Racial/ethnic differences in social vulnerability among women with co-occurring mental health and substance abuse disorders: Implications for treatment services

被引:47
作者
Amaro, H [1 ]
Larson, MJ
Gampel, J
Richardson, E
Savage, A
Wagler, D
机构
[1] Northeastern Univ, Boston, MA 02115 USA
[2] CUNY Hunter Coll, New York, NY 10021 USA
关键词
D O I
10.1002/jcop.20065
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Little attention has been given to racial/ethnic differences in studies of co-occurring disorders among women. In this article, we present findings from analyses conducted on the influence of rarial/ethnic differences on the demographic and clinical profiles of 2,534 women in the Substance Abuse and Mental Health Services,Administration-sponsored Women, Co-Occurring Disorders and Violence Study. Black anti Hispanic women demonstrated more disadvantaged economic and social life conditions than White women. After controlling for socioeconomic differenres, Hispanic women experienced more criminal justice involvement than others did, and both Black and Hispanic women were more likely to be exposed to community violence although they did not demonstrate more severe clinical symptoms than White women. In the design and delivery of services racial/ethnic differences,should be considered, and research questions regarding underlying explanatory factors raised. (c) 2005 Wiley Periodicals, Inc.
引用
收藏
页码:495 / 511
页数:17
相关论文
共 57 条
[1]   Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites [J].
Alegría, M ;
Canino, G ;
Ríos, R ;
Vera, M ;
Calderón, J ;
Rusch, D ;
Ortega, AN .
PSYCHIATRIC SERVICES, 2002, 53 (12) :1547-1555
[2]   Substance abuse treatment: Critical issues and challenges in the treatment of Latina women [J].
Amaro, H ;
Nieves, R ;
Johannes, SW ;
Cabeza, NML .
HISPANIC JOURNAL OF BEHAVIORAL SCIENCES, 1999, 21 (03) :266-282
[3]   A COMPARISON OF BLACK-AND-WHITE WOMEN ENTERING ALCOHOLISM-TREATMENT [J].
AMARO, H ;
BECKMAN, LJ ;
MAYS, VM .
JOURNAL OF STUDIES ON ALCOHOL, 1987, 48 (03) :220-228
[4]   Race and ethnic differences in adolescent drug use: The impact of family structure and the quantity and quality of parental interaction [J].
Amey, CH ;
Albrecht, SL .
JOURNAL OF DRUG ISSUES, 1998, 28 (02) :283-298
[5]  
[Anonymous], 2003, HISP PRIS US
[6]  
[Anonymous], CURRENT POPULATION R
[7]  
[Anonymous], 2003, Unequal treatment: Confronting racial and ethnic disparities in health care
[8]   The influence of Hispanic ethnicity on long-term outcome in three alcohol-treatment modalities [J].
Arroyo, JA ;
Miller, WR ;
Tonigan, JS .
JOURNAL OF STUDIES ON ALCOHOL, 2003, 64 (01) :98-104
[9]   Effectiveness of substance abuse treatment programming for women: A review [J].
Ashley, OS ;
Marsden, ME ;
Brady, TM .
AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 2003, 29 (01) :19-53
[10]   The plight of extremely poor Puerto Rican and non-Hispanic White single mothers [J].
Bassuk, EL ;
Perloff, JN ;
Coll, CG .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 1998, 33 (07) :326-336