Table 4 |
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Perceived barriers to treatment among adults with a lifetime DSM-IV drug use disorder and perceived unmet need for treatment |
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|
Drug Use Treatment Barrier |
Overall (N = 511) % (SE) |
White (N = 310) % (SE) |
Black (N = 107) % (SE) |
Hispanic (N = 94) % (SE) |
χ2 (p) |
|
|
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|
Thought should be strong enough to handle alone |
41.65 (2.69) |
42.09 (3.25) |
43.12 (5.76) |
36.44 (7.63) |
.47 (.793) |
|
Thought the problem would get better by itself |
37.21 (2.82) |
36.56 (3.43) |
40.90 (5.79) |
36.96 (7.91) |
.44 (.804) |
|
Was too embarrassed to discuss it with anyone |
25.80 (2.38) |
24.79 (2.85) |
32.66 (5.39) |
23.81 (6.70) |
1.65 (.444) |
|
Couldn't afford to pay the bill |
20.77 (2.31) |
21.08 (2.68) |
20.13 (5.57) |
19.34 (5.67) |
.08 (.963) |
|
Didn't want to go |
20.72 (2.07) |
21.81 (2.58) |
17.74 (4.53) |
16.78 (5.48) |
.99 (.612) |
|
Stopped using a drug or medicine on my own |
18.46 (1.87) |
19.49 (2.25) |
15.63 (4.13) |
14.79 (5.11) |
1.21 (.549) |
|
Afraid of what boss, family, friends or others might think |
18.35 (2.36) |
18.88 (2.94) |
14.10 (4.35) |
20.26 (6.18) |
1.02 (.602) |
|
Hated answering personal questions |
17.35 (1.90) |
16.20 (2.35) |
22.94 (5.12) |
18.18 (5.79) |
1.42 (.495) |
|
Didn't think anything could help |
16.71 (1.98) |
17.56 (2.56) |
13.94 (3.70) |
14.25 (4.15) |
.96 (.620) |
|
Didn't think medicine or drug problem was serious enough |
16.47 (2.11) |
17.04 (2.55) |
12.74 (3.74) |
17.44 (5.02) |
.95 (.624) |
|
Wanted to keep using medicine or drug |
15.99 (1.83) |
16.29 (2.32) |
16.89 (4.51) |
12.50 (3.84) |
.72 (.698) |
|
Afraid they would put me into the hospital |
13.77 (1.95) |
13.94 (2.33) |
13.86 (3.90) |
12.36 (4.64) |
.10 (.953) |
|
Wanted to go, but health insurance didn't cover |
10.46 (1.61) |
9.74 (1.91) |
9.42 (3.57) |
17.21 (5.25) |
1.80 (.412) |
|
Didn't have the time |
9.92 (1.43) |
8.29 (1.71) |
12.62 (4.53) |
18.21 (6.15) |
3.10 (.220) |
|
Didn't know any place to go for help |
8.34 (1.45) |
6.83 (1.63) |
13.29 (3.98) |
12.70 (4.70) |
3.43 (.188) |
|
Afraid of the treatment they would give me |
8.21 (1.30) |
6.49 (1.47) |
12.21 (4.13) |
15.37 (5.75) |
3.15 (.215) |
|
Family thought I should go, but didn't think it was necessary |
7.00 (1.54) |
6.72 (1.66) |
4.68 (2.24) |
12.20 (5.66) |
1.5 (.478) |
|
Tried getting help before and it didn't work |
5.63 (1.09) |
4.64 (1.18) |
9.73 (3.35) |
7.34 (3.80) |
.09 (.956) |
|
Afraid I would lose my job |
4.83 (1.10)† |
4.72 (1.27) |
4.68 (2.04) |
5.85 (3.57) |
- |
|
Other reason |
4.66 (1.36) |
3.68 (1.02) |
3.53 (1.29) |
13.44 (10.06) |
.82 (.664) |
|
Didn't have any way to get there |
4.60 (1.10) |
4.43 (1.31) |
4.08 (1.98) |
6.53 (3.99) |
.30 (.850) |
|
Friends or family helped me stop using a medicine or drug |
4.27 (.89)† |
4.47 (1.09) |
1.69 (1.03) |
6.34 (3.67) |
- |
|
Hours were inconvenient |
3.80 (1.17)† |
3.69 (1.37) |
4.11 (3.08) |
4.20 (3.20) |
- |
|
Had to wait too long to get into program |
3.22 (.91)† |
3.36 (1.14) |
4.42 (1.99) |
.52 (.53) |
- |
|
Couldn't arrange for child care |
1.32 (.48)† |
1.43 (.59) |
1.12 (.84) |
.74 (.75) |
- |
|
A member of my family objected |
.52 (.35)† |
.11 (.11) |
.00 (.00) |
4.31 (3.25) |
- |
|
Can't speak English very well |
.34 (.27)† |
.11 (.11) |
.00 (.00) |
2.50 (2.49) |
- |
|
|
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|
Note: †Chi-square tests not performed due to cell counts < 5. |
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|
Perron et al. Substance Abuse Treatment, Prevention, and Policy 2009 4:3 doi:10.1186/1747-597X-4-3 |
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