Alcohol treatment utilization: Findings from the national epiderniologic survey on alcohol and related conditions
Alcohol treatment utilization: Findings from the national epiderniologic survey on alcohol and related conditions
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DOI：
10.1016/j.drugalcdep.2006.06.008
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发表时间：
2007-01-12
影响因子：
4.2
通讯作者：
Kranzler, Henry R.
中科院分区：
文献类型：
--
作者：
Cohen, Emily;Feinn, Richard;Kranzler, Henry R.
背景：流行病学研究一致显示酒精使用障碍（AUD）患者的酒精治疗利用率较低。然而，有没有很大的一致性预测酒精治疗utilization.Methods的特点：从全国流行病学调查酒精和相关条件（NESARC）的数据，我们研究了与治疗利用的个人与AUD之间的属性。我们采用逐步后向选择logistic回归分析，以研究人口和临床预测的治疗利用率，以确定机会，以改善提供服务，以这population.Results：只有14.6%的人谁符合终身标准的AUD报告曾经接受过酒精治疗（包括自助小组的参与）。同时患有酒精滥用和依赖的应答者中报告接受治疗的比例更高（27.9%），而仅患有酒精滥用的应答者中这一比例为7.5%，仅患有酒精依赖的应答者中这一比例为4.8%。老年人，男性，和那些谁离婚，教育程度较低或更多的终身共病的情绪，个性和药物使用障碍也更有可能接受treatment.Conclusions：大多数人与AUD从未接受正式的酒精治疗，也不参加自助团体。虽然从AUD中自然恢复是有据可查的，但参与酒精治疗与改善结果相关。在努力提高酒精治疗利用率时，应考虑到这里提供的数据。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
Background: Epidemiological studies consistently show low rates of alcohol treatment utilization among individuals with an alcohol use disorder (AUD). However, there is not as great consistency in the characteristics that predict alcohol treatment utilization.Methods: Using data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), we examined attributes associated with treatment utilization among individuals with an AUD. We used stepwise backward selection logistic regression analysis to examine demographic and clinical predictors of treatment utilization, in order to identify opportunities to improve the delivery of services to this population.Results: Only 14.6% of individuals who met lifetime criteria for an AUD reported ever having received alcohol treatment (including self-help group participation). A greater proportion of respondents with both alcohol abuse and dependence (27.9%) reported having received treatment, compared with 7.5% of those with alcohol abuse only and 4.8% of those with alcohol dependence only. Older individuals, men, and those who were divorced, had less education or more lifetime comorbid mood, personality, and drug use disorders were also more likely to have received treatment.Conclusions: The majority of individuals with an AUD never receive formal alcohol treatment, nor do they participate in self-help groups. Although natural recovery from an AUD is well documented, participation in alcohol treatment is associated with improved outcomes. The data presented here should be taken into account when efforts are made to enhance alcohol treatment utilization. (c) 2006 Elsevier Ireland Ltd. All rights reserved.