 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Hortensia Amaro, PhD, Bouve College of Health Sciences, Northeastern University, 360 Huntington Avenue, Stearns Building, 503, Boston, MA 02115, (617) 373-7601, h.amaro@neu.edu, Mary Jo Larson, PhD, New England Research Institutes, 9 Galen St, Watertown, MA 02474, Andrea Savage, PhD, Social Work, Hunter College School of Social Work, 129 East 79 Street, New York, NY 10021, Luz Lopez, MPH, MSW, Boston Public Health Commission, 249 River Road, Mattapan, MA 02136, Beth A. Mohr, MS, Institute for Health Services Research and Policy, New England Research Institutes, 9 Galen Street, Watertown, MA 02472, and Alisa K Lincoln, PhD, MPH, Social and Behavioral Sciences Department, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118.
Purpose: While there is general agreement about the profound negative impact of interpersonal violence on women’s substance use and mental health, much less is known about the clinical profile, service needs and efficacy of trauma interventions among Latina and African American women. This paper presents data on racial/ethnic differences and predictors of trauma history, mental health and social-economic risk factors among a diverse sample 2,729 women intervention study participants with co-occurring disorders presenting for treatment. Method: Recruited into the intervention were adult women presenting treatment at nine U.S. study sites. Structured in-person interviews conducted at baseline were used to test the following hypotheses: Black and Hispanic women will differ significantly from non-Hispanic white women in a) social-economic risk factors, b) trauma history and symptomatology, c) access to and utilization of services, and d) pathways to services. Results: Results describe multivariate regression models testing racial/ethnic differences in trauma symptomatology, service systems pathways, and race/ethnicity interactions with predictors of trauma symptomatology. Conclusions: Racial and ethnic differences in history of trauma, social capital and pathways to service systems need to be considered in the design and delivery of clinical services. Implications for clinical treatment of African American and Hispanic women will be discussed.
Learning Objectives:
Keywords: Latino, Women
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.