Abstract：
BACKGROUND: The purpose of this study includes: 1) identifying classes of substance-related needs among Black women, and 2) examining the effect of substance-related need classes and culturally-relevant factors on Black women\'s use of substance use disorder (SUD) treatment and mutual support groups.
METHODS: As part of a longitudinal cohort study, Black women were recruited in prison nearing release, on probation, and in the community without involvement in the criminal legal system (CLS, n=565) and followed-up at 18-months. We conducted a baseline latent class analysis of substance-related needs among Black women. Logistic regression models adjusted for culturally-relevant factors to predict the use of treatment and frequency of mutual support group participation over 18-months among Black women who use drugs.
RESULTS: Four classes by level of needs were found: low, daily marijuana use, high mental health, and high comorbidity. During the 18-month follow-up, women characterized by the high comorbidity need class and with higher scores of religious well-being were more likely to frequently participate in mutual support groups. Non-CLS-involved women were less likely to engage with both treatment and mutual support groups than women from the prison sample at 18-months.
CONCLUSIONS: This study highlights four distinct classes of substance-related needs among Black women, highlighting the complex patterns of behavior and within-racial group differences among Black women. Black women with high comorbidity needs were more likely to participate in mutual support groups, but the latent classes did not predict SUD treatment indicating other non-medical and social contextual need factors may be at play.
METHODS: As part of a longitudinal cohort study, Black women were recruited in prison nearing release, on probation, and in the community without involvement in the criminal legal system (CLS, n=565) and followed-up at 18-months. We conducted a baseline latent class analysis of substance-related needs among Black women. Logistic regression models adjusted for culturally-relevant factors to predict the use of treatment and frequency of mutual support group participation over 18-months among Black women who use drugs.
RESULTS: Four classes by level of needs were found: low, daily marijuana use, high mental health, and high comorbidity. During the 18-month follow-up, women characterized by the high comorbidity need class and with higher scores of religious well-being were more likely to frequently participate in mutual support groups. Non-CLS-involved women were less likely to engage with both treatment and mutual support groups than women from the prison sample at 18-months.
CONCLUSIONS: This study highlights four distinct classes of substance-related needs among Black women, highlighting the complex patterns of behavior and within-racial group differences among Black women. Black women with high comorbidity needs were more likely to participate in mutual support groups, but the latent classes did not predict SUD treatment indicating other non-medical and social contextual need factors may be at play.
摘要：
背景：这项研究的目的包括：1）确定黑人女性中与物质相关的需求类别，和2）检查与物质相关的需求类别和文化相关因素对黑人妇女使用物质使用障碍（SUD）治疗和相互支持小组的影响。
方法：作为纵向队列研究的一部分，黑人妇女在接近释放的监狱中被招募，关于缓刑，在没有参与刑事法律制度的社区(CLS，n=565），随访18个月。我们对黑人女性的物质相关需求进行了基线潜在类别分析。Logistic回归模型对文化相关因素进行了调整，以预测使用药物的黑人妇女在18个月内的治疗使用情况和互助小组参与频率。
结果：发现了按需求级别划分的四个类别：低，每天使用大麻，心理健康高,和高合并症。在18个月的随访中，具有高合并症的女性更有可能参加互助小组。与18个月的监狱样本中的女性相比，不涉及CLS的女性不太可能参与治疗和互助小组。
结论：这项研究强调了黑人女性中与物质相关的四类不同的需求，强调黑人女性的复杂行为模式和种族群体内的差异。有高合并症需求的黑人女性更有可能参加互助小组，但是潜在类别并未预测SUD治疗，表明其他非医学和社会背景需求因素可能在起作用。
方法：作为纵向队列研究的一部分，黑人妇女在接近释放的监狱中被招募，关于缓刑，在没有参与刑事法律制度的社区(CLS，n=565），随访18个月。我们对黑人女性的物质相关需求进行了基线潜在类别分析。Logistic回归模型对文化相关因素进行了调整，以预测使用药物的黑人妇女在18个月内的治疗使用情况和互助小组参与频率。
结果：发现了按需求级别划分的四个类别：低，每天使用大麻，心理健康高,和高合并症。在18个月的随访中，具有高合并症的女性更有可能参加互助小组。与18个月的监狱样本中的女性相比，不涉及CLS的女性不太可能参与治疗和互助小组。
结论：这项研究强调了黑人女性中与物质相关的四类不同的需求，强调黑人女性的复杂行为模式和种族群体内的差异。有高合并症需求的黑人女性更有可能参加互助小组，但是潜在类别并未预测SUD治疗，表明其他非医学和社会背景需求因素可能在起作用。
