Structural factors affecting Asians and Pacific Islanders in community-based substance use treatment

Treatment provider perspectives

Jamie Suki Chang, James L. Sorensen, Carmen L. Masson, Michael S. Shopshire, Kim Hoffman, Dennis McCarty, Martin Iguchi

Research output: Contribution to journalArticle

Abstract

Asians and Pacific Islanders (API) have large disparities in utilization of substance use treatment compared to other racial groups. In this study, we analyzed factors that shape API experiences accessing and engaging in community-based treatment from the perspective of treatment providers. We conducted semi-structured interviews with 40 treatment providers who work with API clients in treatment programs in San Francisco and Los Angeles. We analyzed the transcribed interview data in ATLAS.ti using a content analysis approach. There were three main findings. First, treatment providers found the API category itself is too broad and heterogeneous to meaningfully explain substance use patterns. Second, beyond race/ethnicity, structural factors such as poverty, neighborhood, housing, and age had an impact on API substance use. Third, factors such as family, immigration status, religion, language, stigma played complex roles in API treatment experiences, contingent on how client, programs, and providers attended to differences in these categories.

Original languageEnglish (US)
Pages (from-to)479-494
Number of pages16
JournalJournal of Ethnicity in Substance Abuse
Volume16
Issue number4
DOIs
StatePublished - Oct 2 2017

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community
Therapeutics
Interviews
interview
San Francisco
Los Angeles
Emigration and Immigration
Religion
Poverty
content analysis
immigration
experience
ethnicity
utilization
housing
poverty
Language
language
Group

Keywords

  • Asian Americans
  • Pacific Islanders, qualitative
  • structural factors
  • substance abuse treatment

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health(social science)

Cite this

Structural factors affecting Asians and Pacific Islanders in community-based substance use treatment : Treatment provider perspectives. / Chang, Jamie Suki; Sorensen, James L.; Masson, Carmen L.; Shopshire, Michael S.; Hoffman, Kim; McCarty, Dennis; Iguchi, Martin.

In: Journal of Ethnicity in Substance Abuse, Vol. 16, No. 4, 02.10.2017, p. 479-494.

Research output: Contribution to journalArticle

Chang, Jamie Suki ; Sorensen, James L. ; Masson, Carmen L. ; Shopshire, Michael S. ; Hoffman, Kim ; McCarty, Dennis ; Iguchi, Martin. / Structural factors affecting Asians and Pacific Islanders in community-based substance use treatment : Treatment provider perspectives. In: Journal of Ethnicity in Substance Abuse. 2017 ; Vol. 16, No. 4. pp. 479-494.
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