Perceived Barriers to Treatment in a Community-Based Sample of Illicit-Drug-Using African American Men and Women

Keen, Larry; Whitehead, Nicole Ennis; Clifford, Lisa M.; Rose, Jonathan; Latimer, William W.

doi:10.1080/02791072.2014.964382

Cited by 7 publications

(8 citation statements)

References 19 publications

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“…The findings of the study are in some ways consistent with other studies that focused on men and demonstrated JHAC may have negative outcomes, in that, African American drug-using women who endorsed high effort coping were less likely to have participated in treatment (e.g., Clark, Adams, & Clark, 2001; Williams & Lawler, 2001). From a cultural perspective, these women endorsed the need to control and cope with psychosocial and environmental stressors through hard work and self-determination, which suggests relying on oneself to cope rather than participate in treatment (Grella & Greenwell, 2007; Keen, Whitehead, Clifford, Rose, & Latimer, 2014; Williams & Lawler, 2001). With limited economic resources, these women may not have treatment as a viable option (MacMaster, 2005; Young, Washington, Jerman, & Tak, 2007).…”

Section: 0 Discussionmentioning

confidence: 99%

John Henryism Active Coping as a Cultural Correlate of Substance Abuse Treatment Participation Among African American Women

Stevens‐Watkins

Knighton

Allen

et al. 2016

Journal of Substance Abuse Treatment

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The rates of illicit drug use among African American women are increasing, yet African American women are least likely to participate in treatment for substance use disorders when compared to women of other racial groups. The current study examined family history of substance use, perceived family support, and John Henryism Active Coping (JHAC) as correlates to seeking treatment for substance abuse. The underlying theoretical frame of JHAC (James, 1983) suggests that despite limited resources and psychosocial stressors, African Americans believe hard work and self-determination are necessary to cope with adversities. The current study is a secondary data analyses of 206 drug-using African American women (N = 104 urban community women with no criminal justice involvement and N = 102 women living in the community on supervised probation) from urban cities in a southern state. It was expected that African American women with a family history of substance abuse, higher levels of perceived family support, and more active coping skills would be more likely to have participated in substance abuse treatment. Step-wise logistic regression results reveal that women on probation, had children, and had a family history of substance abuse were significantly more likely to report participating in substance abuse treatment. Perceived family support and active coping were significant negative correlates of participating in treatment. Implication of results suggests coping with psychosocial stressors using a self-determined and persistent coping strategy may be problematic for drug-using women with limited resources.

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Section: 0 Discussionmentioning

confidence: 99%

John Henryism Active Coping as a Cultural Correlate of Substance Abuse Treatment Participation Among African American Women

Stevens‐Watkins

Knighton

Allen

et al. 2016

Journal of Substance Abuse Treatment

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“…Despite several studies highlighting the positive outcomes from evidence-based treatments for substance use disorders (Dutra, Stathopoulou, Basden et al, 2008; Tanner-Smith, Wilson, & Lipsey, 2013), research suggests that African Americans report less satisfaction with treatment, have more barriers to accessing treatment and have lower utilization rates relative to Whites (Keen, Whitehead, Clifford, Rose, & Latimer, 2014; Peters, Hendricks, Clark, Vocci, & Cropsey, 2014; Yerger, Wertz, McGruder et al, 2008). For example, a recent study found that African Americans are less likely to complete outpatient treatment episodes than Whites across all substances, but especially among users of alcohol and methamphetamine (Mennis & Stahler, 2016).…”

mentioning

confidence: 99%

Does change in readiness influence retention among African American women and men in substance abuse treatment?

Montgomery

Burlew

Korte

2017

Journal of Ethnicity in Substance Abuse

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African Americans are less likely than other racial groups to engage in and complete outpatient substance abuse treatment. The current study, conducted as a secondary analysis of a multisite randomized clinical trial, examined if readiness to change (RTC) over time influences retention and if gender moderates the relationship between changes in RTC and retention among 194 African American women and men. Participants completed the University of Rhode Island Change Assessment at baseline and at the end of the 16 week study. Findings revealed a significant relationship between RTC over time and retention. Specifically, the more RTC increased throughout the 16 week study, the longer participants remained in treatment. In addition, gender moderated the relationship between changes in RTC and retention, with a stronger association between changes in RTC and retention among men relative to women. One approach to improving substance abuse treatment retention rates is to focus on increasing RTC during treatment, especially among African American men.

