Understanding Outcome Disparities in Alcohol Treatment

了解酒精治疗的结果差异

• 批准号: 6555130
• 负责人: Ricky N Bluthenthal
• 金额: $ 14.3万
• 依托单位: CHARLES R. DREW UNIVERSITY OF MED & SCI
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-05-08 至 2006-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6555130
• 关键词: African American; Hispanic Americans; alcoholism /alcohol abuse therapy; caucasian American; community health services; gender difference; geographic difference; health disparity; health economics; health services research tag; human data; low socioeconomic status; outcomes research; racial /ethnic difference; socioeconomics

DESCRIPTION (provided by applicant): Racial disparities in alcohol treatment outcomes are a national problem. There are a number of possible explanations for these disparities in outcomes, including differential access to treatment, different motivations to seek and complete treatment, as well as cultural and sociodemographic factors. Neighborhood and other environmental triggers may also play a role, as well as prior treatment experience. We propose a secondary data analyses of existing alcohol treatment data, utilizing a multilevel modeling approach. The proposed secondary analysis is of the Los Angeles County Alcohol and Drug Treatment Program Participant annual data sets for years 1998, 1999 and 2000, which contain minority focused as well as non-minority focused treatment outcomes in publicly funded clinics for low income clients. The analysis will evaluate the relative effectiveness of the treatments in terms of minority groups, geographic and neighborhood factors, as well as reveal the treatment program characteristics that contribute to positive outcomes. This information about the rating of relative success of each treatment program will be combined with a cost/benefit analysis of treatment programs. Our analytical approach incorporates system level data on neighborhoods and geographic factors, as well as client demographics, and treatment program characteristics, which may all be related to disparities in treatment outcomes. The county of Los Angeles is uniquely appropriate to address these questions regarding disparities in treatment access and outcome. With a total population of over 9.5 million, and with a multiracial mix of Caucasians, African-Americans and Latinos (31.1 %, 9.5% and 44.6% of the total county population, respectively). The specific aims of the proposed research are as follows: (1) to determine the relationship of client demographics, geographic location, and treatment program and racial disparities in treatment outcomes; (2) to determine if the patterns of disparities in treatment outcomes differ by gender and by race for African Americans, Latinos and Caucasians

描述（由申请人提供）：酒精治疗结果的种族差异是一个全国性问题。对于这些结果差异有多种可能的解释，包括获得治疗的机会不同、寻求和完成治疗的不同动机以及文化和社会人口因素。社区和其他环境触发因素以及之前的治疗经验也可能发挥作用。我们建议利用多级建模方法对现有酒精治疗数据进行二次数据分析。拟议的二次分析是对洛杉矶县酒精和药物治疗计划参与者 1998 年、1999 年和 2000 年的年度数据集进行的，其中包含针对低收入客户的公共资助诊所中针对少数群体和非少数群体的治疗结果。该分析将评估少数群体、地理和邻里因素方面治疗的相对有效性，并揭示有助于产生积极结果的治疗方案特征。有关每个治疗计划的相对成功评级的信息将与治疗计划的成本/效益分析相结合。我们的分析方法结合了有关社区和地理因素的系统级数据，以及客户人口统计数据和治疗方案特征，这些都可能与治疗结果的差异有关。洛杉矶县非常适合解决这些有关治疗获取和结果差异的问题。总人口超过 950 万，由白人、非裔美国人和拉丁裔组成的多种族混合体（分别占县总人口的 31.1%、9.5% 和 44.6%）。本研究的具体目标如下：（1）确定客户人口统计、地理位置、治疗方案与治疗结果中种族差异之间的关系； (2) 确定非裔美国人、拉丁裔和白种人的治疗结果差异模式是否因性别和种族而异