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Substance Use, Dependence, and Service Utilization among the US Uninsured Nonelderly Population

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  • Wu, L.-T.
  • Kouzis, A.C.
  • Schlenger, W.E.

Abstract

Objectives. We examined the prevalence and correlates of substance use, dependence, and service utilization among uninsured persons aged 12 to 64 years. Methods. We drew study data from the 1998 National Household Survey on Drug Abuse. Results. An estimated 80% of uninsured nonelderly persons reported being uninsured for more than 6 months in the prior year. Only 9% of these uninsured persons who were dependent on alcohol or drugs had received any substance abuse service in the past year. Non-Hispanic Whites were an estimated 3 times more likely than Blacks to receive substance abuse services. Conclusions. Compared with the privately insured, uninsured persons had increased odds of having alcohol/drug dependence and appeared to face substantial barriers to health services for substance use problems.

Suggested Citation

  • Wu, L.-T. & Kouzis, A.C. & Schlenger, W.E., 2003. "Substance Use, Dependence, and Service Utilization among the US Uninsured Nonelderly Population," American Journal of Public Health, American Public Health Association, vol. 93(12), pages 2079-2085.
    • Handle: RePEc:aph:ajpbhl:2003:93:12:2079-2085_2
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    Cited by:

    1. Marsh, Jeanne C. & Cao, Dingcai & Guerrero, Erick & Shin, Hee-Choon, 2009. "Need-service matching in substance abuse treatment: Racial/ethnic differences," Evaluation and Program Planning, Elsevier, vol. 32(1), pages 43-51, February.
    2. Nianyang Wang & Xin Xie, 2017. "The impact of race, income, drug abuse and dependence on health insurance coverage among US adults," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(5), pages 537-546, June.
    3. Nickolas D. Zaller & Alexander R. Bazazi & Lavinia Velazquez & Josiah D. Rich, 2009. "Attitudes toward Methadone among Out-of-Treatment Minority Injection Drug Users: Implications for Health Disparities," IJERPH, MDPI, vol. 6(2), pages 1-11, February.
    4. Wen, Hefei & Hockenberry, Jason M. & Cummings, Janet R., 2017. "The effect of Medicaid expansion on crime reduction: Evidence from HIFA-waiver expansions," Journal of Public Economics, Elsevier, vol. 154(C), pages 67-94.
    5. Bachman, Sara S. & Walter, Angela W. & Kuilan, Nellie & Lundgren, Lena M., 2008. "Implications of Medicaid coverage in a program for Latino substance users," Evaluation and Program Planning, Elsevier, vol. 31(1), pages 74-82, February.
    6. Hefei Wen & Jason M. Hockenberry & Janet R. Cummings, 2014. "The Effect of Substance Use Disorder Treatment Use on Crime: Evidence from Public Insurance Expansions and Health Insurance Parity Mandates," NBER Working Papers 20537, National Bureau of Economic Research, Inc.

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