Racism in Drug Testing

Clin Lab Med. 2024 Dec;44(4):607-617. doi: 10.1016/j.cll.2024.07.006. Epub 2024 Sep 20.

Abstract

Racial disparities in drug testing for substance-use disorders underscore systemic inequalities. Studies reveal that minority groups, particularly Black and Hispanic Americans, are disproportionately targeted for drug testing despite similar rates of drug use across racial lines. Such bias impacts employment opportunities, legal outcomes, and access to treatment. The overrepresentation of minorities in drug testing reflects broader societal prejudices, leading to a cycle of discrimination and marginalization. Addressing these disparities requires a multifaceted approach, including policy reform, increased awareness of implicit biases, and equitable health care practices to ensure fair treatment of all individuals struggling with substance-use disorders.

Keywords: Drug screening; Incarcerated population; Pregnant population; Racial bias; Racism; Toxicology.

Publication types

  • Review

MeSH terms

  • Healthcare Disparities
  • Humans
  • Racism*
  • Substance Abuse Detection*
  • Substance-Related Disorders* / diagnosis