The effect of alcohol severity on outpatient treatment completion: The differential outcome by gender and race/ethnicity

Intersectional disparities in outpatient alcohol treatment completion by gender and race and ethnicity

“…We believe this is the first study to use an intersectional approach to estimate these disparities. The findings from our univariate approach are consistent with previous studies that show a modest disparity for women compared to men, and lower treatment completion rates for Black, Hispanic/Latinx, and AIAN individuals and higher treatment completion for AAPI individuals compared to White individuals (Arndt et al, 2013;Garrison et al, 2019;Grooms & Ortega, 2022;Longinaker & Terplan, 2014;Lucabeche & Haney, 2018;Mennis et al, 2019;Mutter et al, 2015;Sahker et al, 2015;Saloner & Cook, 2013;Stahler et al, 2016). The results of our intersectional gender-by-race-and-ethnicity approach indicated a much broader range of disparities across groups, and highlighted particularly striking disparities for minoritized women that were obscured in the univariate models.…”

“…Past research has estimated disparities in alcohol‐specific and all substance use treatment completion by race and gender separately—a univariate approach. Compared to White individuals, Black individuals have been found to be 1.5 to 2 times less likely to complete treatment (Arndt et al., 2013; Grooms & Ortega, 2022; Longinaker & Terplan, 2014; Lucabeche & Haney, 2018; Mennis et al., 2019; Mutter et al., 2015; Sahker et al., 2015; Saloner & Cook, 2013; Stahler et al., 2016). Several studies have found a smaller disparity for Hispanic/Latinx (compared to White) individuals (Arndt et al., 2013; Grooms & Ortega, 2022; Longinaker & Terplan, 2014; Lucabeche & Haney, 2018; Mennis et al., 2019; Saloner & Cook, 2013).…”

Court-Mandated Treatment Outcomes for Prescribed Opioid Use Disorder: A Gender Based Study

“…Research question #2-mandated treatment and sex interactions for years 2015, 2016, and 2017. As previously researched, females remain less likely than males to engage and stay in treatment (Bazargan-Hejazi et al, 2016;Erol & Karpyak, 2015;Lucabeche & Haney, 2018). Yet, when court mandated, our findings for all 3 years showed females to be as statistically probable to successfully complete treatment as their male counterparts, as shown by the lack of significant interactions between sex and mandated treatment.…”

“…Our results showed, concurrently, when examined for three consecutive years, a higher likelihood of successful completion by at least 60% and as high as 70%. Unlike our prior study (Lucabeche & Haney, 2018) focusing on outpatient treatment, these findings applied to all treatment modalities. This finding is particularity interesting in that it contradicts other research suggesting treatment setting may influence completion since outpatient tends to be the setting most commonly referred to due to cost factors as compared to more expensive inpatient or longterm care facilities (Lucabeche & Haney, 2018).…”

“…Similar to methods conducted in previous research (Lucabeche & Haney, 2018), we created a binary treatment completion status variable using the TEDS-D mutually exclusive discharge reason categories: successful completion was coded 1 when the discharge reason was that the treatment episode was completed, while unsuccessful treatment completion was coded 0 when the discharge reason was leaving against professional advice or termination by the facility. Transfers to another service presented a special case.…”