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Sociodemographic and clinical outcome differences among individuals seeking treatment for cocaine use disorders. The intersection of gender and race
| Content Provider | Scilit |
|---|---|
| Author | Miguel, André Q. C. Kiluk, Brian D. Nich, Charla Babuscio, Theresa A. Mari, Jair J. Carroll, Kathleen M. |
| Copyright Year | 2019 |
| Description | Journal: Journal of Substance Abuse Treatment Background Most published treatment trials for cocaine use disorders (CUD) have been conducted with samples composed predominantly of White men and underrepresent women and racial/ethnic minorities. Because of the high prevalence of men and White individuals in CUD treatment trials, results from studies that have compared treatment outcomes by gender and race or ethnicity separately may not be representative of women or racial/ethnic minorities. Methods With a sample pooled from seven randomized clinical trials of treatment for CUD (n = 629), baseline characteristics and treatment outcome responses were compared with 4 subgroups of individuals created based on the intersection of gender and race (White men, Black men, White women and Black women). Results At baseline, sociodemographic status, pattern, frequency and severity of cocaine use, psychiatric comorbidities, employment and legal problems significantly differed across groups. Treatment outcome indicators collected during treatment and through follow-up, consistently indicated poorer outcomes among the sample of White women, but were similar for the other groups. Conclusions Men and women with CUD from both racial groups enter treatment with different psychosocial issues (e.g., history of violence/trauma, financial problems, co-occurring psychiatric disorders) and substance use problems (e.g. types of substances) that may impact treatment outcomes and indicate a need for culturally-informed care to deliver more effective treatment for CUD. Poorer overall outcomes among White women may reflect the need for a more focused treatment approach for this group; and highlight the importance of evaluating gender and race in treatment trials to better address health disparities. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756185/pdf |
| Ending Page | 72 |
| Page Count | 8 |
| Starting Page | 65 |
| ISSN | 07405472 |
| e-ISSN | 18736483 |
| DOI | 10.1016/j.jsat.2019.08.014 |
| Journal | Journal of Substance Abuse Treatment |
| Volume Number | 106 |
| Language | English |
| Publisher | Elsevier BV |
| Publisher Date | 2019-11-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of Substance Abuse Treatment Substance Abuse Gender Differences Race Differences Randomized Clinical Trial Cocaine Use Disorders Treatment Outcomes |
| Content Type | Text |
| Resource Type | Article |
| Subject | Clinical Psychology Psychiatry and Mental Health |
