Substance Use, Dependence, and Service Utilization Among the US Uninsured Nonelderly Population

We examined the prevalence and correlates of substance use, dependence, and service utilization among uninsured persons aged 12 to 64 years. We drew study data from the 1998 National Household Survey on Drug Abuse. An estimated 80% of uninsured nonelderly persons reported being uninsured for more th...

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Published in:American journal of public health (1971) 2003-12, Vol.93 (12), p.2079-2085
Main Authors: Wu, Li-Tzy, Kouzis, Anthony C, Schlenger, William E
Format: Article
Language:English
Subjects:
Adolescent
Adult
Alcohol use
Anesthesia
Biological and medical sciences
Child
Cocaine
Counseling - economics
Counseling - statistics & numerical data
Drug abuse
Drug dependency
Drug use
Ethnic differences
Ethnicity
Family Characteristics
Female
Hallucinogens
Health Care Surveys
Health insurance
Health maintenance organizations
Health services
Health Services Accessibility - economics
Health Services Accessibility - statistics & numerical data
Heroin
Hispanic Americans
HMOs
Homeless people
Households
Humans
Indigent care
Insurance coverage
Insurance Coverage - statistics & numerical data
Low income groups
Male
Medical sciences
Medically Uninsured - statistics & numerical data
Mental disorders
Mental health
Mental health care
Middle Aged
Prevalence
Prevention and actions
Probability
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Racial differences
Research and Practice
Specific populations (family, woman, child, elderly...)
Substance Abuse Treatment Centers - economics
Substance Abuse Treatment Centers - statistics & numerical data
Substance abusers
Substance-Related Disorders - economics
Substance-Related Disorders - epidemiology
Substance-Related Disorders - rehabilitation
Tranquilizers
Treatment
Uninsured patients
Uninsured people
United States - epidemiology
USA
Users
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container_end_page 2085
container_issue 12
container_start_page 2079
container_title American journal of public health (1971)
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creator Wu, Li-Tzy
Kouzis, Anthony C
Schlenger, William E
description We examined the prevalence and correlates of substance use, dependence, and service utilization among uninsured persons aged 12 to 64 years. We drew study data from the 1998 National Household Survey on Drug Abuse. An estimated 80% of uninsured nonelderly persons reported being uninsured for more than 6 months in the prior year. Only 9% of these uninsured persons who were dependent on alcohol or drugs had received any substance abuse service in the past year. Non-Hispanic Whites were an estimated 3 times more likely than Blacks to receive substance abuse services. Compared with the privately insured, uninsured persons had increased odds of having alcohol/drug dependence and appeared to face substantial barriers to health services for substance use problems.
doi_str_mv 10.2105/AJPH.93.12.2079
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We drew study data from the 1998 National Household Survey on Drug Abuse. An estimated 80% of uninsured nonelderly persons reported being uninsured for more than 6 months in the prior year. Only 9% of these uninsured persons who were dependent on alcohol or drugs had received any substance abuse service in the past year. Non-Hispanic Whites were an estimated 3 times more likely than Blacks to receive substance abuse services. Compared with the privately insured, uninsured persons had increased odds of having alcohol/drug dependence and appeared to face substantial barriers to health services for substance use problems.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.93.12.2079</identifier><identifier>PMID: 14652338</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: Am Public Health Assoc</publisher><subject>Adolescent ; Adult ; Alcohol use ; Anesthesia ; Biological and medical sciences ; Child ; Cocaine ; Counseling - economics ; Counseling - statistics &amp; numerical data ; Drug abuse ; Drug dependency ; Drug use ; Ethnic differences ; Ethnicity ; Family Characteristics ; Female ; Hallucinogens ; Health Care Surveys ; Health insurance ; Health maintenance organizations ; Health services ; Health Services Accessibility - economics ; Health Services Accessibility - statistics &amp; numerical data ; Heroin ; Hispanic Americans ; HMOs ; Homeless people ; Households ; Humans ; Indigent care ; Insurance coverage ; Insurance Coverage - statistics &amp; numerical data ; Low income groups ; Male ; Medical sciences ; Medically Uninsured - statistics &amp; numerical data ; Mental disorders ; Mental health ; Mental health care ; Middle Aged ; Prevalence ; Prevention and actions ; Probability ; Public health ; Public health. 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We drew study data from the 1998 National Household Survey on Drug Abuse. An estimated 80% of uninsured nonelderly persons reported being uninsured for more than 6 months in the prior year. Only 9% of these uninsured persons who were dependent on alcohol or drugs had received any substance abuse service in the past year. Non-Hispanic Whites were an estimated 3 times more likely than Blacks to receive substance abuse services. Compared with the privately insured, uninsured persons had increased odds of having alcohol/drug dependence and appeared to face substantial barriers to health services for substance use problems.