Gender differences in the probability of alcohol treatment
Gender differences in the probability of alcohol treatment
复制标题
DOI：
10.1016/s0899-3289(96)90260-6
复制
发表时间：
1996-01-01
期刊：
影响因子：
--
通讯作者：
Dawson, DA
中科院分区：
文献类型：
--
作者：
Dawson, DA
来自7，359名18岁及以上成年人的访谈数据符合DSM-IV酒精滥用或依赖标准，在他们生命中的某个时候显示，23.0%的男性和15.1%的女性曾经接受过酒精问题的治疗。男性从疾病发作到首次治疗的中位间隔比女性长2 - 3年。这种差异并不是因为女性比男性更有可能在酒精使用障碍发作后不久开始治疗，而是因为男性比女性更有可能在发病后很长一段时间内开始治疗。排除在疾病临床发作前或停止饮酒后开始的治疗，男性和女性在酒精滥用或依赖发作后30年开始治疗的累积条件概率分别为0.424和0.356。在滥用或依赖发作后的前8年内，男性和女性开始治疗的概率大致相同，但男性在发作后8至25年内开始治疗的可能性要高出13%至20%。同时患有药物滥用和抑郁症的研究表明，对于那些受影响最严重的人，即那些有20个或更多滥用或依赖症状的人，男性和女性接受治疗的可能性没有差异。在受影响不太严重的患者中，治疗可能性的男性-女性比率随严重程度从1.75（1种症状）下降至1.24（15种症状）。
Interview data from 7,359 adults 18 years of age and over who met the DSM-IV criteria for alcohol abuse or dependence at some point during their lives revealed that 23.0% of the men and 15.1% of the women ever received treatment for alcohol problems. The median interval from onset of disorder to first treatment was between 2 and 3 years longer for men than women. This difference did not result from women being more likely than men to initiate treatment shortly after onset of an alcohol use disorder, but rather from men being more likely than women to initiate treatment in the period well after onset. Excluding treatment initiated prior to the clinical onset of the disorders or after cessation of drinking, men's and women's cumulative conditional probabilities of having initiated treatment by 30 years after onset of alcohol abuse or dependence were .424 and .356, respectively. Within the first 8 years after onset of abuse or dependence, men's and women's probabilities of initiating treatment were about the same, but men were 13% to 20% more likely to initiate treatment in the period from 8 to 25 years after onset Use of proportional hazards models to adjust for factors including sociodemographic characteristics, prior consumption, severity of disorder, and comorbid drug use and depression revealed that men's and women's likelihoods of ever having received treatment did not differ for the most severely affected, those with 20 or more symptoms of abuse or dependence. Among those less severely affected, the male-re-female ratio in the likelihood of treatment declined with severity from 1.75 (1 symptom) to 1.24 (15 symptoms).