Barriers to alcoholism treatment: Reasons for not seeking treatment in a general population sample
Barriers to alcoholism treatment: Reasons for not seeking treatment in a general population sample
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DOI：
10.15288/jsa.1997.58.365
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发表时间：
1997-07-01
期刊：
影响因子：
--
通讯作者：
Grant, BF
中科院分区：
文献类型：
--
作者：
Grant, BF
目的：本研究报告回答了许多直接的问题有关的原因，不寻求酗酒治疗认为需要治疗的受访者之间归类为酒精使用障碍（N=964，69.8%男性，93.5%非黑人）在一个大的代表性样本的美国人口。方法：数据来自1992年全国纵向酒精流行病学调查，42,862名受访者的全国概率样本，年龄在18岁及以上，来自邻近各州的非制度化人口。结果如下：对酗酒治疗系统及其有效性缺乏信心、污名化和否认被确定为总体上酗酒治疗的重大障碍。总的来说，诸如缺乏财政资源或儿童保育设施等有利因素对儿童保育的影响远小于包括对酗酒治疗态度在内的个人诱发因素。结论：重要的社会人口学差异，确定的障碍，以照顾他们的最小化方面进行了讨论，通过建议的变化，在酗酒治疗提供系统的教育，筛查，推广，检测和转诊模式。
Objective: The present study reports responses to numerous direct questions related to reasons for not seeking alcoholism treatment given the perceived need for treatment among respondents classified with an alcohol use disorder (N=964, 69.8% male, 93.5% nonblack) in a large representative sample of the United States population. Method: Data were derived from the 1992 National Longitudinal Alcohol Epidemiologic Survey, a national probability sample of 42,862 respondents, aged 18 years and older, from the noninstitutionalized population of the contiguous states. Results: Lack of confidence in the alcoholism treatment system and its effectiveness, stigmatization and denial were identified as significant barriers to alcoholism treatment at the aggregate level. In general, enabling factors such as lack of financial resources or facilities for child care were much less important barriers to care than were individual predisposing factors including attitudes towards alcoholism treatment. Conclusions: Important sociodemographic differences in identified barriers to care are discussed in terms of their minimization through proposed changes in education, screening, outreach, detection, and referral patterns in alcoholism treatment delivery systems.