دورية أكاديمية
Racial and ethnic disparities in receipt of specialty treatment across risk profiles of adults with heavy alcohol use.
| العنوان: | Racial and ethnic disparities in receipt of specialty treatment across risk profiles of adults with heavy alcohol use. |
|---|---|
| المؤلفون: | Palzes VA; Division of Research, Center for Addiction and Mental Health Research, Kaiser Permanente, Pleasanton, California, USA., Chi FW; Division of Research, Center for Addiction and Mental Health Research, Kaiser Permanente, Pleasanton, California, USA., Weisner C; Division of Research, Center for Addiction and Mental Health Research, Kaiser Permanente, Pleasanton, California, USA.; Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, California, USA., Kline-Simon AH; Division of Research, Center for Addiction and Mental Health Research, Kaiser Permanente, Pleasanton, California, USA., Satre DD; Division of Research, Center for Addiction and Mental Health Research, Kaiser Permanente, Pleasanton, California, USA.; Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, California, USA., Sterling S; Division of Research, Center for Addiction and Mental Health Research, Kaiser Permanente, Pleasanton, California, USA.; Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, California, USA.; Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California, USA. |
| المصدر: | Alcohol, clinical & experimental research [Alcohol Clin Exp Res (Hoboken)] 2024 Jun 19. Date of Electronic Publication: 2024 Jun 19. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Periodicals Country of Publication: United States NLM ID: 9918609780906676 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2993-7175 (Electronic) Linking ISSN: 29937175 NLM ISO Abbreviation: Alcohol Clin Exp Res (Hoboken) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Hoboken, NJ : Wiley Periodicals, [2023]- |
| مستخلص: | Background: Variation in specialty treatment utilization for alcohol use disorder (AUD) by patient subgroups is poorly understood. This study examined whether and how patient risk profiles predict receipt of specialty treatment and whether there are disparities by race and ethnicity. Methods: This cohort study included 206,956 adults with heavy alcohol use (that which exceeded National Institute on Alcohol Abuse and Alcoholism guidelines) between June 1, 2013 and December 31, 2014, using electronic health record data from Kaiser Permanente Northern California. Five risk profiles (characterized by daily or weekly heavy drinking and level of health risks) were identified in latent class analysis. Logistic regression models were fit to examine associations between risk profiles, race, ethnicity, and receipt of specialty treatment (including addiction medicine, psychiatry, or integrated behavioral health visits, and AUD pharmacotherapy), adjusting for other patient characteristics. Variation in the association between risk profiles and receipt of specialty treatment by race/ethnicity was also examined. Results: Overall, 4.0% of patients received specialty treatment. Latino/Hispanic and Asian/Pacific Islander patients had lower odds of receiving specialty treatment than White patients (adjusted odds ratio [aOR] [95% CI] = 0.80 [0.75, 0.85], and 0.64 [0.59, 0.70], respectively). The substance use disorder and mental health disorder (SUD/MH) risk profile had the highest odds of receiving specialty treatment (10.46 [9.65, 11.34]). Associations between risk profiles and receipt of specialty treatment significantly differed by race/ethnicity. Black patients in the SUD/MH risk profile, and Hispanic/Latino patients in the risk profile with heavy daily drinking and more health risks, had lower odds of receiving specialty treatment than their White counterparts (adjusted ratio of odds ratios [aROR] [95% CI] = 0.69 [0.50, 0.94], and 0.79 [0.67, 0.92], respectively). Conclusions: This study provides new insights into racial/ethnic disparities in specialty treatment utilization for alcohol problems. Findings may help inform strategies for tailoring interventions to address heavy alcohol use. (© 2024 Research Society on Alcohol.) |
