Key Substance Use and Mental Health Indicators in the United States: Results from the 2022 National Survey on Drug Use and Health. Bethesda, MD. Substance Abuse and Mental Health Services Administration. HHS Publication No. PEP24-07-021, NSDUH Series H-59. Center for Behavioral Health Statistics and Quality, SAMHSA. 2022. Available at https://www.samhsa.gov/data/sites/default/files/reports/rpt39443/2021NSDUHFFRRev010323.pdf. Accessed 4 August, 2024.

Pindeo M. Help seeking behaviors of Latinos wtih substance use disorders who perceive a need for treatment: Substance abuse versus mental health treatment services. Journal of Substance Abuse Treatment. 2020;109:41-45. https://doi.org/10.1016/j.jsat.2019.11.006. Accessed 15 June, 2024.

Article  Google Scholar 

Pinedo M. A current re-examination of racial/ethnic disparities in the use of substance abuse treatment: Do disparities exist? Drug and Alcohol Dependence. 2019;202:162-167. https://doi.org/10.1016/j.drugalcdep.2019.05.017. Accessed 10 June, 2024.

Article  Google Scholar 

Pinedo M, Villatoro A. The role of perceived treatment need in explaining racial/ethnic disparities in the use of substance use treatment services. Journal of Substance Abuse Treatment. 2020;188:108105. https://doi.org/10.1016/j.jsat.2020.108105. Accessed 5 March, 2024.

Eghaneya B, Sanchez K, Haeny A, et al. Hispanic participants in the National Institute on Drug Abuse's Clinical Trials Network: A scoping review of two decades of research. Addictive Behaviors. 2020;12:100287. https://doi.org/10.1016/j.abrep.2020.100287. Accessed 15 July, 2024.

Guerrero E, Marsh J, Khachikian T, et al. Disparities in Latino substance use, service use, and treatment: Implications for culturally and evidence-based interventions under health care reform. Drug and Alcohol Dependence. 2013;133(3):805–813. https://doi.org/10.1016/j.drugalcdep.2013.07.027. Accessed 19 February, 2024.

Pagano A. Barriers to drug abuse treatment for Latino migrants: Treatment providers' perspectives. Journal of Ethnicity in Substance Abuse. 2014;13(3):273–287. https://doi.org/10.1080/15332640.2014.886320. Accessed 20 July, 2024.

Burlew K, McCuistian C, Szapocznik J. Racial/ethnic equity in substance use treatment research: The way forward. Addiction Science & Clinical Practice. 2021;16(50):1–6. https://doi.org/10.1186/s13722-021-00256-4. Accessed 18 August, 2024.

Venner K, Hernandez-Vallant A, Kirchak K, Herron J. A scoping review of cultural adaptations of substance use disorder treatments across Latinx communities: Guidance for future research and practice. Journal of Substance Abuse Treatment. 2022;137:108716. https://doi.org/10.1016/j.jsat.2021.108716. Accessed 4 August, 2024.

Standards and Indicators for Cultural Competence in Social Work Practice. Washington, D.C. National Association of Social Workers. 2015. Available at https://www.socialworkers.org/LinkClick.aspx?fileticket=PonPTDEBrn4%3D&portalid=0#:~:text=Cultural%20competence%20refers%20to%20the,recognizes%2C%20affirms%2C%20and%20values%20the. Accessed 10 August, 2024.

Stubbe D. Practicing cultural competence and cultural humulity in the care of diverse patients. Focus: American Psychiatric Publication. 2020;18(1):49–51. https://doi.org/10.1176/appi.focus.20190041. Accessed 1 July, 2024.

National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care. Washington, D.C. Office of Minority Health. Think Cultural Health. US Department of Health and Human Services, Office of Minority Health. 2024. Available at https://thinkculturalhealth.hhs.gov/assets/pdfs/EnhancedNationalCLASStandards.pdf. Accessed 10 August, 2024.

Guerrero E, Khachikian T, Kim T, et al. Spanish language proficiency among providers and Latino clients' engagement in substance abuse treatment. Addictive Behaviors. 2013;38(12):2893–2897. https://doi.org/10.1016/j.addbeh.2013.08.022. Accessed 1 August, 2024.

Hsueh L, Hirsh A, Maupome G, et al. Patient-provider language concordance and health outcomes: A systematic review, evidence map, and research agenda. Medical Care Research and Review. 2019;78(1):3–23. https://doi.org/10.1177/1077558719860708. Accessed 17 July, 2024.

