Barriers to alcohol and other drug treatment use among Black African and Coloured South Africans

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dc.contributor.authorMyers, Bronwynen_ZA
dc.date.accessioned2015-11-23T12:09:49Z
dc.date.available2015-11-23T12:09:49Z
dc.date.issued2013en_ZA
dc.description.abstractBACKGROUND: There are racial disparities in the use of alcohol and other drug (AOD) treatment services in South Africa but little is known about the factors contributing to these disparities. This study aimed to redress this gap through identifying differences in barriers to AOD treatment use among Black African and Coloured persons from Cape Town, South Africa. The Behavioral Model of Health Services Utilization was used as an analytic framework. METHODS: A case-control design was used to compare 434 individuals with AOD problems who had accessed treatment with 555 controls who had not accessed treatment on a range of variables. Logistic regression procedures were employed to examine the unique profile of variables associated with treatment utilization for Black African and Coloured participants. RESULTS: After controlling for the influence of treatment need and predisposing factors on treatment use, several barriers to treatment were identified. Greater awareness of treatment options and fewer geographic access and affordability barriers were strongly associated with an increased likelihood of AOD treatment use for both race groups. However, Black African persons were more vulnerable to the effects of awareness and geographic access barriers on treatment use. Stigma consciousness was only associated with AOD treatment utilization for Coloured participants. CONCLUSION: Differences in barriers to AOD treatment use were found among Black African and Coloured South Africans. Targeted interventions that address the unique profile of barriers experienced by each race group are needed to improve AOD treatment use by these underserved groups. Several strategies for improving the likelihood of treatment entry are suggested.en_ZA
dc.identifier.apacitationMyers, B. (2013). Barriers to alcohol and other drug treatment use among Black African and Coloured South Africans. <i>BMC Health Services Research</i>, http://hdl.handle.net/11427/15256en_ZA
dc.identifier.chicagocitationMyers, Bronwyn "Barriers to alcohol and other drug treatment use among Black African and Coloured South Africans." <i>BMC Health Services Research</i> (2013) http://hdl.handle.net/11427/15256en_ZA
dc.identifier.citationMyers, B. (2013). Barriers to alcohol and other drug treatment use among Black African and Coloured South Africans. BMC health services research, 13(1), 177.en_ZA
dc.identifier.ris TY - Journal Article AU - Myers, Bronwyn AB - BACKGROUND: There are racial disparities in the use of alcohol and other drug (AOD) treatment services in South Africa but little is known about the factors contributing to these disparities. This study aimed to redress this gap through identifying differences in barriers to AOD treatment use among Black African and Coloured persons from Cape Town, South Africa. The Behavioral Model of Health Services Utilization was used as an analytic framework. METHODS: A case-control design was used to compare 434 individuals with AOD problems who had accessed treatment with 555 controls who had not accessed treatment on a range of variables. Logistic regression procedures were employed to examine the unique profile of variables associated with treatment utilization for Black African and Coloured participants. RESULTS: After controlling for the influence of treatment need and predisposing factors on treatment use, several barriers to treatment were identified. Greater awareness of treatment options and fewer geographic access and affordability barriers were strongly associated with an increased likelihood of AOD treatment use for both race groups. However, Black African persons were more vulnerable to the effects of awareness and geographic access barriers on treatment use. Stigma consciousness was only associated with AOD treatment utilization for Coloured participants. CONCLUSION: Differences in barriers to AOD treatment use were found among Black African and Coloured South Africans. Targeted interventions that address the unique profile of barriers experienced by each race group are needed to improve AOD treatment use by these underserved groups. Several strategies for improving the likelihood of treatment entry are suggested. DA - 2013 DB - OpenUCT DO - 10.1186/1472-6963-13-177 DP - University of Cape Town J1 - BMC Health Services Research LK - https://open.uct.ac.za PB - University of Cape Town PY - 2013 T1 - Barriers to alcohol and other drug treatment use among Black African and Coloured South Africans TI - Barriers to alcohol and other drug treatment use among Black African and Coloured South Africans UR - http://hdl.handle.net/11427/15256 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15256
dc.identifier.urihttp://dx.doi.org/10.1186/1472-6963-13-177
dc.identifier.vancouvercitationMyers B. Barriers to alcohol and other drug treatment use among Black African and Coloured South Africans. BMC Health Services Research. 2013; http://hdl.handle.net/11427/15256.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2013 Myers; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Health Services Researchen_ZA
dc.source.urihttp://www.biomedcentral.com/bmchealthservres/en_ZA
dc.subject.otherAlcohol and other drug treatmenten_ZA
dc.subject.otherRacial disparitiesen_ZA
dc.subject.otherBarriers to treatmenten_ZA
dc.subject.otherSouth Africaen_ZA
dc.titleBarriers to alcohol and other drug treatment use among Black African and Coloured South Africansen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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