Structural factors affecting Asians and Pacific Islanders in community-based substance use treatment: Treatment provider perspectives

被引:7
作者
Chang, Jamie Suki [1 ,2 ]
Sorensen, James L. [1 ]
Masson, Carmen L. [1 ]
Shopshire, Michael S. [1 ]
Hoffman, Kim [3 ]
McCarty, Dennis [3 ]
Iguchi, Martin [4 ]
机构
[1] UC San Francisco, San Francisco, CA USA
[2] Santa Clara Univ, Publ Hlth Sci, Kenna Hall 110,500 El Camino Real, Santa Clara, CA 95053 USA
[3] Oregon Hlth & Sci Univ, Portland, OR 97201 USA
[4] RAND Corp, Santa Monica, CA USA
关键词
Asian Americans; Pacific Islanders; qualitative; structural factors; substance abuse treatment; QUALITATIVE CONTENT-ANALYSIS; ABUSE TREATMENT; USE DISORDERS; DRUG-USE; AMERICANS; STIGMA; HEALTH; SERVICES; BARRIERS; OUTCOMES;
D O I
10.1080/15332640.2017.1395384
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Asians and Pacific Islanders (API) have large disparities in utilization of substance use treatment compared to other racial groups. In this study, we analyzed factors that shape API experiences accessing and engaging in community-based treatment from the perspective of treatment providers. We conducted semi-structured interviews with 40 treatment providers who work with API clients in treatment programs in San Francisco and Los Angeles. We analyzed the transcribed interview data in ATLAS. ti using a content analysis approach. There were three main findings. First, treatment providers found the API category itself is too broad and heterogeneous to meaningfully explain substance use patterns. Second, beyond race/ethnicity, structural factors such as poverty, neighborhood, housing, and age had an impact on API substance use. Third, factors such as family, immigration status, religion, language, stigma played complex roles in API treatment experiences, contingent on how client, programs, and providers attended to differences in these categories.
引用
收藏
页码:479 / 494
页数:16
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