Table 4.
Reasons for not seeking treatment by race/ethnic group among those with a lifetime drug use disorder who endorsed needing treatment but they did not go: Adjusted models
| White (n=445) | Black (n=177) | American Indian/Alaska Native (n=19) | Asian/Pacific Islander/Native Hawaiian (n=16) | Latine (n=117) | |
|---|---|---|---|---|---|
| Needed drug treatment but did not go | 20.59 (0.88) | 25.58 (2.46) | 22.09 (4.17) | 19.90 (3.19) | 21.77 (2.02) |
| Number of Barriers Endorsed* | 4.70 (.22)a,c,d,e | 4.56 (.27)b,c,d,e | 5.60 (.34)a,b,c,d,e | 6.35 (. 17)a,b,c,d,e | 3.23 (.08)a,b,c,d,e |
| Structural Barriers | |||||
| 1. Health insurance didn’t cover | 18.72 (2.47) | 12.85 (3.03) | 10.74 (7.79) | 26.87 (11.26) | 12.37 (3.20) |
| 3. Didn’t know any place to go for help | 11.17 (1.76) | 11.48 (3.16) | 7.77 (5.49) | 21.51 (10.28) | 12.04 (3.16) |
| 4. Couldn’t afford the bill | 24.38 (2.49) | 12.64 (3.32) | 12.83 (8.38) | 12.10 (8.96) | 12.49 (3.37) |
| 5. Didn’t have a way to get there | 5.07 (1.26) | 6.16 (1.96) | 11.58 (8.10) | - | 2.69 (1.47) |
| 6. Didn’t have time | 9.65 (1.93) | 10.20 (2.37) | 21.55 (12.63) | 2.75 (2.76) | 5.90 (1.94) |
| 17. Can’t speak English very well | 0.60 (0.60) | - | - | - | 1.35 (0.95) |
| 19. Couldn’t arrange for child care | 4.98 (1.18) | 1.65 (1.09) | - | - | 1.34 (0.98) |
| 20. Had to wait too long to get into a program | 6.39 (1.23) | 7.19 (2.01) | 4.51 (3.88) | - | 5.01 (2.85) |
| Attitudinal Barriers | |||||
| 2. Didn’t think anyone could help | 15.19 (1.77) | 15.38 (2.88) | 24.27 (8.61) | 1.70 (1.72) | 13.59 (4.29) |
| 7. Thought the problem would get better by itself | 34.25 (2.97) | 38.88 (4.81) | 31.23 (7.60) | 66.10 (17.17) | 30.65 (4.03) |
| 8. Too embarrassed to discuss it with anyone | 29.40 (2.36) | 24.66 (3.85) | 33.67 (9.28) | 10.41 (8.12) | 20.59 (3.86) |
| 9. Afraid of what boss, friends, family or others would think* | 21.62 (2.38)a,b,g | 7.58 (2.22)b,c,d | 35.29 (12.40)c,e,f | 46.95 (17.89)d,e,g,h | 10.70 (3.10)a,f,h |
| 10. Thought should be strong enough to handle alone | 42.26 (2.98) | 33.08 (5.07) | 50.68 (10.59) | 45.36 (15.54) | 37.34 (5.44) |
| 11. Afraid they would put me into the hospital* | 13.57 (1.84)a | 6.82 (1.96)a,b | 30.52 (10.21)b,c | 9.34 (8.71) | 7.60 (2.43)c |
| 12. Afraid of the treatment they would give me | 12.09 (1.81) | 6.60 (1.97) | 13.78 (7.78) | 7.37 (2.26) | 4.58 (1.90) |
| 22. Didn’t think drug problem was serious enough | 20.48 (2.15) | 22.08 (3.85) | 38.68 (8.40) | 24.52 (11.93) | 17.42 (3.56) |
| 23. Didn’t want to go | 33.96 (2.53) | 24.98 (4.26) | 19.34 (8.12) | 28.66 (12.00) | 25.82 (3.91) |
| 26. Tried getting help before and it didn’t work | 10.06 (1.85) | 10.73 (3.08) | 11.68 (8.24) | 2.75 (2.76) | 7.49 (2.81) |
| Readiness to Change Barriers | |||||
| 21. Wanted to keep using drugs | 34.83 (2.59) | 20.17 (3.72) | 37.02 (9.17) | 37.56 (14.83) | 30.63 (6.39) |
| 24. Stopped using on my own* | 24.01 (2.19)a,b,f | 10.69 (2.86)b,c | 42.87 (9.71)a,c,d,e | 12.41 (4.84)e | 13.79 (3.04)d,f |
| 25. Friends or family helped me stop using | 7.85 (1.61) | 3.76 (1.75) | - | - | 4.86 (1.53) |
| Other Barriers | |||||
| 13. Hated answering personal questions | 11.51 (1.62) | 8.29 (2.31) | 17.18 (8.06) | 11.36 (10.35) | 11.65 (3.06) |
| 14. Hours were inconvenient* | 2.47 (0.69)a,d | 0.96 (0.69)b,c | - | 14.98 (9.74)a,c | 4.71 (2.53)b,d |
| 15. A member of my family objected* | 1.65 (0.55)a | 0.17 (0.17)a | - | - | - |
| 16. Family thought I should go but I didn’t think it was necessary | 14.10 (2.08) | 13.06 (2.96) | 17.07 (7.91) | - | 10.66 (2.81) |
| 18. Afraid I would lose my job* | 11.12 (1.73)a | 5.76 (1.82) | 15.62 (10.18) | 2.75 (2.76) | 3.94 (1.29)a |
| 27. Afraid children would be taken away | 7.68 (0.82) | 4.34 (1.66) | 3.02 (3.30) | - | 6.55 (2.29) |
| 28. Religious beliefs prevent going for treatment | - | - | - | - | - |
| 29. Other reason | 5.48 (1.29) | 6.19 (1.59) | 3.36 (3.40) | - | 6.43 (2.47) |
Note. - = frequency was zero.
*
= omnibus Wald F test significant at p < .05.
Cells with the same letters represent pairwise differences based on adjusted survey regression models (p < .05). No superscript in a cell means the cell was not different from any other cell.