Methods: Secondary analysis of the Detroit Metro Area Community Study (DMACS) was conducted to examine substance use treatment needs among adults residing in Detroit. DMACS is a longitudinal study that includes a representative sample of Detroit residents. Surveys were completed via face-to-face, online, and phone interviews. The current analysis used the third wave of data collection because it included measures of self-identified substance use and mental health needs. The sample (N = 973) included adults between 18 to 98 years old (Mean= 47 years; SD = 17.3) and was predominantly Black (73%) and female (63%). Descriptive statistics were calculated and binary logistic regression was used to examine association with mental health treatment need, social support, and demographics (age, race, gender, education).
Results: About 7.2% of adults self-identified a substance use treatment need and a larger proportion (23.5%) identified a need for mental health treatment. Results of the logistic regression indicate female gender (OR = .396, p = .016), older age (OR=.971, p=.010), and higher levels of social support (OR = .917, p = .037) were associated with lower odds of having a substance use treatment need. Individuals who reported a mental health treatment need had greater odds of having a substance use treatment need (OR = 17.24, p < .001). Race and education were not significantly associated with having a substance use treatment need.
Conclusion & Implications: Findings suggest Detroit residents who are younger, male, and have lower social support levels may be more vulnerable to substance use-related problems. Consistent with previous research reporting co-occurring substance use disorders and mental health disorders are common, mental health needs were significantly associated with having a substance use need. These findings highlight the need for understanding and addressing substance use treatment needs in Detroit and other marginalized communities. Future research on social support would benefit community organizations and healthcare policy advocacy groups who regularly work with this target population.
1.Patel, M. R., Tipirneni, Kieffer, E. C., Kullgren, J. T., Ayanian, J. Z., Change, T., Solway, E., Beathard, E., Kirch, M., Lee, S., Clark, S., Skillicorn, J., Rowe, Z., & Gool, S.D. Examination of changes in health status among Michigan Medicaid expansion enrollees from 2016 to 2017. (2020). Journal of American Medical Association Network Open, 3(7), e208776.