Factors associated with the receipt of alcohol treatment services among American Indian adolescents
Factors associated with the receipt of alcohol treatment services among American Indian adolescents
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DOI：
10.1097/00004583-199601000-00019
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发表时间：
1996-01-01
影响因子：
13.3
通讯作者：
Manson, SM
中科院分区：
文献类型：
--
作者：
Novins, DK;Harman, CP;Manson, SM
目的：本研究考察了在大量美国印第安青少年样本中接受酒精治疗服务的潜在相关因素。方法：本研究的数据来自印第安青少年之声项目，这是一个为期5年的纵向项目，包括在10所主要的美国印第安学校收集基于学校的调查数据。1992年11月，共有2077名9至12年级的美国印第安青年完成了自我报告调查。其中，1681个有完整的分析数据集。采用三个logistic回归模型来预测接受治疗建议的青少年接受治疗的概率(1)、接受治疗建议的概率(2)和接受治疗的概率(3)。结果：个体接受治疗的可能性是推荐治疗的15倍。治疗建议调解了几种心理困扰和酒精使用、滥用和依赖的测量与实际治疗之间的关系。结论：推荐治疗方案与接受治疗密切相关。关于青少年酗酒的风险、迹象、症状、需要和获得治疗的机制的社区教育可能有助于酗酒者获得他们需要的帮助。
Objective: This study examines factors potentially associated with the receipt of alcohol treatment services among a large sample of American Indian adolescents. Method: Data for this study were drawn from the Voices of Indian Teens project, a 5-year, longitudinal project involving school-based survey data collection at 10 primarily American Indian schools. In November 1992 a total of 2,077 American Indian youths in grades 9 through 12 completed self-report surveys. Of these, 1,681 had a complete set of data for these analyses. Three logistic regression models were developed to predict the probability of (1) receipt of treatment, (2) treatment recommendation, and (3) receipt of treatment among those teenagers who received a treatment recommendation. Results: The probability of an individual receiving treatment was 15 times greater if treatment was recommended. Treatment recommendation mediated the relationship of several measures of psychological distress and alcohol use, abuse, and dependence with actual treatment. Conclusions: Recommendation for treatment is strongly associated with receiving treatment. Community education about the risks, signs, symptoms, need, and mechanisms for obtaining treatment of alcohol abuse among youths might help alcohol-abusing individuals receive the help they need.