Skip to main content

Advertisement

Log in

Ethnic and Gender Differences in Help Seeking for Substance Disorders Among Black Americans

  • Published:
Journal of Racial and Ethnic Health Disparities Aims and scope Submit manuscript

Abstract

This paper uses the National Survey of American Life (NSAL) to examine within group differences regarding help-seeking for substance disorders among a US sample of African American and Caribbean Black men and women. We examined ethnic and gender differences in the type of providers sought for substance disorder treatment, as well as reasons for avoiding treatment. Results indicate that overall, few ethnic differences exist; however, African Americans are more likely than Caribbean Blacks to seek help from human service professionals (including a religious or spiritual advisor) and from informal sources of treatment such as self-help groups. Black men with a substance disorder were more likely to see a psychiatrist than Black women. Findings regarding reasons for avoiding treatment suggest that there may be a need to provide better education about the utility of substance disorder treatment, even before problems reach a high level of severity.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Kessler RC, Demler O, Frank RG, Olfson M, Pincus HA, Walters EE, et al. Prevalence and treatment of mental disorders, 1990 to 2003. N Engl J Med. 2005;352:2515–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Wang PS, Lane M, Olfson M, Pincus HA, Wells KB, Kessler RC. Twelve-month use of mental health services in the United States. Arch Gen Psychiatry. 2005;62:629–40.

    Article  PubMed  Google Scholar 

  3. Substance Abuse and Mental Health Services Administration. Center for Behavioral Health Statistics and Quality. The NSDUH report: substance use and mental health estimates from the 2013 National Survey on drug use and health: Overview of Findings. Rockville, MD; 2014.

  4. Alegria M, Canino G, Rios R, Vera M, Calderon J, Rusch D, et al. Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatr Serv. 2002;53(12):1547–55.

    Article  PubMed  Google Scholar 

  5. Wells K, Klap R, Koike A, Sherbourne C. Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. Am J Psychiatry. 2001;159(12):2027–32.

    Article  Google Scholar 

  6. Substance Abuse and Mental Health Services Administration. Center of Behavioral Health Statistics and Quality. Need for and receipt of substance use treatment among blacks. Results from the National. Rockville, MD; 2013

  7. Breslau J, Kendler KS, Su M, Aguilar-Gaxiola S, Kessler RC. Lifetime risk and persistence of psychiatric disorders across ethnic groups in the United States. Psychol Med. 2005;35:317–27.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Ojeda VD, McGuire TG. Gender and racial/ethnic differences in use of outpatient mental health and substance use services by depressed adults. Psychiatr Q. 2006;77(3):211–22.

    Article  PubMed  Google Scholar 

  9. Substance Abuse and Mental Health Services Administration, Office of Applied Studies. Results from the 2007 National Survey on Drug Use and Health: National Findings (NSDUH Series H-34, DHHS Publication No. SMA 08–4343). Rockville, MD; 2008.

  10. Schmidt L, Greenfield T, Mulia N. Unequal treatment: racial and ethnic disparities in alcoholism treatment services. Alcohol Res. 2006;29(1):49–54.

    Google Scholar 

  11. Godette DC, Headen S, Ford CL. Windows of opportunity: fundamental concepts for understanding alcohol-related disparities experienced by young blacks in the United States. Prev Sci. 2006;7:311–87.

    Article  Google Scholar 

  12. Lee JA, Mavis BE, Stoffelmayr BE. A comparison of problems of life for blacks and whites entering substance use programs. J Psychoactive Drugs. 1991;23(3):233–9.

    Article  CAS  PubMed  Google Scholar 

  13. Woodward AT, Taylor RJ, Bullard KM, Neighbors HW, Chatters LM, Jackson JS. Use of professional and informal support by African Americans and Caribbean blacks with mental disorders. Psychiatr Serv. 2008;59(11):1292–8.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Schmidt LA, Ye Y, Greenfield TK, Bond J. Ethnic disparities in clinical severity and services for alcohol problems: results from the National Alcohol Survey. Alcohol Clin Exp Res. 2007;31(1):48–56.

    Article  PubMed  Google Scholar 

  15. Turner WL, Wallace B. African American substance use epidemiology, prevention, and treatment. Violence Against Women. 2003;9(5):576–89.

    Article  Google Scholar 

  16. Hser Y-I, Maglione M, Polinsky ML, Anglin DM. Predicting drug treatment entry among treatment-seeking individuals. J Subst Abus Treat. 1998;3:213–20.

    Article  Google Scholar 

  17. Milligan CO, Nich C, Carroll KM. Ethnic differences in substance abuse treatment retention, compliance, and outcome from two clinical trials. Psychiatr Serv. 2004;55(2):167–73.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Mojtabai R, Olfson M, Mechanic D. Perceived need and help-seeking in adults with mood, anxiety, or substance use disorders. Arch Gen Psychiatry. 2002;59(1):77–84.

    Article  PubMed  Google Scholar 

  19. Cheng TC, Robinson MA. Factors leading African American and black Caribbean to use social work services for treating mental and substance use disorders. Health Soc Work. 2013;38(2):99–109.

    Article  PubMed  Google Scholar 

  20. Perron BE, Alexander-Eitzman B, Watkins D, Taylor RJ, Baser R, Neighbors HW, Jackson JS. Ethnic differences in delays to treatment for substance use disorders: African Americans, black Caribbean and non-Hispanic whites. J Psychoactive Drugs. 2009;41(4):369–77.