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“…Substances that are most prevalent among African American/Black women include crack cocaine, heroin, alcohol, and marijuana (Keen, Whitehead, Clifford, Rose, & Latimer, 2014;Curtis-Boles & Jenkins-Monroe 2000;Stahler, Kirby, & Kerwin, 2007;Roberts & Nishimoto, 2006). Of note, the subsequent discussion of research findings will use the original language of the authors in describing ethnoracial/racial identities (i.e.…”

Section: Risk Factors For Substance Use Among African American/black mentioning

confidence: 99%

“…Identifying treatment barriers is critical so that they can be addressed in efforts to make treatment more accessible. In a community-based sample of illicit drug using African American men and women, researchers found that women were more likely to report intrapersonal barriers to treatment such as "can handle it alone", "don't have a problem", "and no need to stop" (Keen, Whitehead, Clifford, Rose, & Latimer, 2014). A treatment barrier that is recurrent in the literature among African American/Black women is their parental role or concerns about childcare.…”

Section: Substance Use Treatment Barriers Among African American/blacmentioning

confidence: 99%

“…Black women have identified shame and fear as a major barrier for initiating and engaging in substance use treatment (MacMaster, 2005;Allen, 1995). Among Black women, shame about engaging in substance use has the potential to manifest and be projected as denial for needing treatment (Keen, Whitehead, Clifford, Rose, & Latimer, 2014). Black women seeking treatment may fear judgment by others upon treatment initiation, or throughout the treatment process.…”

Section: Substance Use Treatment Barriers Among African American/blacmentioning

confidence: 99%

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Exploring the Treatment Experiences of African American Substance Using Women and Perceptions of Culturally Competent Care

Wyatt¹

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Research continues to suggest that substance use treatment retention and completion presents an ongoing problem, especially among marginalized groups. In particular, African American women have the lowest rates of treatment retention and completion across all substance using groups. While gender and ethnoracial identities ACKNOWLEDGMENTS First and foremost, I would like to thank God for his continued blessings, grace, and provisions throughout this process. I also want to extend a warm thank you to the research participants of this study for their willingness, vulnerability, and kindness in sharing their powerful stories. I am also grateful to my major professor, Dr. Nichea Spillane for her mentorship as I continue to foster and enhance my program of research. I greatly appreciate her efforts in assisting me in completing this project. I would also like to express my thanks to the committee members Dr. Colleen Redding and Dr. Donna Schwartz Barcott for their expertise, enthusiasm, and input. Lastly, I would like to acknowledge Dr. Jasmine Mena for being an amazing mentor throughout my graduate career. You are beyond a great example in scholarship and practice, you are someone I deeply admire and look up to. Thank you for being the representation I needed to see. I must also acknowledge my family whom have been incredibly supportive throughout this journey. I am forever grateful for their encouragement and love. A special thank you to my parents and siblings. You all taught me to be curious, courageous, and to remain committed to my goals despite adversity. To my network of friends and colleagues-thank you for the motivation and cheerleading that you have provided along the way, it has made all the difference in this process. An extra thanks to Dr. Daphne

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Perceived Barriers to Treatment in a Community-Based Sample of Illicit-Drug-Using African American Men and Women

Cited by 7 publications

References 19 publications

John Henryism Active Coping as a Cultural Correlate of Substance Abuse Treatment Participation Among African American Women

John Henryism Active Coping as a Cultural Correlate of Substance Abuse Treatment Participation Among African American Women

Does change in readiness influence retention among African American women and men in substance abuse treatment?

Exploring the Treatment Experiences of African American Substance Using Women and Perceptions of Culturally Competent Care

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