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首页> 外文期刊>Addictive behaviors >Correlates of perceiving a need for treatment among adults with substance use disorder: results from a national survey.
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Correlates of perceiving a need for treatment among adults with substance use disorder: results from a national survey.

机译:在患有药物滥用障碍的成年人中感知到需要治疗的相关性:国家调查的结果。

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摘要

Although millions of adults meet criteria for substance use disorder (SUD) in the U.S., only a fraction receive treatment. This may be due to individuals with SUD not perceiving a need for treatment. In order to distinguish persons with SUD who perceive a need for treatment from those who do not, correlates for the perceived need for treatment were assessed for respondents with alcohol use disorder only, drug use disorder only and both alcohol and drug use disorder. Data were from the combined 2005-2009 datasets of the National Survey on Drug Use and Health. Logistic regression models were used to calculate odds ratio and 95% confidence intervals. Results demonstrated that among respondents who need treatment but did not receive treatment for alcohol use disorder, drug use disorder and both alcohol and drug use disorders, 3.3%, 8.3% and 12.4% perceived a need for treatment, respectively. No single socio-demographic correlate was predictive of perceiving a need across the three subpopulations suggesting that screenings for substance use disorder should be done in a setting where the general population may be accessed, e.g. primary care settings. Correlates associated with perceiving a need for treatment for all three subpopulations included psychological distress, disorder severity and substance type. Although respondents with greater disorder severity were more likely to perceive a need for treatment, a large proportion of those still do not perceive a need for treatment. Screening and brief interventions would facilitate treatment entry among those with the most severe disorders.
机译:尽管在美国有数百万成年人符合药物滥用障碍(SUD)的标准,但只有一小部分接受治疗。这可能是由于SUD患者未意识到需要治疗。为了区分感觉到需要治疗的SUD患者和没有感觉到需要治疗的SUD患者,对仅患有酒精使用障碍,仅患有药物使用障碍以及患有酒精和毒品使用障碍的受访者进行了与感知到的治疗需求的相关性评估。数据来自全国药物使用和健康调查的2005-2009年合并数据集。使用逻辑回归模型计算比值比和95%置信区间。结果表明,在需要治疗但未因酒精滥用,药物滥用以及酒精和药物滥用两种疾病接受治疗的受访者中,分别有3.3%,8.3%和12.4%的人认为需要治疗。没有一个社会人口学相关因素能预测在这三个亚人群中的需求,这表明应该在可以接触一般人群的环境中进行药物滥用障碍的筛查。初级保健设置。与认为需要治疗所有三个亚群相关的相关因素包括心理困扰,疾病严重程度和物质类型。尽管疾病严重程度较高的受访者更有可能认为需要治疗,但其中大部分仍不认为需要治疗。筛查和短暂干预将有助于最严重疾病患者中的治疗进入。

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