient treatment seekers (N = 945). Following primary race-contingent analyses of use progression, secondary analyses were conducted to investigate the effects of socioeconomic status (SES) on the observed differences. African Americans reported significant delays in treatment entry relative to Caucasians. Racial differences in alcohol, marijuana, and cocaine use trajectories were observed. Accounting for SES rendered observations of accelerated use among African Americans nonsignificant. However, inclusion of SES failed to mitigate the marked racial disparity in treatment entry.

Keywords: Milestones; race; socioeconomic status; substance use; telescoping.

Publication types

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

MeSH terms

  • Adult
  • Alcoholism / ethnology*
  • Alcoholism / therapy
  • Black or African American / ethnology*
  • Cocaine-Related Disorders / ethnology*
  • Cocaine-Related Disorders / therapy
  • Female
  • Florida
  • Health Services Accessibility / statistics & numerical data*
  • Healthcare Disparities / ethnology*
  • Humans
  • Male
  • Marijuana Abuse / ethnology*
  • Marijuana Abuse / therapy
  • Middle Aged
  • Patient Acceptance of Health Care / ethnology
  • Social Class*
  • White People / ethnology*