Racial/Ethnic Differences in Alcohol and Drug Use Outcomes Following Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Federally Qualified Health Centers

Background Substance use disorders (SUDs) pose a significant public health concern. Previous findings, while equivocal, demonstrate screening, brief intervention, and referral to treatment (SBIRT) is effective in reducing substance use and improving overall health. While race/ethnic and sex differen...

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Bibliographic Details
Published in:Journal of racial and ethnic health disparities 2019-12, Vol.6 (6), p.1192-1199
Main Authors: Sahker, Ethan, Jones, DeShauna, Lancianese, Donna A., Pro, George, Arndt, Stephan
Format: Article
Language:English
Subjects:
Alcohol
Alcohol use
Alcohols
Asian Americans
Audits
Black people
Brief interventions
Cultural differences
Drinking
Drinking behavior
Drug abuse
Drug use
Epidemiology
Ethnic differences
Ethnicity
Females
Gender differences
Health education
Health facilities
Health policy
Health services
Intervention
Males
Medical referrals
Medical screening
Medical treatment
Medicine
Medicine & Public Health
Minority & ethnic groups
ORIGINAL PAPERS
Pacific Islander people
Patients
Primary care
Public health
Quality of Life Research
Race
Racial differences
Reduction
Sex differences
Social Inequality
Social Structure
Substance abuse treatment
Substance use
Substance use disorder
Treatment needs
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Summary:Background Substance use disorders (SUDs) pose a significant public health concern. Previous findings, while equivocal, demonstrate screening, brief intervention, and referral to treatment (SBIRT) is effective in reducing substance use and improving overall health. While race/ethnic and sex differences in SBIRT outcomes exist, racial/ethnic differences within sex groups remain unclear. The present study sought to quantify differences within race/ethnicity and sex in drug and alcohol use following SBIRT screenings. Methods Using health service data ( N  = 29,121) from a Midwestern state in four federally qualified health centers (FQHC) from 2012 to 2016, we assessed racial/ethnic and sex differences in the effect of SBIRT screening on alcohol and drug use between visits. We used McNemar’s tests and multiple logistic regression to predict substance use at follow-up visits. Results We found a significant race/ethnicity by sex interaction predicting a positive alcohol prescreening ( p  
ISSN:2197-3792
2196-8837
DOI:10.1007/s40615-019-00620-w