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Race/Ethnicity, Community of Residence, and DUI Arrest After Beginning Treatment for an Alcohol Use Disorder

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Abstract

The purpose of this study was to examine whether racial/ethnic disparities in post-treatment arrests for driving under the influence (DUI) exist among clients receiving outpatient treatment for an alcohol use disorder (AUD) and to assess whether community characteristics were associated with this outcome. The sample included adults with an AUD entering publicly funded outpatient treatment in Washington State in 2012. Treatment data were linked with criminal justice and US Census data. Multilevel time-to-event analysis was employed to answer the research questions. Key independent variables included client race/ethnicity, community-level economic disadvantage, and racial/ethnic composition of the community. Latino clients and clients residing in communities with a higher proportion of Black residents had higher hazards of a DUI arrest post-treatment admission. Future research should examine whether disparities in DUI arrests are related to differences in treatment effectiveness or other factors (e.g., inequities in law enforcement) so that these disparities can be addressed.

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Acknowledgments

This work was supported by the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health under award number R03AA023390. The content is the sole responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or of the State of Washington.

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Authors and Affiliations

  1. Heller School for Social Policy and Management, Institute for Behavioral Health, Brandeis University, 415 South Street MS035, Waltham, MA, 02453, USA

    Jennifer Miles PhD, Lee Panas PhD & Grant Ritter PhD

  2. Department of Community Health, Tufts University, 574 Boston Avenue, Suite 208, Medford, MA, 02155, USA

    Andrea Acevedo PhD & Michelle Delk

  3. Research and Data Analysis, Washington State Department of Social and Health Services, 14th and Jefferson St, PO Box 45204, Olympia, WA, 98504-5204, USA

    Kevin Campbell DrPH

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  1. Jennifer Miles PhD
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Correspondence to Jennifer Miles PhD.

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Miles, J., Acevedo, A., Panas, L. et al. Race/Ethnicity, Community of Residence, and DUI Arrest After Beginning Treatment for an Alcohol Use Disorder. J Behav Health Serv Res 47, 201–215 (2020). https://doi.org/10.1007/s11414-019-09672-6

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