Abstract

This paper examines the factors that are associated with the availability of tailored programs for LGBT clients in substance use disorder (SUD) treatment facilities in the U.S. from 2008 to 2018. Associations were determined by using pooled odds ratios overtime from multivariable logistic regression modeling utilizing the 2008–2018 data from the U.S. National Survey of Substance Abuse Treatment Services (N-SSATS). In 2018, roughly one in five facilities had LGBT-specific programs; an increase of three-fold from 2008 to 2018. SUD treatment facilities that had other programs tailored for specific subpopulations, in the West, private for-profit, or owned by the federal government were more likely to have LGBT-specific programs. While the percentage of facilities offering LGBT programs increased three-fold from 2008 to 2018, differences in the characteristics of SUD treatment facilities that offer such programs remain. Eliminating these variabilities could expand tailored programs for LGBT clients in SUD treatment facilities in the U.S. and subsequently improve care quality for LGBTQ clients.

摘要

本文研究了与 2008 年至 2018 年美国物质使用障碍 (SUD) 治疗设施中为 LGBT 客户量身定制的项目的可用性相关的因素。关联是通过使用多变量逻辑回归模型中的合并优势比确定的。来自美国国家药物滥用治疗服务调查 (N-SSATS) 的 2008-2018 年数据。2018 年，大约五分之一的设施有针对 LGBT 的项目；从 2008 年到 2018 年增加了三倍。在西方、私人营利性或联邦政府拥有的其他针对特定亚人群量身定制的项目的 SUD 治疗设施更有可能拥有针对 LGBT 的项目。从 2008 年到 2018 年，提供 LGBT 项目的设施比例增加了三倍，提供此类项目的 SUD 治疗设施的特征仍然存在差异。消除这些差异可以扩大为美国 SUD 治疗设施中的 LGBT 客户量身定制的计划，从而提高 LGBTQ 客户的护理质量。