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The current study examined the role of perceived treatment need in explaining racial/ethnic disparities in treatment utilization for a substance use disorder (SUD).

We pooled data from the National Survey on Drug Use and Health survey for years 2014–2017. The analytic sample included adult white, Black, and Latino participants with a past-year SUD (n = 16,393). Multivariable logistic regressions examined racial/ethnic disparities in perceived treatment need—the perception of needing mental health and/or SUD treatment services within the past 12 months—and utilization of past-year substance use, mental health, and any treatment.

Latinos with SUD were less likely to perceive a need for treatment than whites. Black and Latino participants, relative to white participants, had lower odds of past-year treatment utilization, regardless of treatment type. In models stratified by perceived …