Differential alcohol treatment response by gender following use of VetChange
| Autor: | Keren Lehavot, David Rosenbloom, Monica Roy, Deborah J. Brief, Eric Helmuth, Nicholas A. Livingston, Scott D. Litwack, Terence M. Keane, Tracy L. Simpson, Justin L. Enggasser, Victoria Ameral |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Alcohol Drinking Treatment outcome Psychological intervention Alcohol treatment Toxicology 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Medicine Humans Pharmacology (medical) 030212 general & internal medicine Veterans Pharmacology Ethanol business.industry Multilevel model Drinking day Psychiatry and Mental health Posttraumatic stress Alcoholism Treatment Outcome Female Hazardous drinking business 030217 neurology & neurosurgery Demography |
| Zdroj: | Drug and alcohol dependence. 221 |
| ISSN: | 1879-0046 |
| Popis: | Objective Proportionally more women use online alcohol interventions but also report less robust treatment outcomes compared to men. Less is known about outcome disparities among veteran women, who are a growing demographic nationally. The current study examined gender differences among returning veteran men and women who used VetChange, a web-based intervention for hazardous drinking and posttraumatic stress symptoms (PTSS). Method Using data from a nationwide implementation study of returning combat veterans (n = 222), we performed hierarchical linear modeling to examine gender differences in alcohol and PTSS outcomes over six months following VetChange registration. Additional analyses examined gender differences in proportional changes in hazardous drinking and at each assessment point. Results Returning veterans reported significant decreases in alcohol use and PTSS over time, yet men evidenced significantly greater reduction in average weekly drinks and drinks per drinking day compared to women. Follow up analyses indicated that women were significantly less likely than men to achieve low-risk drinking by one month post-registration. Proportional change in alcohol use yielded marginal and non-significant trends that were, nonetheless, consistent with the overall pattern of gender differences. Conclusion These results contribute to emerging literature suggesting that women use online alcohol use interventions at proportionately higher rates than do men, but do not reduce their drinking as much as men. There are a number of potential content changes that could improve outcomes for returning veteran women using online interventions, and data-driven adaptations based on stakeholder input are recommended. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect