Beliefs and attitudes regarding drug treatment: Application of the Theory of Planned Behavior in African-American cocaine users
Beliefs and attitudes regarding drug treatment: Application of the Theory of Planned Behavior in African-American cocaine users
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DOI：
10.1016/j.addbeh.2014.05.012
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发表时间：
2014-10-01
影响因子：
4.4
通讯作者：
Borders, Tyrone F.
中科院分区：
文献类型：
--
作者：
Booth, Brenda M.;Stewart, Katharine E.;Borders, Tyrone F.
工作背景：计划行为理论（TPB）可以提供洞察到可卡因治疗的需要在非洲裔美国人cocaine users.Methods：一个横断面社区样本的400（50%的农村）不治疗的非洲裔美国人可卡因用户被确定通过响应驱动的抽样在一个城市和两个农村县在阿肯色州。措施包括自我报告的态度和信念可卡因治疗，认为需要和治疗的有效性，积极和消极的可卡因预期。规范性信念的衡量知觉的耻辱和耻辱的后果有关药物使用和药物治疗。感知控制通过治疗准备、既往药物治疗和感知的无需治疗即可减少可卡因使用的能力来衡量。多元回归分析发现，（标准化回归系数β = 0.15，P < 0.001），农村居民（β =-0.09，P = 0.025），治疗有效性（β = 0.39，P < 0.001），阴性可卡因预期（β = 0.138，P = 0.003）、拒绝经历（β = 0.18，P < 0.001）、需要保密（β = 0.12，P = 0.002）和准备治疗（β = 0.15，P <0.001）。
Background: The Theory of Planned Behavior (TPB) can provide insights into perceived need for cocaine treatment among African American cocaine users.Methods: A cross-sectional community sample of 400 (50% rural) not-in-treatment African-American cocaine users was identified through respondent-driven sampling in one urban and two rural counties in Arkansas. Measures included self-reports of attitudes and beliefs about cocaine treatment, perceived need and perceived effectiveness of treatment, and positive and negative cocaine expectancies. Normative beliefs were measured by perceived stigma and consequences of stigma regarding drug use and drug treatment. Perceived control was measured by readiness for treatment, prior drug treatment, and perceived ability to cut down on cocaine use without treatmentFindings: Multiple regression analysis found that older age (standardized regression coefficient beta = 0.15, P < 0.001), rural residence (beta = -0.09, P = 0.025), effectiveness of treatment (beta = 0.39, P < 0.001), negative cocaine expectancies (beta = 0.138, P = 0.003), experiences of rejection (beta = 0.18, P < 0.001), need for secrecy (beta = 0.12, P = 0.002), and readiness for treatment (beta = 0.15, P