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Racial disparities in treatment service utilization among U.S. adolescent substance abusers with criminal justice system involvement

Published online by Cambridge University Press:  16 April 2020

J. Jin ,
C. Fuller ,
X. Liu ,
B. Fan ,
N.A. Ukonu  and
P. Wu
J. Jin
Affiliation:
Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY, USA
C. Fuller
Affiliation:
New York State Psychiatric Institute, New York, NY, USA
X. Liu
Affiliation:
Department of Biostatistics, Mailman School of Public Health, New York, NY, USA
B. Fan
Affiliation:
New York State Psychiatric Institute, New York, NY, USA
N.A. Ukonu
Affiliation:
Teachers College, New York, NY, USA
P. Wu
Affiliation:
Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY, USA New York State Psychiatric Institute, New York, NY, USA Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA

Abstract

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Introduction

Previous studies have shown that African American youth are over-represented in the Criminal Justice System (CJS). Substance use problems are common among those with CJS involvement. However, less is known regarding racial disparities, among youth with CJS involvement, in receiving substance use treatment services.

Objective

To examine racial disparities with regard to receiving treatment services for substance use related problems, among youth with (CJS) involvement.

Methods

Data were obtained from the 2006–2008 United States National Survey on Drug Use and Health (NSDUH) in USA. Among White and African American adolescents (Ages 12–17) with recent CJS involvement and who met criteria for alcohol or illicit drug abuse or dependence (N = 602), racial differences in receiving treatment services for substance use problems were examined. Multiple logistic regression analyses were performed to identify predictors of service access among the adolescents, to see if the racial disparity could be explained by individual-level, family-level, and criminal justice system involvement factors.

Results

While 31.2% of White adolescent substance abusers with CJS involvement had received treatment for substance use related problems, only 11.6% of their African American counterparts had received such treatment (P = 0.0005). Multiple logistic regression analyses showed that access to treatment services can be predicted by substance use related delinquent behaviors, but that racial disparities in treatment still exist after adjusting for these factors (AOR = 0.24, 95%CI = (0.09,0.59), P = 0.0027).

Conclusions

There is an urgent need to reduce racial disparities in receiving substance use treatment among U.S. youth with CJS involvement.

Type
P01-57
Information
European Psychiatry , Volume 26 , Issue S2: Abstracts of the 19th European Congress of Psychiatry , March 2011 , pp. 57
Copyright
Copyright © European Psychiatric Association 2011
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