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Addict Behav. 2017 May;68:45-51. doi: 10.1016/j.addbeh.2017.01.010. Epub 2017 Jan 6.

Socioeconomic differences in adolescent substance abuse treatment participation and long-term outcomes.

Author information

1
Alcohol Research Group, Public Health Institute, 6001 Shellmound St., Suite 450, Emeryville, CA 94608, USA. Electronic address: clui@arg.org.
2
Division of Research, Kaiser Permanente Northern California, 2000 Broadway, 3rd Floor, Oakland, CA 94612, USA.

Abstract

Socioeconomic status (SES) has been consistently linked to poorer access, utilization and outcomes of health care services, but this relationship has been understudied in adolescent substance abuse treatment research. This study examined SES differences in adolescent's treatment participation and long-term outcomes of abstinence and 12-step attendance over five years after treatment. Data are from 358 adolescents (ages 13-18) who were recruited at intake to substance abuse treatment between 2000 and 2002 at four Kaiser Permanente Northern California outpatient treatment programs. Follow-up interviews of adolescents and their parents were conducted at 1, 3, and 5years, with over 80% response rates across time points. Using parent SES as a proxy for adolescent SES, no socioeconomic differences were found in treatment initiation, treatment retention, or long-term abstinence from alcohol or drugs. Parent education, but not parent income, was significantly associated with 12-step attendance post-treatment such that adolescents with higher parent education were more likely to attend than those with lower parent education. Findings suggest a lack of socioeconomic disparities in substance abuse treatment participation in adolescence, but potential disparities in post-treatment 12-step attendance during the transition from adolescence to young adulthood.

KEYWORDS:

Adolescent; Socioeconomic status; Substance use disorder; Treatment outcome; Treatment participation

PMID:
28088743
PMCID:
PMC5361576
DOI:
10.1016/j.addbeh.2017.01.010
[Indexed for MEDLINE]
Free PMC Article

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