Gender Comparisons of Factors Associated with Drug Treatment Utilization among Puerto Rican Drug Users

Abstract

Objective: This study examined gender-specific effects of social bonds, network characteristics, and other factors on drug treatment enrollment among Puerto Rican drug users. Method: Participants (425 women; 1,374 men) were recruited in New York and Puerto Rico in 1998–2003. Results: Gender differences were found: education (< high school/GED) and having a sex partner who is an injection drug user (IDU) were significantly related to current enrollment in drug treatment (EDT) for women; for men, having an IDU friend (negatively) had a main effect on EDT, and having an IDU friend also had a significant interaction effect with their own injection drug use on EDT. For both women and men, recruitment site (New York), having health insurance, and prior methadone treatment were significant predictors of EDT. Conclusion: The findings may be useful in developing gender-differentiated drug counseling and treatment efforts that engage women's sex partners and men's friendship networks to build support for drug treatment.

Keywords:

• Gender comparisons
• network
• partner characteristics
• Puerto Rican drug users
• utilization of drug treatment