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Full-Text Articles in Social and Behavioral Sciences

Disparities In Access To Healthcare: The Case Of A Drug And Alcohol Abuse Detoxification Treatment Program Among Minority Groups In A Texas Hospital, Alberto Coustasse, Karan P. Singh, Fernando M. Trevino Jul 2013

Disparities In Access To Healthcare: The Case Of A Drug And Alcohol Abuse Detoxification Treatment Program Among Minority Groups In A Texas Hospital, Alberto Coustasse, Karan P. Singh, Fernando M. Trevino

Alberto Coustasse, DrPH, MD, MBA, MPH

The authors analyzed ethnic/racial disparities in healthcare access and length of stay from a defined population of individuals seeking medical detoxification services at a hospital in Texas. Results indicated Blacks were more likely to be insured compared with Whites, mostly by public insurance, but this did not hold for Hispanics, who were about three times more likely to be uninsured compared with Blacks. In addition, the authors observed lower median of length of stay in the Medicaid category among Hispanics. These results can be explained by aggressive case management, sociocultural barriers, or discriminatory practices, both intentional and unintentional.


Gender Disparities: A Medical Detoxification Program, Alberto Coustasse, Karan P. Singh, Sue G. Lurie, Yu-Sheng Lin, Claudia S. Coggin, Fernando Trevino May 2013

Gender Disparities: A Medical Detoxification Program, Alberto Coustasse, Karan P. Singh, Sue G. Lurie, Yu-Sheng Lin, Claudia S. Coggin, Fernando Trevino

Alberto Coustasse, DrPH, MD, MBA, MPH

Significant gaps exist in health care regarding gender in the United States. Health status, social roles, culturally patterned behavior and access to health care can be influenced by gender. Women have been the primary users of health care and minority women usually have received poorer quality care than Non-Hispanic White (NHW) females. The objectives of this study were to identify gender, racial and ethnic disparities in access to substance abuse treatment in a Texas hospital. Secondary data collected on 1,309 subjects who underwent detoxification were studied. Gender, race/ethnicity, drug of abuse, relapse and financial classification were included in the analysis. …