Lor M, Martinez G. Scoping review: Definitions and outcomes of patient-provider language concordance in healthcare. Patient Education and Counseling. 2020;103(10):1883–1901. https://doi.org/10.1016/j.pec.2020.05.025. Accessed 5 July, 2024.

Daar D, Alvarez-Estrada M, Alpert A. The Latino physician shortage: How the Affordable Care Act increases the value of Latino Spanish-speaking physicians and what efforts can increase their supply. Journal of Racial and Ethnic Health Disparities. 2017;5:170-178. https://doi.org/10.1007/s40615-017-0354-0. Accessed 19 August, 2024.

Article  Google Scholar 

Balch B. The United States needs more Spanish-speaking physicians. The Association of American Medical Colleges. Washington, D.C. AAMC News. July 18, 2023. Available at https://www.aamc.org/news/united-states-needs-more-spanish-speaking-physicians. Accessed July 25, 2024.

Haldar S, Pillai D, Artiga S. Overvoew of health coverage and care for individuals with limited English proficiency (LEP). Kaiser Family Foundation. Racial Equity and Health Policy. July 7, 2023. Available at https://www.kff.org/racial-equity-and-health-policy/issue-brief/overview-of-health-coverage-and-care-for-individuals-with-limited-english-proficiency/. Accessed 29 August, 2024.

Lu T, Myerson R. Disparities in health insurance coverage and access to care by English language proficiency in the USA, 2006–2016. Journal of General Internal Medicine. 2020;35(5):1490–1497. https://doi.org/10.1007/s11606-019-05609-z. Accessed 17 July, 2024.

Vanderpool R, Kornfield J, Rutten L, et al. Cancer information-seeking experiences: The implications of Hispanic ethnicity and Spanish language. Journal of Cancer Education. 2009;24:141-147. https://doi.org/10.1080/08858190902854772. Accessed 2 March, 2024.

Article  Google Scholar 

Clark T, Sleath B, Rubin R. Influence of ethnicity and language concordance on physician-patient agreement about recommended changes in patient health behavior. Patient Education and Counseling. 2004;53(1):87–93. https://doi.org/10.1016/s0738-3991(03)00109-5. Accessed 20 April, 2024.

Pinedo M, Zemore S, Rogers S. Understanding barriers to specialty substance abuse treatment among Latinos. Journal of Substance Abuse Treatment. 2018;94:1-8. https://doi.org/10.1016/j.jsat.2018.08.004. Accessed 7 May, 2024.

Article  Google Scholar 

Villalobos B, Bridges A, Anastasia E, et al. Effects of language concordance and interpreter use on therapeutic alliance in Spanish-speaking integrated behavioral health care patients. Psychological Services. 2016;13(1):49–59. https://doi.org/10.1037/ser0000051. Accessed 1 June, 2024.

Chang D, Hsieh E, Somerville W, et al. Rethinking interpreter functions in mental health services. Psychiatric Services. 2021;73(3):1–5. https://doi.org/10.1176/appi.ps.202000085. Accessed 5 July, 2024.

Shamsi H, Almutairi A, Mashrafi S, Kalbani T. Implications of language barriers for healthcare: A systematic review. Oman Mededical Journal. 2020;35(2):e122. https://doi.org/10.5001/omj.2020.40. Accessed 18 May, 2024.

Serrano-Perez P, Rivero-Santana A, Daigre-Blanco C, et al. Shared decision making in patients with substance use disorders: A one-year follow-up. Psychiatric Research. 2023;329:115540. https://doi.org/10.1016/j.psychres.2023.115540. Accessed 25 April, 2024.

Jahan N, Gade N, Zhen-Duan J, et al. Investigating the role of interpresonal relationship on low-income SUD patients' recovery: A qualitative analysis of various stakeholders in New York state. Addiction Research and Theory. 2024;32(4):291–298. https://doi.org/10.1080/16066359.2023.2265300. Accessed 13 August, 2024.

Guerrero E, Campos M, Urada D, et al. Do cultural and linguistic competence matter in Latinos' completion of mandated substance abuse treatment? Substance Abuse Treatment, Prevention and Policy. 2012;7(34):1–7. https://doi.org/10.1186/1747-597x-7-34. Accessed 5 February, 2024.

