Substance use, dependence, and service utilization among the US uninsured nonelderly population.
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OBJECTIVES:We examined the prevalence and correlates of substance use, dependence, and service utilization among uninsured persons aged 12 to 64 years. METHODS:We drew study data from the 1998 National Household Survey on Drug Abuse. RESULTS: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. CONCLUSIONS: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.
Health Care Surveys
Substance Abuse Treatment Centers
Health Services Accessibility
Published Version (Please cite this version)10.2105/ajph.93.12.2079
Publication InfoWu, Li-Tzy; Kouzis, Anthony C; & Schlenger, William E (2003). Substance use, dependence, and service utilization among the US uninsured nonelderly population. American journal of public health, 93(12). pp. 2079-2085. 10.2105/ajph.93.12.2079. Retrieved from https://hdl.handle.net/10161/20030.
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Professor in Psychiatry and Behavioral Sciences
Education/Training: Pre- and post-doctoral training in mental health service research, psychiatric epidemiology (NIMH T32), and addiction epidemiology (NIDA T32) from Johns Hopkins University School of Public Health (Maryland); Fellow of the NIH Summer Institute on the Design and Conduct of Randomized Clinical Trials.Director: Duke Community Based Substance Use Disorder Research Program.Research interests: COVID-19, Opioid misuse, Opioid overdose, Opioid use disorder