Gender Comparison in Referrals and Treatment Completion to Residential and Outpatient Alcohol Treatment
Background Residential treatment for alcoholism is associated with high completion rates for clients, yet there appear to be gender disparities in patient referrals and treatment completion rates. We studied whether (A) gender is associated with differential patient placement to outpatient vs. resid...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2016-01-01
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| Series: | Substance Abuse: Research and Treatment |
| Online Access: | https://doi.org/10.4137/SART.S39943 |
| _version_ | 1828882488864276480 |
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| author | Shahrzad Bazargan-Hejazi Valory De Lucia Deyu Pan Mona Mojtahedzadeh Elham Rahmani Sinan Jabori Golara Zahmatkesh Mohsen Bazargan |
| author_facet | Shahrzad Bazargan-Hejazi Valory De Lucia Deyu Pan Mona Mojtahedzadeh Elham Rahmani Sinan Jabori Golara Zahmatkesh Mohsen Bazargan |
| author_sort | Shahrzad Bazargan-Hejazi |
| collection | DOAJ |
| description | Background Residential treatment for alcoholism is associated with high completion rates for clients, yet there appear to be gender disparities in patient referrals and treatment completion rates. We studied whether (A) gender is associated with differential patient placement to outpatient vs. residential treatment facilities and (B) completion rates differ by gender. Methods In this cross-sectional study, we analyzed the admission and discharge data from 185 publicly funded substance abuse treatment facilities across Los Angeles County between 2005 and 2010. Results Among the 33,745 studied cases, women were referred to residential treatment facilities less frequently than men (75% vs. 66%). The adjusted results derived from logistic regression models confirmed that females were more likely to be referred to outpatient treatment than to residential treatment facilities (odds ratio [OR]: 1.15, 95% confidence interval [CI]: 1.05–1.26). In addition, we observed that compared to White/Caucasian patients, all other races were associated with more referral to outpatient facilities (ie, less referral to residential facilities), indicating a racial disparity on the top of the observed gender disparity. However, there was no significant link between gender and treatment completion rates (OR: 0.93, 95% CI: 0.86–1.00). Conclusions Women seem to have treatment completion rates comparable to men, yet they are less likely to be referred to residential treatment facilities. Hence, there still remains a gender disparity in alcoholic patient referrals. Further studies should delineate which specific therapeutic aspects and programmatic components of women-focused treatments are essential to augment positive treatment outcomes. |
| first_indexed | 2024-12-13T10:29:30Z |
| format | Article |
| id | doaj.art-b1fc45e7e04f479cba69bb07e293e71d |
| institution | Directory Open Access Journal |
| issn | 1178-2218 |
| language | English |
| last_indexed | 2024-12-13T10:29:30Z |
| publishDate | 2016-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Substance Abuse: Research and Treatment |
| spelling | doaj.art-b1fc45e7e04f479cba69bb07e293e71d2022-12-21T23:50:55ZengSAGE PublishingSubstance Abuse: Research and Treatment1178-22182016-01-011010.4137/SART.S39943Gender Comparison in Referrals and Treatment Completion to Residential and Outpatient Alcohol TreatmentShahrzad Bazargan-Hejazi0Valory De Lucia1Deyu Pan2Mona Mojtahedzadeh3Elham Rahmani4Sinan Jabori5Golara Zahmatkesh6Mohsen Bazargan7Department of Psychiatry, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA, USA.Department of Family Medicine, College of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA.Department of Family Medicine, College of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA.Department of Psychiatry, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.School of Public Health, Boston University, Boston, MA, USA.University of California at Los Angeles, Los Angeles, CA, USA.School of Medicine, University of California at Irvine, Irvine, CA, USA.Department of Family Medicine, College of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA.Background Residential treatment for alcoholism is associated with high completion rates for clients, yet there appear to be gender disparities in patient referrals and treatment completion rates. We studied whether (A) gender is associated with differential patient placement to outpatient vs. residential treatment facilities and (B) completion rates differ by gender. Methods In this cross-sectional study, we analyzed the admission and discharge data from 185 publicly funded substance abuse treatment facilities across Los Angeles County between 2005 and 2010. Results Among the 33,745 studied cases, women were referred to residential treatment facilities less frequently than men (75% vs. 66%). The adjusted results derived from logistic regression models confirmed that females were more likely to be referred to outpatient treatment than to residential treatment facilities (odds ratio [OR]: 1.15, 95% confidence interval [CI]: 1.05–1.26). In addition, we observed that compared to White/Caucasian patients, all other races were associated with more referral to outpatient facilities (ie, less referral to residential facilities), indicating a racial disparity on the top of the observed gender disparity. However, there was no significant link between gender and treatment completion rates (OR: 0.93, 95% CI: 0.86–1.00). Conclusions Women seem to have treatment completion rates comparable to men, yet they are less likely to be referred to residential treatment facilities. Hence, there still remains a gender disparity in alcoholic patient referrals. Further studies should delineate which specific therapeutic aspects and programmatic components of women-focused treatments are essential to augment positive treatment outcomes.https://doi.org/10.4137/SART.S39943 |
| spellingShingle | Shahrzad Bazargan-Hejazi Valory De Lucia Deyu Pan Mona Mojtahedzadeh Elham Rahmani Sinan Jabori Golara Zahmatkesh Mohsen Bazargan Gender Comparison in Referrals and Treatment Completion to Residential and Outpatient Alcohol Treatment Substance Abuse: Research and Treatment |
| title | Gender Comparison in Referrals and Treatment Completion to Residential and Outpatient Alcohol Treatment |
| title_full | Gender Comparison in Referrals and Treatment Completion to Residential and Outpatient Alcohol Treatment |
| title_fullStr | Gender Comparison in Referrals and Treatment Completion to Residential and Outpatient Alcohol Treatment |
| title_full_unstemmed | Gender Comparison in Referrals and Treatment Completion to Residential and Outpatient Alcohol Treatment |
| title_short | Gender Comparison in Referrals and Treatment Completion to Residential and Outpatient Alcohol Treatment |
| title_sort | gender comparison in referrals and treatment completion to residential and outpatient alcohol treatment |
| url | https://doi.org/10.4137/SART.S39943 |
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