Gender comparisons of drug abuse treatment outcomes and predictors

Gender comparisons of drug abuse treatment outcomes and predictors
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DOI:
10.1016/j.drugalcdep.2003.07.005
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发表时间:
2003-12-11
影响因子:
4.2
通讯作者:
Anglin, MD
Anglin, MD
中科院分区:
医学2区
文献类型:
--
作者:
Hser, YI;Huang, D;Anglin, MD

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在洛杉矶县的药物治疗项目中招募了511名患者,对药物治疗结果和预测因素的性别差异进行了研究。在基线和1年随访时进行面对面访谈。结果表明,女性和男性在相似的年龄开始吸毒和治疗生涯,但男性在基线时报告了更多的吸毒和犯罪参与。在随访中,药物使用和酒精使用的性别没有显着差异,但男性报告的犯罪比女性多。单独的逻辑回归分析表明,对于女性和男性,较长的治疗保留与药物戒断和犯罪中止在后续行动。随访时禁欲的其他基线预测因素包括女性使用多种药物和准备接受治疗,以及男性使用配偶药物。对于停止犯罪,重要的预测因素包括女性的法律的参与和治疗准备,以及男性的法律的参与,使用多种药物和与子女生活在一起。对于女性和男性来说,参与12步组和随访期间没有配偶药物使用与禁欲有关。在女性和男性的治疗结果的预测因素方面既有相似之处,也有差异。(C)2003爱思唯尔爱尔兰有限公司保留所有权利。
Gender differences in drug treatment outcomes and predictors were examined among a sample of 511 patients recruited from drug treatment programs across Los Angeles County. Face-to-face interviews were conducted at baseline and at 1-year follow-up. Results showed that women and men started their drug use and treatment careers at similar ages, but men reported greater drug use and criminal involvement at baseline. There were no significant differences by gender in drug use and alcohol use at follow-up but men reported more crimes than women. Separate logistic regression analyses showed that for both women and men, longer treatment retention was associated with drug abstinence and crime desistence at follow-up. Additional baseline predictors of abstinence at follow-up included use of multiple drugs and readiness for treatment for women, and spousal drug use for men. For crime desistence, significant predictors include legal involvement and treatment readiness for women, and legal involvement, use of multiple drugs, and living with children for men. For both women and men, participation in 12-step groups and no spousal drug use during follow-up were related to abstinence. There were both similarities and differences in predictors of treatment outcome for women and men. (C) 2003 Elsevier Ireland Ltd. All rights reserved.