Characteristics of lesbian, gay, bisexual, and transgender individuals entering substance abuse treatment
Characteristics of lesbian, gay, bisexual, and transgender individuals entering substance abuse treatment
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DOI：
10.1016/j.jsat.2005.11.009
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发表时间：
2006-03-01
影响因子：
3.9
通讯作者：
Cauce, AM
中科院分区：
文献类型：
--
作者：
Cochran, BN;Cauce, AM
以前的研究表明，女同性恋，男同性恋，双性恋和变性人（LGBT）个人进入治疗药物滥用比异性恋者更严重的问题。然而，方法上的困难，特别是难以获得有代表性的样本，限制了对接受药物滥用服务的男女同性恋、双性恋和变性者得出结论的能力。这项研究利用了一个独特的机会，通过使用华盛顿州治疗提供者收集的数据，研究了接受公共资助的药物滥用治疗的公开LGBT客户的代表性样本。公开的LGBT和异性恋客户之间的基线差异进行了比较，在各种领域。结果表明，公开的LGBT客户进入治疗更严重的药物滥用问题，更大的精神病理学，更大的医疗服务利用率相比，异性恋客户。当分析基于性别分层时，LGBT客户出现了不同的物质使用模式和相关的心理社会特征。本文讨论了向治疗机构提供适当服务和建议的影响。(c)2006年爱思唯尔公司All rights reserved.
Previous research has suggested that lesbian, gay, bisexual, and transgender (LGBT) individuals enter treatment for substance abuse with more severe problems than heterosexual individuals. However, methodological difficulties, particularly the difficulty of obtaining a representative sample, have limited the ability to draw conclusions about LGBT individuals who receive services for substance abuse. This study took advantage of a unique opportunity to examine a representative sample of openly LGBT clients receiving publicly funded substance abuse treatment by using data gathered by treatment providers in Washington State. Baseline differences between openly LGBT and heterosexual clients were compared in a variety of domains. Results demonstrated that openly LGBT clients enter treatment with more severe substance abuse problems, greater psychopathology, and greater medical service utilization when compared with heterosexual clients. When the analyses were stratified based on sex, different patterns of substance use and associated psychosocial characteristics emerged for the LGBT clients. Implications for provision of appropriate services and recommendations to treatment agencies are discussed in this article. (c) 2006 Elsevier Inc. All rights reserved.