Patterns and Predictors of Treatment Seeking After Onset of a Substance Use Disorder
| Autor: | Ronald C. Kessler, Mark Olfson, William A. Vega, Jorge J. Caraveo-Anduaga, Sergio Aguilar-Gaxiola, David J. DeWit, Bohdan Kolody, Patricia A. Berglund, Shelly F. Greenfield |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Substance-Related Disorders Late onset Arts and Humanities (miscellaneous) Surveys and Questionnaires Prevalence medicine Humans Prospective Studies Young adult Psychiatry Retrospective Studies Psychiatric Status Rating Scales Retrospective cohort study Odds ratio Middle Aged Patient Acceptance of Health Care medicine.disease Confidence interval Substance abuse Psychiatry and Mental health Cohort Female Age of onset Psychology Demography |
| Zdroj: | Archives of General Psychiatry. 58:1065-1071 |
| ISSN: | 0003-990X |
| DOI: | 10.1001/archpsyc.58.11.1065 |
| Popis: | Background We studied survey respondents aged 18 through 54 years to determine consistent predictors of treatment seeking after onset of a DSM-III-R substance use disorder. Methods Survey populations included a regional sample in Ontario (n = 6261), a national sample in the United States (n = 5388), and local samples in Fresno, Calif (n = 2874) and Mexico City, Mexico (n = 1734). The analysis examined the effects of demographics, symptoms, and types of substances on treatment seeking. Results Between 50% (Ontario) and 85% (Fresno) of people with substance use disorders seek treatment but the time lag between onset and treatment seeking averages a decade or more. Consistent predictors of treatment seeking include: (1) late onset of disorder (odds ratio [OR], 3.8; 95% confidence interval [CI], 2.6-5.6 for late [≥30 years] vs early [1-15 years] age at first symptom of disorder); (2) recency of cohort (OR, 3.4; 95% CI, 2.3-5.0 for most recent [aged 15-24 years at interview] vs earliest [aged ≥45 years] cohorts); (3) 4 specific dependence symptoms (using larger amounts than intended, unsuccessful attempts to cut down use, tolerance, and withdrawal symptoms), with ORs ranging between 1.6 (95% CI, 1.3-2.0) and 2.7 (95% CI, 2.1-3.6) for people with vs without these symptoms; and (4) use vs nonuse of cocaine (OR, 2.1; 95% CI, 1.6-2.7) and heroin (OR, 2.6; 95% CI, 1.1-6.0). Conclusions Although most people with substance use disorders eventually seek treatment, treatment seeking often occurs a decade or more after the onset of symptoms of disorder. While treatment seeking has increased in recent years, it is not clear whether this is because of increased access, increased demand, increased societal pressures, or other factors. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|