    Article  PubMed  Google Scholar 

  21. Jackson JS, Neighbors HW, Torres M, Martin LA, Williams DR, Baser R. Use of mental health services and subjective satisfaction with treatment among black Caribbean immigrants: results from the National Survey of American life. Am J Public Health. 2007;97(1):60–7.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Neighbors HW, Caldwell C, Williams DR, Nesse R, Taylor RJ, Bullard KM, et al. Race, ethnicity, and the use of services for mental disorders: results from the National Survey of American life. Arch Gen Psychiatry. 2007;64:485–94.

    Article  PubMed  Google Scholar 

  23. Woodward AT, Taylor RJ, Chatters LM. Use of professional and informal support by black men with mental disorders. Res Soc Work Pract. 2011;21:328–35.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Jackson JS, Torres M, Caldwell CH, Neighbors HW, Nesse RM, Taylor RJ, et al. National Survey of American life: a study of racial, ethnic and cultural influences on mental disorders and mental health. Int J Methods Psychiatr Res. 2004;13(4):196–207.

    Article  PubMed  Google Scholar 

  25. Colpe L, Merikangas K, Cuthbert B, Bourdon K. (National Institute of Mental Health). Guest editorial. Int J Methods Psychiatr Res. 2004;13:193–5.

    Article  Google Scholar 

  26. Jackson JS, Neighbors HW, Nesse RM, Trierweiler SJ, Torres M. Methodological innovations in the National Survey of American life. Int J Methods Psychiatr Res. 2004;13:289–98.

    Article  PubMed  Google Scholar 

  27. WHO World Mental Health Survey Consortium. The prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization world mental health surveys. J Am Med Assoc. 2004;291:2581–90.

    Article  Google Scholar 

  28. Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, severity and co-morbidity of 12-month DSM-IV disorders in the National Co-Morbidity Survey Replication (NCS-R). Arch Gen Psychiatry. 2005;62:617–27.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Kessler RC, Merikangas KR. The National Co-morbidity Survey Replication (NCS-R): background and aims. Int J Methods Psychiatr Res. 2004;13:60–8.

    Article  PubMed  Google Scholar 

  30. StataCorp. Stata Statistical Software (Release 9) [Computer software]. College Station, TX: StataCorp LP; 2005.

  31. Humphreys K, Mavis B, Stofflemayr B. Factors predicting attendance at self-help groups after substance abuse treatment: preliminary findings. J Consult Clin Psychol. 1991;59(4):591–3.

    Article  CAS  PubMed  Google Scholar 

  32. Kaskutas LA, Weisner C, Lee M, Humphreys K. Alcoholics anonymous affiliation at treatment intake among white and black Americans. J Stud Alcohol. 1999;60:810–6.

    Article  CAS  PubMed  Google Scholar 

  33. Tonigan JS, Connors GJ, Miller WR. Special populations in alcoholics anonymous. Alcohol Health Res World. 1998;22(4):281–5.

    CAS  PubMed  Google Scholar 

  34. Flynn AM, Alvarez J, Jason LA, Olson BD, Ferrari JR, Davis MI. Chapter 10: African American Oxford house residents: sources of abstinent social networks. J Prev Interv Community. 2006;31(1–2):111–9.

    Article  PubMed  Google Scholar 

  35. Wu L, Ringwalt C. Use of substance abuse services by young uninsured American adults. Psychiatr Serv. 2005;56(8):946–53.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Neighbors HW, Howard CS. Sex differences in professional help-seeking among adult black Americans. Am J Community Psychol. 1987;15(4):403–17.

    Article  CAS  PubMed  Google Scholar 

  37. Grant BF. (1997). Barriers to alcoholism treatment: reasons for not seeking treatment in a general population sample. J Stud Alcohol. 1997;58:365–71.

    Article  CAS  PubMed  Google Scholar 

  38. Hingson R, Mangione T, Meyers A, Scotch N. Seeking help for drinking problems: a study in the Boston metropolitan area. J Stud Alcohol. 1982;43(3):273–88.

    Article  CAS  PubMed  Google Scholar 

  39. Allen K. Barriers to treatment for addicted African-American women. Journal of the National Medical Association. 1995;87:751-756.

  40. Green CA. Gender and use of substance abuse treatment services. Alcohol Res Health. 2006;29(1):55–62.

Download references

Acknowledgments

Dr. Redmond was supported through the following postdoctoral training grants from the National Institute on Drug Abuse training grant #T32DA007267 and in part by National Institute of Mental Health training grant #T32 MH16806-25. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIDA, NIMH, or NIH. The NSAL is supported by the National Institute of Mental Health (grant U01-MH57716) with supplemental support from the Office of Behavioral and Social Science Research at the National Institutes of Health and the University of Michigan.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michelle L. Redmond.

Ethics declarations

The authors report no conflict of interest. The data used in this study represent secondary data analysis. Previous studies have reported on the informed consent procedures that were followed in the 191 collection of the data [21, 26].

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Redmond, M.L., Watkins, D.C., Broman, C. et al. Ethnic and Gender Differences in Help Seeking for Substance Disorders Among Black Americans. J. Racial and Ethnic Health Disparities 4, 308–316 (2017). https://doi.org/10.1007/s40615-016-0230-3

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40615-016-0230-3

Keywords

Navigation