Passel J, Lopez M, Cohn D. U.S. Hispanic Population Continued its Geographic Spread in the 2010s. Pew Research Center. Hispanic/Latino Demographics. February 3, 2022. Available at https://www.pewresearch.org/short-reads/2022/02/03/u-s-hispanic-population-continued-its-geographic-spread-in-the-2010s/. Accessed 1 August, 2024.

Rosenblum M, Hipsman F. Border Metrics: How to Effectively Measure Border Security and Immigration Control. Migration Policy Institute. US Immigration Policy Program. January, 2016. Washington, D.C. Available at https://www.migrationpolicy.org/sites/default/files/publications/BorderMetrics-FINAL.pdf. Accessed 20 August, 2024.

Turner K, Wildsmith E, Buzman L, et al. The Changing Geography of Hispanic Children and Families. National Research Center on Hispanic Children & Families. Publication No. 2016–06. January 2016. Available at https://www.hispanicresearchcenter.org/wp-content/uploads/2019/08/Emerging-Communities-V21.pdf. Accessed July 15, 2024.

Goodman L, Zhu J. The Number of Hispanic Households will Skyrocket by 2040. How Can the Housing Industry Support Their Needs? The Urban Institute. Urban Wire. February 25, 2021. Available at https://www.urban.org/urban-wire/number-hispanic-households-will-skyrocket-2040-how-can-housing-industry-support-their-needs. Accessed 3 August, 2024

Bucknor C. Hispanic workers in the United States. Center for Economic Policy and Research. Washington, D.C. November, 2016. Available at https://cepr.net/images/stories/reports/hispanic-workers-2016-11.pdf. Accessed 15 July, 2024.

USDA Economic Research Service. Rural Hispanics At a Glance. United States Department of Agriculture. Economic Research Service. Economic Information Bulletin Number 8. December 2005. Available at https://www.ers.usda.gov/webdocs/publications/44570/29568_eib8full.pdf?v#:~:text=At%20current%20growth%20rates%2C%20however,immigration%20laws%20and%20economic%20growth. Accessed 19 August, 2024.

Rowlands D, Love H. Mapping Rural America's Diversity and Demographic Change. Brookings Institute. Commentary. September 28, 2021. Available at https://www.brookings.edu/articles/mapping-rural-americas-diversity-and-demographic-change/. Accessed 10 July, 2024.

Lichter D, Johnson K. A Demographic Lifeline to Rural America: Latino Population Growth in New Destinations, 1990–2019. Investing in Rural Prosperity. Chapter 4 (pages 67–80). Federal Researve Bank of St. Louis. 2023. Available at https://www.stlouisfed.org/-/media/project/frbstl/stlouisfed/files/pdfs/community-development/investing-rural/chapters/chapter04.pdf. Accessed 15 August, 2024.

Lichter D, Johnson K. Urbanization and the paradox of rural population decline: Racial and regional variation. Socius. 2023;9:1-21. https://doi.org/10.1177/23780231221149896. Accessed 18 June, 2024.

Article  Google Scholar 

Pro G, Brown C, Rojo M, et al. Downward national trends in mental health treatment offered in Spanish: State differences by proportion of Hispanic residents. Psychiatric Services. 2022;73(11):1232–1238. https://doi.org/10.1176/appi.ps.202100614. Accessed 1 May, 2024.

Loho H, Rosenheck R. Provision of non-English language services in U.S. mental health facilities. Psychiatric Services. 2022;73(3):339–342. https://doi.org/10.1176/appi.ps.202100093. Accessed 25 May, 2024.

Ware O, Cano M, Safa M, et al. Availability of substance use disorder treatment in Spanish: Associations with state-level proportions of Spanish speakers and treatment facility characteristics in the United States. American Journal on Addictions. 2024;33(4):400–408. https://doi.org/10.1111/ajad.13520. Accessed August 10, 2024.

Cantor J, DeYoreo M, Hanson R, et al. Patterns in geographic distribution of substance use disorder treatment facilities in the US and accepted forms of payment from 2010 to 2021. JAMA Network Open. 2022;5(11):e2241128https://doi.org/10.1001/jamanetworkopen.2022.41128.Accessed19February

U.S. Census Bureau. ACS Demographic and Housing Estimates. The American Community Survey. 2020 ACS 5-Year Estimates Data Profiles. Table DP05. Available at https://data.census.gov/cedsci/table?t=White&g=0100000US%240400000&y=2020&tid=ACSDP5Y2020.DP05&tp=true. Accessed 3 August, 2024.

