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Poster presented at the American Society of Addiction Medicine (ASAM) Annual Meeting, Miami, FL, April 2007.
Lawrence S. Brown Jr., MD, MPH (Addiction Research and Treatment Corporation, NY Node), Steven Allan Kritz, MD (Addiction Research and Treatment Corporation, NY Node), Edmund J. Bini, MD, MPH (VA New York Harbor Healthcare System, NY Node), James A. Robinson, MEd (Nathan Kline Institute for Psychiatric Research, NY/LI Node), Donald Alderson, MS (New York State Psychiatric Institute, NY Node), John Rotrosen, MD (New York University, NY Node), CTN Infections Study Team (CTN-0012).
This poster describes the design, objectives, procedures, and outcomes of one facet of protocol CTN-0012 ("Characteristics of Screening, Evaluation, and Treatment of HIV/AIDS, Hepatitis C Viral Infections, and Sexually Transmitted Infections in Substance Abuse Treatment Programs"). The protocol examined the associations between HIV/AIDS, hepatitis C (HCV), and sexually transmitted infection (STI)-related services provided by substance abuse treatment programs in the National Institute on Drug Abuse Clinical Trials Network (NIDA CTN), and the states within which they are located.
This poster focuses on exploring the data from CTN-0012 as it pertains specifically to the availability and characteristics of addiction services targeted for women or other minority groups. Of 319 treatment program administrators from 116 agencies in the CTN surveyed, 269 (84%) responded. The survey used was cross-sectional and addressed treatment program and patient characteristics; availability of seven infection-related services (education, risk assessment, counseling, medical history & physical exam, biological testing, medical treatment, and medical monitoring) for three infections (HIV, HCV, STI); and eight perceived barriers to providing injection-related services. Minority populations specifically addressed were women, African Americans, Latinos, American Indian/Alaksa Natives, Asians, and Hawaiian/Pacific Islanders. Analysis of the data found that, in general, infection-related health services were more available in treatment programs with minority-tailored addiction services. For example, programs with addiction services tailored to women or one minority population group were more likely to provide outpatient addiction services (86% versus 57%) and support services (92% versus 70%). They were also more likely to provide HIV-related patient education (94% versus 85%) and HIV-related counseling (76% versus 60%). Nearly 80% of treatment programs surveyed provide addiction services designed for at least one special population. Funding, patient health insurance, and patient acceptance were the most cited barriers to care, and working to remove these barriers may enhance the availability of infection-related health services, especially in treatment programs serving populations sustaining a greater burden of the consequences associated with these infections. (Poster, PowerPoint slides, English, 2007)
 Keywords: Community health services | Health services research | Hepatitis C | HIV/AIDS | Minority groups | Sexually transmitted diseases | Women | American Society of Addiction Medicine (ASAM) annual meeting, 2007
Document No: 197
Submitted by Steven Kritz, M.D., New York Node (6/11/2007). |
