Socioeconomic and racial/ethnic disparities in substance abuse treatment provision, treatment needs and utilization

Abstract

Despite continuing socioeconomic and racial/ethnic gaps in many health care services, the National Healthcare Disparities Report (2004) documents parity in substance abuse treatment provision among individuals of varying socioeconomic and racial/ethnic backgrounds. This study investigates that achievement by analyzing the relationship between community socioeconomic and racial/ethnic disadvantage and organizational provision of substance abuse treatment, treatment need and utilization across United States counties, 2000, 2002 and 2003. Results confirm equity in service provision in poorer communities and those with higher concentrations of African Americans. Significant disparities remain, however, in communities with higher concentrations of Hispanics, youth and female-headed households. Limitations and implications for future studies of health care provision are discussed.

Citation

Archibald, M.E. (2007), "Socioeconomic and racial/ethnic disparities in substance abuse treatment provision, treatment needs and utilization", Jacobs Kronenfeld, J. (Ed.) Inequalities and Disparities in Health Care and Health: Concerns of Patients, Providers and Insurers (Research in the Sociology of Health Care, Vol. 25), Emerald Group Publishing Limited, Leeds, pp. 171-200. https://doi.org/10.1016/S0275-4959(07)00008-7