Predisposing, Enabling, and Need Factors Associated with Addiction Treatment among Massachusetts Puerto Rican Drug Users

For a sample of 425 Puerto Rican self-identified polydrug users residing in Massachusetts, this study examined predisposing, enabling, and need factors associated with having entered addiction treatment at least once in the past six months. A multivariate logistic regression model identified that having a regular health care provider, having received outpatient mental health treatment in the past year, having participated in self-help groups, interacting with family and friends about recovery, being a current drug injector, self-report of being in poor or fair physical health, and self-report of high levels of treatment motivation were all significantly and positively associated with having used addiction treatment in the past six months. For this study sample, findings indicate that using a range of enabling health and support services and connecting clients with family and an extended network could increase addiction treatment use. It is important to note that there was no significant association between predisposing factors (that is, age, gender, education, employment, homeless status, parental status, marital status, and birthplace) and addiction treatment use.