Examining Barriers to and Motivations for Substance Abuse Treatment Among Pregnant Women: Does Urban-Rural Residence Matter?
Examining Barriers to and Motivations for Substance Abuse Treatment Among Pregnant Women: Does Urban-Rural Residence Matter?
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DOI：
10.1080/03630242.2012.699508
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发表时间：
2012-01-01
期刊：
影响因子：
1.6
通讯作者：
Shannon, Lisa
中科院分区：
文献类型：
--
作者：
Jackson, Afton;Shannon, Lisa
调查了农村和城市孕妇接受药物滥用治疗的障碍和动机。所有在肯塔基大学医学中心接受住院戒毒的孕妇都被要求参加一项关于健康和幸福的研究。114名(N=114)孕妇自愿参加。治疗障碍和激励因素通过开放式问题进行测量。治疗态度量表定量测量了治疗动机。两组都报告了大约两种治疗障碍。最大的治疗动机是怀孕(65.8%)、需要帮助(23.7%)、家庭(18.4%)和厌倦生活方式(16.7%)。总体而言，治疗态度档案得分相当高(平均值=74.3，SD=10.7)，代表治疗动机。多因素分析显示，治疗动机与胎龄呈显著负相关(β=-0.233；p=0.012)，治疗动机与报告的可接受性障碍(如否认、耻辱)呈正相关(β=0.202；p=0.024)。在障碍和治疗动机上，组间差异不显著。居住在农村地区的个人有独特的信仰、社会关系、态度和经济困难。关于这些因素在治疗获得和动机方面的作用的研究可以用来最大限度地减少治疗障碍。
Barriers to entering and motivations for substance abuse treatment were examined among rural and urban pregnant women. All pregnant women entering inpatient detoxification at the University of Kentucky Medical Center were approached about participating in a study on health and well-being. One hundred fourteen (N = 114) pregnant women voluntarily participated. Treatment barriers and motivators were measured with open-ended questions. The Treatment Attitude Profile quantitatively measured motivation. Both groups reported approximately two treatment barriers. Top treatment motivators were pregnancy (65.8%), needing help (23.7%), family (18.4%), and being tired of the lifestyle (16.7%). Overall, Treatment Attitude Profile scores were fairly high (Mean = 74.3, SD = 10.7), representing motivation for treatment. Multivariate analyses revealed a significant negative relationship between treatment motivation and gestational age (beta = -0.233; p = 0.012), and a positive relationship between treatment motivation and reporting an acceptability barrier (e.g., denial, stigma) (beta = 0.202; p = 0.024). Few between group differences existed in barriers and treatment motivation. Individuals residing in rural areas have unique beliefs, social ties, attitudes, and financial hardships. Research about the role of these factors in treatment access and motivation could be used to minimize treatment barriers.