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Alcohol use</subject><subject>Anesthesia</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Cocaine</subject><subject>Counseling - economics</subject><subject>Counseling - statistics &amp; numerical data</subject><subject>Drug abuse</subject><subject>Drug dependency</subject><subject>Drug use</subject><subject>Ethnic differences</subject><subject>Ethnicity</subject><subject>Family Characteristics</subject><subject>Female</subject><subject>Hallucinogens</subject><subject>Health Care Surveys</subject><subject>Health insurance</subject><subject>Health maintenance organizations</subject><subject>Health services</subject><subject>Health Services Accessibility - economics</subject><subject>Health Services Accessibility - statistics &amp; numerical data</subject><subject>Heroin</subject><subject>Hispanic Americans</subject><subject>HMOs</subject><subject>Homeless people</subject><subject>Households</subject><subject>Humans</subject><subject>Indigent care</subject><subject>Insurance coverage</subject><subject>Insurance Coverage - statistics &amp; numerical data</subject><subject>Low income groups</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medically Uninsured - statistics &amp; numerical data</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Prevention and actions</subject><subject>Probability</subject><subject>Public health</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Racial differences</subject><subject>Research and Practice</subject><subject>Specific populations (family, woman, child, elderly...)</subject><subject>Substance Abuse Treatment Centers - economics</subject><subject>Substance Abuse Treatment Centers - statistics &amp; numerical data</subject><subject>Substance abusers</subject><subject>Substance-Related Disorders - economics</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - rehabilitation</subject><subject>Tranquilizers</subject><subject>Treatment</subject><subject>Uninsured patients</subject><subject>Uninsured people</subject><subject>United States - epidemiology</subject><subject>USA</subject><subject>Users</subject><issn>0090-0036</issn><issn>1541-0048</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>7TQ</sourceid><sourceid>ALSLI</sourceid><sourceid>DPSOV</sourceid><sourceid>M0C</sourceid><sourceid>M2L</sourceid><sourceid>M2R</sourceid><sourceid>7QJ</sourceid><recordid>eNpdkU1v1DAQhi0EokvhzA1FSCAO3a0_4sS5IK3KR0EVVFr2bDnOZOOVY6d2UlR-PQ67ooWTPTOP35nxi9BLgleUYH6-_np9uarYitAVxWX1CC0Iz8kS41w8RguMK5zurDhBz2LcY0xIxclTdELyglPGxALJzVTHUTkN2TbCWfYBBnANpPgsU67JNhBuzVwcjTW_1Gi8y9a9d7ts7FJ2k22dcXEK0GTfvAPbQLB32bUfJvsHfo6etMpGeHE8T9H208cfF5fLq--fv1ysr5aaEzwuS2iFqAsQeaPLttS6pGWpQBBFaJGCgpd1SwE4pqJiqs5VWzHR1gQaDUoDO0XvD7rDVPdz0o1BWTkE06twJ70y8t-KM53c-VtJqGDpW5LA26NA8DcTxFH2JmqwVjnwU5S8JKQQjCXw9X_g3k_BpeUkJWkZlsAEnR8gHXyMAdq_kxAsZ-fk7JysWOovZ-fSi1cPF7jnj1Yl4M0RUFEr24Zkmon3HGc5zvO59bsD15ld99MEkLFX1iZZItV-6B70_A2IfrBa</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>Wu, Li-Tzy</creator><creator>Kouzis, Anthony C</creator><creator>Schlenger, William E</creator><general>Am Public Health Assoc</general><general>American Public Health Association</general><general>American Journal of Public Health 2003</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7RV</scope><scope>7TQ</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88A</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>KC-</scope><scope>L.-</scope><scope>L.0</scope><scope>LK8</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2L</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>7QJ</scope><scope>5PM</scope></search><sort><creationdate>20031201</creationdate><title>Substance Use, Dependence, and Service Utilization Among the US Uninsured Nonelderly Population</title><author>Wu, Li-Tzy ; 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numerical data</topic><topic>Heroin</topic><topic>Hispanic Americans</topic><topic>HMOs</topic><topic>Homeless people</topic><topic>Households</topic><topic>Humans</topic><topic>Indigent care</topic><topic>Insurance coverage</topic><topic>Insurance Coverage - statistics &amp; numerical data</topic><topic>Low income groups</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medically Uninsured - statistics &amp; numerical data</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Prevention and actions</topic><topic>Probability</topic><topic>Public health</topic><topic>Public health. 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source Applied Social Sciences Index & Abstracts (ASSIA); Open Access: PubMed Central; ABI/INFORM Collection; Business Source Ultimate; American Public Health Association; Politics Collection; PAIS Index; ProQuest Social Science Premium Collection; SPORTDiscus with Full Text
subjects Adolescent
Adult
Alcohol use
Anesthesia
Biological and medical sciences
Child
Cocaine
Counseling - economics
Counseling - statistics & numerical data
Drug abuse
Drug dependency
Drug use
Ethnic differences
Ethnicity
Family Characteristics
Female
Hallucinogens
Health Care Surveys
Health insurance
Health maintenance organizations
Health services
Health Services Accessibility - economics
Health Services Accessibility - statistics & numerical data
Heroin
Hispanic Americans
HMOs
Homeless people
Households
Humans
Indigent care
Insurance coverage
Insurance Coverage - statistics & numerical data
Low income groups
Male
Medical sciences
Medically Uninsured - statistics & numerical data
Mental disorders
Mental health
Mental health care
Middle Aged
Prevalence
Prevention and actions
Probability
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Racial differences
Research and Practice
Specific populations (family, woman, child, elderly...)
Substance Abuse Treatment Centers - economics
Substance Abuse Treatment Centers - statistics & numerical data
Substance abusers
Substance-Related Disorders - economics
Substance-Related Disorders - epidemiology
Substance-Related Disorders - rehabilitation
Tranquilizers
Treatment
Uninsured patients
Uninsured people
United States - epidemiology
USA
Users
title Substance Use, Dependence, and Service Utilization Among the US Uninsured Nonelderly Population
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