Health issues in the Arab American community. Arab Americans in publicly financed substance abuse treatment.
Author: Arfken CL, Kubiak SP, Koch AL
Source:
Ethnicity and Disease, 17(2), 72.
OBJECTIVE: To determine the characteristics of Arab Americans receiving treatment
and to compare them with individuals of other ethnic groups. METHODS: We used
admission data (FY2005) for Michigan publicly funded substance abuse treatment
(N=69,989). Arab American ethnicity (n=224 or 0.3% of admissions) was defined by
codes for race, ethnicities or primary language of Arabic (n=21). Other
ethnicities examined were American Indian, Hispanic, African American, and White.
RESULTS: The number of Arab American admissions was lower than expected for the
population (RR=0.25). Admissions were concentrated (81%) in metropolitan Detroit
as is the community (82%, RR=.99), unlike other ethnicities. Primary drugs of
abuse were alcohol (34.8%), marijuana (17.9%), heroin (17.4%) and crack cocaine
(15.6%). Mean duration of use (11.2 yrs) was significantly lower than for other
ethnicities. Arab American admissions were predominately male (76.3%), unemployed
(62.1%) and with criminal justice involvement (58%), similar to other
ethnicities. DISCUSSION: Using administrative database has its limits and may
misclassify ethnicities. Based upon the available data, it appears that Arab
Americans accounted for a small percentage of admissions to publicly funded
substance abuse treatment in Michigan. Most of the admissions listed English as
the primary language, raising concern that language may be a barrier to entry.
Admission profiles were generally similar across ethnicities, except that Arab
Americans were entering treatment after shorter duration of use. These data can
inform development of treatment programs and outreach efforts.