| References: | Austin, P.C. (2016) Variance estimation when using inverse probability of treatment weighting (IPTW) with survival analysis. Statistics in Medicine, 35, 5642–5655. Bahafzallah, L., Hayden, K.A., Raffin Bouchal, S., Singh, P. & King‐Shier, K.M. (2020) Motivational interviewing in ethnic populations. Journal of Immigrant and Minority Health, 22, 816–851. Barrera, M., Castro, F.G., Strycker, L.A. & Toobert, D.J. (2013) Cultural adaptations of behavioral health interventions: a progress report. Journal of Consulting and Clinical Psychology, 81, 196–205. Bui, J., Waters, A. & Ghertner, R. (2022) Addressing substance use and social needs of people of color with substance use disorders. US Dep Health Hum Serv. Available at: https://aspe.hhs.gov/sites/default/files/documents/0a15be5c88dacf7c8dccc046a3f4025e/Addressing‐Substance‐Use‐and‐Social‐Needs‐of‐People‐of‐Color.pdf [Accessed 24th April 2024]. California Health Care Foundation. (2023) California achieves lowest uninsured rate ever in 2022. Calif Health Care Found. Available at: https://www.chcf.org/publication/california‐achieves‐lowest‐uninsured‐rate‐ever‐2022/ [Accessed 8th May 2024]. Chartier, K. & Caetano, R. (2010) Ethnicity and health disparities in alcohol research. Alcohol Research & Health, 33, 152–160. Chen, J.A., Glass, J.E., Bensley, K.M.K., Goldberg, S.B., Lehavot, K. & Williams, E.C. (2020) Racial/ethnic and gender differences in receipt of brief intervention among patients with unhealthy alcohol use in the U.S. veterans health administration. Journal of Substance Abuse Treatment, 119, 108078. Esser, M.B., Leung, G., Sherk, A., Bohm, M.K., Liu, Y., Lu, H. et al. (2022) Estimated deaths attributable to excessive alcohol use among US adults aged 20 to 64 years, 2015 to 2019. JAMA Network Open, 5, e2239485. Esser, M.B., Sherk, A., Liu, Y. & Naimi, T.S. (2024) Deaths from excessive alcohol use – United States, 2016‐2021. MMWR. Morbidity and Mortality Weekly Report, 73, 154–161. Farahmand, P., Arshed, A. & Bradley, M.V. (2020) Systemic racism and substance use disorders. Psychiatric Annals, 50, 494–498. Gainsbury, S.M. (2017) Cultural competence in the treatment of addictions: theory, practice and evidence. Clinical Psychology & Psychotherapy, 24, 987–1001. Gordon, N.P. (2020) Similarity of adult Kaiser Permanente members to the adult population in Kaiser Permanente's Northern California service area: comparisons based on the 2017/2018 cycle of the California Health Interview Survey. Available at: https://divisionofresearch.kaiserpermanente.org/projects/memberhealthsurvey/SiteCollectionDocuments/compare_kp_ncal_chis2017‐18.pdf [Accessed 17th February 2022]. Grant, B.F., Chou, S.P., Saha, T.D., Pickering, R.P., Kerridge, B.T., Ruan, W.J. et al. (2017) Prevalence of 12‐month alcohol use, high‐risk drinking, and DSM‐IV alcohol use disorder in the United States, 2001–2002 to 2012–2013: results from the National Epidemiologic Survey on alcohol and related conditions. JAMA Psychiatry, 74, 911–923. Grant, B.F., Goldstein, R.B., Saha, T.D., Chou, S.P., Jung, J., Zhang, H. et al. (2015) Epidemiology of DSM‐5 alcohol use disorder: results from the National Epidemiologic Survey on alcohol and related conditions III. JAMA Psychiatry, 72, 757–766. Haeny, A.M., Oluwoye, O., Cruz, R., Iheanacho, T., Jackson, A.B., Fisher, S. et al. (2021) Drug and alcohol treatment utilization and barriers among black, American Indian/Alaskan native, Latine, Asian/Pacific islander/native Hawaiian, and white adults: findings from NESARC‐III. Journal of Substance Abuse Treatment, 131, 108569. Hai, A.H., Lee, C.S., Abbas, B.T., Bo, A., Morgan, H. & Delva, J. (2021) Culturally adapted evidence‐based treatments for adults with substance use problems: a systematic review and meta‐analysis. Drug and Alcohol Dependence, 226, 108856. Hammarlund, R., Crapanzano, K., Luce, L., Mulligan, L. & Ward, K. (2018) Review of the effects of self‐stigma and perceived social stigma on the treatment‐seeking decisions of individuals with drug‐ and alcohol‐use disorders. Substance Abuse and Rehabilitation, 9, 