EPIDEMIOLOGY OF ALCOHOLISM IN UNTREATED AND TREATED POPULATIONS

影响进入酒精治疗项目的因素和流程 将在基于人群的酗酒者样本中进行调查 首次进入酒精中毒治疗机构。这项研究将是 在预测进入美国的因素的综合模型的指导下 酒精治疗计划。这款车型包括最先进的 生物心理学影响因素的概念化 酗酒和依赖的严重性和长期性；全面 评估酒精问题的严重性和长期性，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 雇主和法律系统要求寻求酒精治疗的压力； 健康信念；以及成瘾行为的改变阶段。此外, 与非辅助或自然恢复相关的因素将是 在以人群为基础的酗酒者中进行了调查。 以人群为基础的酗酒者将从两个潜在的人中招募 酒精流行病学研究和从受雇为 冠心病和肺癌病例对照研究 第二部分和第三部分。据估计，有795人有 酒精滥用/依赖的终生DSM-III诊断将可用 用于研究；398人的子集将在过去一年中出现症状。 样本将可供研究；398个样本的子集将 过去一年的症状。样本将被合并并进行后分层 关于性、种族、教育和酗酒。具有代表性的样品 伊利县居民参加酒精治疗计划的人数 第一次(N-616)将使用之前人数的数据进行招募 酒精治疗、居住地和重点研究的入场券 各种因素。这些数据可以从纽约药物滥用办公室获得 50例酒精治疗中的客户服务信息系统 伊利县的代理机构，使这一样本的招募可行 而且性价比高。分析将采用简单和多变量 Logistic回归和结构方程建模技术，其中 恰如其分。 更好地了解酒精治疗寻求行为和 无人协助的恢复对于改善目前的努力至关重要 在酒精的早期阶段进行更有效和高效的干预 虐待和依赖。

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.