TY - JOUR
T1 - Disparities in health services for HIV/AIDS, hepatitis C virus, and sexually transmitted infections
T2 - Role of substance abuse treatment programs
AU - Brown, Lawrence S.
AU - Kritz, Steven
AU - Muhammad, Adashima
AU - Bini, Edmund J.
AU - Goldsmith, R. Jeffrey
AU - Robinson, Jim
AU - Alderson, Donald
AU - Hasin, Deborah S.
AU - Rotrosen, John
PY - 2009/6
Y1 - 2009/6
N2 - Objectives: This report focused upon the availability of infection- related health services in substance abuse treatment programs with and without addiction services tailored for special populations (women and non-white populations). Methods: In a cross-sectional, descriptive design, treatment program administrators across the United States within the National Drug Abuse Treatment Clinical Trials Network provided information on program characteristics, the availability of infection-related services (4 medical services and 3 nonmedical services for human immunodeficiency virus, hepatitis C virus, and sexually transmitted infections), and barriers to providing infection-related services. Results: Of 319 programs, 269 submitted surveys (84% response rate). Of these, 80% provided addiction services for special populations. Programs providing addiction services designed for at least one special population, were more likely to provide infection-related health services, especially human immunodeficiency virus-related education (94% vs 85%, P = 0.05) and patient counseling (76% vs 60%, P = 0.03) and were more likely to include outpatient addiction services (86% vs 57%, P < 0.001) and outreach and support services (92% vs 70%, P = 0.01). Barriers to providing infection- related services included funding (cited by 48.3%-74.7% of programs), health insurance (cited by 28.9%-60.8% of programs), and patient acceptance (cited by 23.2%-54.3% of programs).
AB - Objectives: This report focused upon the availability of infection- related health services in substance abuse treatment programs with and without addiction services tailored for special populations (women and non-white populations). Methods: In a cross-sectional, descriptive design, treatment program administrators across the United States within the National Drug Abuse Treatment Clinical Trials Network provided information on program characteristics, the availability of infection-related services (4 medical services and 3 nonmedical services for human immunodeficiency virus, hepatitis C virus, and sexually transmitted infections), and barriers to providing infection-related services. Results: Of 319 programs, 269 submitted surveys (84% response rate). Of these, 80% provided addiction services for special populations. Programs providing addiction services designed for at least one special population, were more likely to provide infection-related health services, especially human immunodeficiency virus-related education (94% vs 85%, P = 0.05) and patient counseling (76% vs 60%, P = 0.03) and were more likely to include outpatient addiction services (86% vs 57%, P < 0.001) and outreach and support services (92% vs 70%, P = 0.01). Barriers to providing infection- related services included funding (cited by 48.3%-74.7% of programs), health insurance (cited by 28.9%-60.8% of programs), and patient acceptance (cited by 23.2%-54.3% of programs).
KW - Disparities
KW - HIV/AIDS
KW - Hepatitis C virus
KW - Sexually transmitted infections
KW - Substance abuse treatment
UR - http://www.scopus.com/inward/record.url?scp=70349248067&partnerID=8YFLogxK
U2 - 10.1097/ADM.0b013e318190f0e7
DO - 10.1097/ADM.0b013e318190f0e7
M3 - Article
AN - SCOPUS:70349248067
SN - 1932-0620
VL - 3
SP - 95
EP - 102
JO - Journal of Addiction Medicine
JF - Journal of Addiction Medicine
IS - 2
ER -