115–136. Kline‐Simon, A.H., Stumbo, S.P., Campbell, C.I., Binswanger, I.A., Weisner, C., Haller, I.V. et al. (2019) Patient characteristics associated with treatment initiation and engagement among individuals diagnosed with alcohol and other drug use disorders in emergency department and primary care settings. Substance Abuse, 40, 278–284. Koob, G.F. (2024) Alcohol use disorder treatment: problems and solutions. Annual Review of Pharmacology and Toxicology, 64, 255–275. Lee, C.S., López, S.R., Colby, S.M., Rohsenow, D., Hernández, L., Borrelli, B. et al. (2013) Culturally adapted motivational interviewing for Latino heavy drinkers: results from a randomized clinical trial. Journal of Ethnicity in Substance Abuse, 12, 356–373. Maleki, N., Yunusa, I. & Karaye, I.M. (2023) Alcohol‐induced mortality in the USA: trends from 1999 to 2020. International Journal of Mental Health and Addiction, 1–13. Available from: https://doi.org/10.1007/s11469‐023‐01083‐1. Manuel, J.K., Satre, D.D., Tsoh, J., Moreno‐John, G., Ramos, J.S., McCance‐Katz, E.F. et al. (2015) Adapting screening, brief intervention, and referral to treatment for alcohol and drugs to culturally diverse clinical populations. Journal of Addiction Medicine, 9, 343–351. Messer, L.C., Laraia, B.A., Kaufman, J.S., Eyster, J., Holzman, C., Culhane, J. et al. (2006) The development of a standardized neighborhood deprivation index. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 83, 1041–1062. Metz, V.E., Palzes, V.A., Kline‐Simon, A.H., Chi, F.W., Weisner, C.M. & Sterling, S.A. (2022) Predicting severe alcohol use disorders in primary care using number of heavy drinking days. Addiction (Abingdon, England), 117, 2847–2854. Mulia, N., Tam, T., Bond, J., Zemore, S.E. & Li, L. (2018) Racial/ethnic differences in life‐course heavy drinking from adolescence to midlife. Journal of Ethnicity in Substance Abuse, 17, 167–186. Mulia, N., Ye, Y., Greenfield, T.K. & Zemore, S.E. (2009) Disparities in alcohol‐related problems among white, black, and Hispanic Americans. Alcoholism, Clinical and Experimental Research, 33, 654–662. National Institute on Alcohol Abuse and Alcoholism. (2005) Helping patients who drink too much: a clinician's guide. Available at: https://pubs.niaaa.nih.gov/publications/Practitioner/CliniciansGuide2005/guide.pdf [Accessed 13th March 2018]. National Institute on Drug Abuse. (2021) Words matter – terms to use and avoid when talking about addiction | National Institute on Drug Abuse (NIDA). Available at: https://nida.nih.gov/nidamed‐medical‐health‐professionals/health‐professions‐education/words‐matter‐terms‐to‐use‐avoid‐when‐talking‐about‐addiction [Accessed 24th April 2024]. NIAAA. (2023) Alcohol use in the United States: age groups and demographic characteristics | National Institute on Alcohol Abuse and Alcoholism (NIAAA). Alcohol Facts Stat. Available at: https://www.niaaa.nih.gov/alcohols‐effects‐health/alcohol‐topics/alcohol‐facts‐and‐statistics/alcohol‐use‐united‐states‐age‐groups‐and‐demographic‐characteristics [Accessed 9th April 2024]. Noble, N., Paul, C., Turon, H. & Oldmeadow, C. (2015) Which modifiable health risk behaviours are related? A systematic review of the clustering of smoking, nutrition, alcohol and physical activity (‘SNAP’) health risk factors. Preventive Medicine, 81, 16–41. Palzes, V.A., Chi, F.W., Weisner, C., Kline‐Simon, A.H., Satre, D.D. & Sterling, S. (2023) Risk profiles of adults with heavy alcohol use: drinking patterns, behavioral and metabolic factors, health problems, and racial and ethnic disparities. Alcoholism, Clinical and Experimental Research, 47, 2301–2312. Palzes, V.A., Weisner, C., Chi, F.W., Kline‐Simon, A.H., Satre, D.D., Hirschtritt, M.E. et al. (2020) The Kaiser permanente northern California adult alcohol registry, an electronic health records‐based registry of patients with alcohol problems: development and implementation. JMIR Medical Informatics, 8, e19081. Parthasarathy, S., Chi, F., Metz, V., Kline‐Simon, A., Asyyed, A., Campbell, C. et al. (2023) Disparities in the receipt of alcohol brief intervention: the intersectionality of sex, age and race/ethnicity. Addiction (Abingdon, England), 118, 1258–1269. Priester, M.A., Browne, T., Iachini, A., Clone, S., DeHart, D. & Seay, K.D. (2016) Treatment access barriers and disparities among individuals with co‐occurring mental health and substance use disorders: an integrative literature review. Journal of Substance Abuse Treatment, 61, 47–59. Ray, L.A., Bujarski, S., Grodin, E., Hartwell, E., Green, R., Venegas, A. et al. (2019) State‐of‐the‐art behavioral and pharmacological treatments for alcohol use disorder. The American Journal of Drug and Alcohol Abuse, 45, 124–140. Saitz, R. (2010) Alcohol screening and brief intervention in primary care: absence of evidence for efficacy in people with dependence or very heavy drinking. Drug and Alcohol Review, 29, 631–640. SAMHSA. (2023a) 2022 National Survey on Drug Use and Health. Table 2.29B—Heavy alcohol use in past month: among people aged 12 or older; by age group and demographic characteristics, percentages, 2021 and 2022. 2022 NSDUH Detail Tables. Available at: https://www.samhsa.gov/data/sites/default/files/reports/rpt42728/NSDUHDetailedTabs2022/NSDUHDetailedTabs2022/NSDUHDetTabsSect2pe2022.htm [Accessed 9th April 2024]. SAMHSA. (2023b) Key substance use and mental health indicators in the united states: results from the 2022 National Survey on Drug Use and Health. 2022 Natl Surv Drug Use Health. Available at: https://www.samhsa.gov/data/sites/default/files/reports/rpt42731/2022‐nsduh‐nnr.pdf [Accessed 23rd April 2024]. Satre, D.D., Palzes, V.A., Young‐Wolff, K.C., Parthasarathy, S., Weisner, C., Guydish, J. et al. (2020) Healthcare utilization of individuals with substance use disorders following affordable care act implementation in a California healthcare system. Journal of Substance Abuse Treatment, 118, 108097. Sinha, P., Calfee, C.S. & Delucchi, K.L. (2021) Practitioner's guide to latent class analysis: methodological considerations and common pitfalls. Critical Care Medicine, 49, e63–e79. Subbaraman, M.S., Lui, C.K., Karriker‐Jaffe, K.J., Greenfield, T.K. & Mulia, N. (2022) Predictors of alcohol screening quality in a US general population sample and subgroups of heavy drinkers. Preventive Medical Reports, 29, 101932. Tolbert, J., Drake, P. & Published, A.D. (2023) Key facts about the uninsured population. San Francisco, CA: KFF. U.S. Preventive Services Task Force, Curry, S.J., Krist, A.H., Owens, D.K., Barry, M.J., Caughey, A.B. et al. (2018) Screening and behavioral counseling interventions to reduce unhealthy alcohol use in adolescents and adults: U.S. preventive services task force recommendation statement. JAMA, 320, 1899–1909. Vaca, F.E., Dziura, J., Abujarad, F., Pantalon, M., Hsiao, A., Reynolds, J. et al. (2023) Use of an automated bilingual digital health tool to reduce unhealthy alcohol use among Latino emergency department patients: a randomized clinical trial. JAMA Network Open, 6, e2314848. Weisner, C., Campbell, C.I., Altschuler, A., Yarborough, B.J.H., Lapham, G.T., Binswanger, I.A. et al. (2019) Factors associated with healthcare effectiveness data and information set (HEDIS) alcohol and other drug measure performance in 2014–2015. Subst abuse 1–11. World Health Organization. (2018) Global status report on alcohol and health 2018. Available at: https://apps.who.int/iris/bitstream/handle/10665/274603/9789241565639‐eng.pdf?ua=1 [Accessed 9th April 2024]. World Health Organization. (2022) Noncommunicable diseases. Fact Sheets. Available at: https://www.who.int/news‐room/fact‐sheets/detail/noncommunicable‐diseases [Accessed 14th March 2022]. |
| معلومات مُعتمدة: | 75N94021C00003 United States AA NIAAA NIH HHS; K24AA025703 United States AA NIAAA NIH HHS; 75N94021C00003 United States AA NIAAA NIH HHS; K24AA025703 United States AA NIAAA NIH HHS |
| فهرسة مساهمة: | Keywords: disparities; ethnicity; health risks; heavy alcohol use; race; specialty treatment |
| تواريخ الأحداث: | Date Created: 20240619 Latest Revision: 20240720 |
| رمز التحديث: | 20240721 |
| DOI: | 10.1111/acer.15401 |
| PMID: | 38898220 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2993-7175 |
|---|---|
| DOI: | 10.1111/acer.15401 |