Pew Research Center. English proficiency of Hispanic population in the U.S., 2021. Pew Research Report. August 16, 2023. Available at https://www.pewresearch.org/chart/us-hispanics-english-proficiency/>. Accessed 18 August, 2024.

Yearby R, Clark B, Figueroa J. Structural racism in historical and modern US health care policy. Health Affairs. 2022;41(2). https://doi.org/10.1377/hlthaff.2021.01466. Accessed 31 October, 2023.

Gee G, Hicken M. Structural racism: The rules and regulations of inequity. Ethnicity and Disease. 2021;31(Supplement 1):293–300. https://doi.org/10.18865/ed.31.S1.293. Accessed 1 January, 2024.

Gee G, Ford C. Structural racism and health inequities. Du Bois Review. 2011;8(1):115–132. https://doi.org/10.18865/ed.31.S1.293. Accessed 10 November, 2023.

Defining "Rural" Areas. U.S. Census Bureau. Rural America.. Understanding and Using American Community Survey Data. 2020. Available at https://www.census.gov/content/dam/Census/library/publications/2019/acs/ACS_rural_handbook_2019_ch01.pdf. Accessed 6 August, 2024.

SAS/STAT Inc. SAS Institute, Inc. Cary, NC, USA.

Environmental Systems Research Institute. ESRI 2024. ArcGIS Pro software version 2.3. Redlands, CA.

Bell B, Ene M, Smiley W, et al. A multilevel model primer using SAS PROC MIXED. SAS Global Forum 2013. Statistics and Data Analysis. SAS Paper 433–2013. 2013. Available at https://support.sas.com/resources/papers/proceedings13/433-2013.pdf. Accessed 20 April, 2020.

Cobb C, Salas-Wright C, John R, et al. Discrimination trends and mental health among native- and foreign-born Latinos: Results from national surveys in 2004 and 2013. Prevention Science. 2020;22:397-407. https://doi.org/10.1007/s11121-020-01186-4. Accessed 15 February, 2024.

Article  Google Scholar 

Rural Hispanic population growth mirrors national trends. Economic Research Service. US Department of Agriculture, Economic Research Service. Data Products, Chart Gallery. Editor's Pick 2014. Availabel at https://www.ers.usda.gov/data-products/chart-gallery/gallery/chart-detail/?chartId=61625#:~:text=Rural%20population%20growth%20remains%20above,percent%20per%20year%20since%202010. Accessed 8 August, 2024.

Moslimani M, Hugo Lopez M, Noe-Bustamante L. 11 facts about Hispanic origin groups in the U.S. Pew Research Center. Research Topics: Racial & Ethnic Groups. August 16, 2023. Available at https://www.pewresearch.org/short-reads/2023/08/16/11-facts-about-hispanic-origin-groups-in-the-us/. Accessed 19 August, 2024.

Active Physicians who Identified as Hispanic (Alone of with Any Race), 2021. American Association of Medical Colleges. Physician Specialty Data Report. Data & Reports. 2024. Available at https://www.aamc.org/data-reports/workforce/data/active-physicians-hispanic-alone-or-any-race-2021. Accessed 2 August, 2024.

Spetz J, Toretsky C, Chapman S, et al. Nurse practitioner and physician assistant waivers to prescribe buprenorphine and state scope of practice restrictions. JAMA. 2019;321(14):1407–1408. https://doi.org/10.1001/jama.2019.0834. Accessed 25 May, 2024.

Bruza-Augatis M, Kozikowski A, Hooker R, et al. Physician assistants/associates in psychiatry: A workforce analysis. Human Resources for Health. 2024;22(40):1–11. https://doi.org/10.1186/s12960-024-00911-2. Accessed 5 August, 2024.

Olfson M, Zhang V, Schoenbaum M, et al. Buprenorphine treatment by primary care providers, psychiatrists, addiction specialists, and others. Health Affairs. 2020;39(6):984–992. https://doi.org/10.1377/hlthaff.2019.01622. Accessed 24 December, 2023.

Logan R, Castaneda H. Addressing health disparities in the rural United States: Advocacy as caregiving among community health workers and promotores de salud. International Journal of Environmental Research and Public Health. 2020;17(24):9223. https://doi.org/10.3390/ijerph17249223. Accessed 6 August, 2024.

Diamond L, Luft H, Chung S, et al. "Does this doctor speak my language?" Improving the characterization of physician non-English language skills. Health Services Research. 2012;47(1):556–569. https://doi.org/10.1111/j.1475-6773.2011.01338.x. Accessed 1 August, 2024.