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*Treatment gap = % of youth meeting diagnostic criteria who have not accessed any formal SUD service.
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| Substance | Past‑Year Use (Black Boys, 12‑17) | Past‑Year Use (White Boys, 12‑17) | Treatment Gap* | |-----------|-----------------------------------|-----------------------------------|----------------| | Alcohol | 19 % | 23 % | 28 % | | Cannabis | 14 % | 11 % | 35 % | | Opioids | 5 % | 3 % | 42 % | The present paper synthesizes research on the determinants
Addressing addiction among Black boys requires an integrated, strategy that removes cost barriers, respects cultural context, and leverages community assets. The proposed framework, if validated through rigorous pilot testing, can serve as a scalable blueprint for municipalities nationwide, moving the field toward health equity and a future in which Black youth can thrive free from the shackles of addiction.
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