EPIDEMIOLOGY OF ALCOHOLISM IN UNTREATED AND TREATED POPULATIONS

影响进入酒精治疗计划的因素和过程 将在基于人口的酗酒者样本中进行调查， 第一次进入酒精中毒治疗机构。 这项研究将 在预测进入一个国家的因素的综合模型的指导下， 酒精治疗计划 该模型包括最先进的 生物心理学因素的概念化，认为影响 酒精滥用和依赖的严重程度和慢性程度;一个全面的 评估酒精问题的严重程度和慢性程度，包括 血液和尿液测试;家人和朋友的非正式压力和正式压力 来自雇主和法律的系统的压力，要求寻求酒精治疗; 健康信念;成瘾行为的变化阶段。 此外，本发明还提供了一种方法， 与无辅助或自然恢复相关的因素将是 在基于人口的酗酒者中进行调查。 基于人口的酗酒者将从两个潜在的 酒精流行病学研究和家庭样本， 冠心病和肺癌病例的对照研究 组成部分2和3。 据估计，795人有一个 将提供酒精滥用/依赖的终身DSM-III诊断 研究;一个子集的398将有症状在过去的一年。 样本将可用于研究; 398个子集将有 去年的症状。 将合并样本并进行后分层 性别种族教育和酗酒 A代表性样品 的伊利县居民进入酒精治疗计划， 首次（N-616）招募将使用既往 接受酒精治疗、居住县和重点研究 因素 这些数据可从纽约州药物滥用办公室获得 为所有50次酒精治疗的客户提供服务信息系统 在伊利县的机构，使招聘这一样本可行 并且具有成本效益。 分析将采用简单和多变量 逻辑回归和结构方程建模技术，其中 适当 更好地了解寻求酒精治疗的行为， 无援助恢复对于改进目前的努力至关重要， 在酒精的早期阶段进行更有效和更高效的干预 滥用和依赖。

Factors and processes influencing entry into alcohol treatment programs will be investigated among population-based samples of alcoholics and first admissions to alcoholism treatment agencies. The research will be guided by a comprehensive model of factors predicting entry into an alcohol treatment program. The model includes state-of-the-art conceptualization of biopsychological factors thought to influence the severity and chronicity of alcohol abuse and dependence; a comprehensive assessment of the severity and chronicity of alcohol problems, including blood and urine tests; informal pressure by family and friends and formal pressure by employers and the legal system to seek alcohol treatment; health beliefs; and stage of change in addictive behavior. In addition, factors associated with unassisted or natural recoveries will be investigated among population-based alcoholics. Population-based alcoholics will be recruited from two prospective alcohol epidemiologic studies and from the household sample employed as controls for cases of coronary heart disease and lung cancer in Research Components 2 and 3. It is estimated that 795 individuals having a lifetime DSM-III diagnosis of alcohol abuse/dependence will be available for study; a subset of 398 will have had symptoms in the past year. Samples will be available for study; a subset of 398 will have had symptoms in the past year. Samples will be merged and post-stratified on sex, race, education, and heavy drinking. A representative samples of Erie County residents entering alcohol treatment programs for the first time(N-616) will be recruited using data on number of previous admissions to alcohol treatment, county of residence, and key study factors. These data are available from the NYS Office of Substance Abuse Service Information System for clients seen in all 50 alcohol treatment agencies in Erie County, making the recruitment of this sample feasible and cost-efficient. Analyses will employ simple and multivariate logistic regression and structural equation modelling techniques, where appropriate. A better understanding of alcohol treatment seeking behavior and unassisted recovery is critical to the improvement of current efforts to intervene more effectively and efficiently at earlier stages of alcohol abuse and dependence.