Sources of Care for Alcohol and Other Drug Problems: The Role of the African American Church.
Sources of Care for Alcohol and Other Drug Problems: The Role of the African American Church.
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DOI：
10.1007/s10943-017-0412-2
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发表时间：
2018-08
影响因子：
2.8
通讯作者：
Miles JNV
中科院分区：
文献类型：
--
作者：
Wong EC;Derose KP;Litt P;Miles JNV
非裔美国人在酒精和药物使用（AOD）问题的治疗获取、保留和护理质量方面存在显著差异。宗教团体往往是寻求帮助解决不良情绪障碍问题的第一个接触点，可以在改善获得治疗方面发挥不可或缺的作用。然而，人们对非裔美国人教会在解决AOD问题方面的作用知之甚少。我们对洛杉矶的169个非裔美国教会进行了一项基于信仰的合作调查，以研究如何在会众中识别AOD问题，所提供的支持类型，提供治疗转诊的障碍以及与提供治疗转诊相关的因素。71%的教会报告说，他们经常照顾有AOD问题的人。AOD问题引起会众注意最常见的是通过关心的家庭成员（55%），较少的是通过有AOD问题的个人直接向神职人员求助（30%）。除了提供精神支持外，相当大比例的教会报告称，通过推荐（62%）和咨询提供者（48%），将个人与AOD服务联系起来。提供转诊治疗的障碍包括缺乏负担得起的规划（50%）、污名化（50%）、缺乏有效治疗（45%）以及资源或工作人员不足（45%）。提供治疗转诊的可能性在中型教会比小型教会更大（OR=3.43; p< 0.05），在有神学院神职人员的教会中更大（OR=3.93; p< 0.05）。了解如何有效地协调非裔美国人教会提供的非正式护理来源与正式服务部门可以对AOD治疗差异产生重大影响。
African Americans experience significant disparities in treatment access, retention, and quality of care for alcohol and drug use (AOD) problems. Religious congregations, often the first point of contact for help with AOD problems, can play an integral role in improving access to treatment. However, little is known about the role of African American churches in addressing AOD problems. We administered a survey to a faith-based collaborative of 169 African American churches in Los Angeles to examine how AOD problems are identified in congregations, the types of support provided, barriers to providing treatment referrals, and factors associated with the provision of treatment referrals. Seventy-one percent of churches reported caring often for individuals with AOD problems. AOD problems came to the attention of congregations most commonly via a concerned family member (55%) and less frequently through individuals with AOD problems directly approaching clergy (30%). In addition to providing spiritual support, a substantial proportion of churches reported linking individuals to AOD services through referrals (62%) and consultation with providers (48%). Barriers to providing treatment referrals included lack of affordable programs (50%), stigma (50%), lack of effective treatments (45%) and insufficient resources or staff (45%). The likelihood of providing treatment referrals was greater among mid-sized versus smaller-size congregations (OR=3.43; p<.05) and among congregations with clergy that had attended seminary (OR=3.93; p<.05). Knowing how to effectively coordinate informal sources of care provided by African American churches with the formal service sector could make a significant impact on AOD treatment disparities.
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影响因子：
2.8
作者：
Chaves, M;Tsitsos, W
通讯作者：
Tsitsos, W
影响因子：
1.8
作者：
Derose, Kathryn Pitkin;Bogart, Laura M.;Williams, Malcolm V.
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Williams, Malcolm V.
影响因子：
3.4
作者：
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Lee, Benedict
影响因子：
3.3
作者：
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通讯作者：
Friedman, Samuel R.
影响因子：
3.7
作者：
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