Substance Abuse: Treatment, Prevention, and Policy
Volume 9, Issue 1, 2014

Barriers to accessing substance abuse treatment in Mexico: National comparative analysis by migration status (Article) (Open Access)

Guerrero E.G.* , Villatoro J.A. , Kong Y. , Fleiz C. , Vega W.A. , Strathdee S.A. , Medina-Mora M.E.
  • a School of Social Work, University of Southern California, 655 West 34th Street, Los Angeles, CA 90089, United States
  • b Instituto Nacional de Psiquiatri´a Ramo´n de la Fuente Mun&tild; iz, Col. San Lorenzo Huipulco, Calz. Me´xico Xochimilco 101, Me´xico, D.F., C.P., 14370, Mexico
  • c School of Social Work, University of Southern California, 655 West 34th Street, Los Angeles, CA 90089, United States
  • d Instituto Nacional de Psiquiatri´a Ramo´n de la Fuente Mun&tild; iz, Col. San Lorenzo Huipulco, Calz. Me´xico Xochimilco 101, Me´xico, D.F., C.P., 14370, Mexico
  • e School of Social Work, University of Southern California, 655 West 34th Street, Los Angeles, CA 90089, United States
  • f School of Medicine, University of California, San Diego, CA, United States
  • g Instituto Nacional de Psiquiatri´a Ramo´n de la Fuente Mun&tild; iz, Col. San Lorenzo Huipulco, Calz. Me´xico Xochimilco 101, Me´xico, D.F., C.P., 14370, Mexico

Abstract

Background: We examined Mexican migrants' perceived barriers to entering substance abuse treatment and potential differences by gender.Methods: This study analyzed a subset of household data collected in Mexico in 2011 via the Encuesta Nacional de Adicciones (National Survey of Addictions). A sample of 1,143 individuals who reported using illicit drugs was analyzed using multivariate negative binomial models to determine direct and moderated relationships of gender, migrant status, and drug dependence with perceived barriers to accessing treatment. Results: Significant findings included disparities in drug dependence by migrant status. Compared with non-migrant men, women who have traveled to the United States was associated with fewer (1.3) barriers to access treatment. Fewer barriers to access care were associated with individuals residing in other regions of the country, compared to those living in Mexico City. Conclusions: Drug dependence, gender, migration status and regional location are factors associated with access to needed treatment. Implications for health care policy to develop treatment services infrastructure and for future research are discussed in the context of ongoing drug policy reform in Mexico. © 2014 Guerrero et al.; licensee BioMed Central Ltd.

Author Keywords

Migrant status Gender Barriers to treatment Drug dependence Mexico

Index Keywords

male female Substance-Related Disorders Street Drugs comparative study street drug Humans Health Services Accessibility health care survey Transients and Migrants Health Care Surveys Mexico middle aged Young Adult human adult migration health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84905816142&doi=10.1186%2f1747-597X-9-30&partnerID=40&md5=d2b73ddf82a8fea5ccf9fe4592d4c38e
DOI: 10.1186/1747-597X-9-30
ISSN: 1747597X
Cited by: 3
Original Language: English