Public perceptions of substance abuse and how problems are resolved: implications for medical and public health services.

Public perceptions of substance abuse and how problems are resolved: implications for medical and public health services.
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DOI:
10.1097/smj.0b013e31817c931c
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发表时间:
2008-08
影响因子:
1.1
通讯作者:
Simpson CA
Simpson CA
中科院分区:
医学4区
文献类型:
--
作者:
Tucker JA;Foushee HR;Simpson CA

文献摘要

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增加对药物滥用服务的利用和吸引力,需要了解公众对药物滥用的看法并解决问题。一项全州范围的调查(N=439)使用随机数字拨号抽样评估了公众对问题流行率、服务利用率和结果的看法。与人口数据相比,样本高估了酒精和毒品问题的流行率,准确地估计了与物质有关的问题的求助率,低估了恢复率,特别是不经治疗的自然解决方案。感知到的对求助的影响包括外部压力,如法律问题,以及在与滥用物质有关的生活问题上需要帮助。物质滥用并不像公众想象的那样普遍和棘手,自然解决方案很常见,但似乎在很大程度上隐藏在公众视线之外。讨论了在卫生保健和公共卫生环境中减少障碍和扩大服务的影响。
Increasing utilization and appeal of substance abuse services requires understanding public perceptions of substance abuse and problem resolution. A statewide survey (N = 439) assessed public views of the prevalence of problems, service utilization, and outcomes using random digit dialing sampling. Compared to population data, the sample over-estimated the prevalence of alcohol and drug problems, accurately gauged rates of help-seeking for substance-related problems, and under-estimated rates of recovery, particularly natural resolutions without treatment. Perceived influences on help-seeking included extrinsic pressures like legal problems and wanting help with problems of living related to substance misuse. Substance abuse is less prevalent and less intractable than the public perceives, and natural resolutions are common, but appear to be largely hidden from the public view. Implications for reducing barriers and expanding services in health care and public health settings are discussed.