Wu Ping, Hoven Christina W, Tiet Quyen, Kovalenko Pavel, Wicks Judith
Department of Psychiatry, Columbia University, New York, NY 10027, USA.
Am J Drug Alcohol Abuse. 2002;28(2):353-69. doi: 10.1081/ada-120002978.
This study examined factors associated with adolescents' use of alcohol treatment services.
Data on adolescents (aged 12-17) from the 1994 National Household Survey on Drug Abuse (NHSDA, N = 4,698), a large representative sample of the U.S. population, were used in this study. Information obtained from the survey included adolescent alcohol use, drinking patterns, alcohol abuse/dependent problems, and service use for alcohol-related problems. In addition, socio- demographics, health insurance, mental and behavioral problems, and other drug use were also included in the analysis.
The findings indicate that many adolescents with alcohol problems did not receive treatment. White adolescents were more likely to receive alcohol treatment services than nonwhites. Among alcohol-related problems, alcohol causing problems at home, school, or other settings predicted entry into alcohol treatment. Drug use and poor health status were also associated with receiving alcohol treatment services.
This study calls for an improved service delivery system to meet service needs of adolescents with alcohol-related problems, especially among minorities, and those with alcohol-related problems but without yet experiencing significant negative social consequences.
本研究探讨了与青少年使用酒精治疗服务相关的因素。
本研究使用了来自1994年全国家庭药物滥用调查(NHSDA,N = 4,698)的青少年(12 - 17岁)数据,该调查是美国人口的一个大型代表性样本。从调查中获得的信息包括青少年饮酒情况、饮酒模式、酒精滥用/依赖问题以及与酒精相关问题的服务使用情况。此外,社会人口统计学、医疗保险、心理和行为问题以及其他药物使用情况也纳入了分析。
研究结果表明,许多有酒精问题的青少年没有接受治疗。白人青少年比非白人青少年更有可能接受酒精治疗服务。在与酒精相关的问题中,在家庭、学校或其他场所引发问题的酒精使用预示着会接受酒精治疗。药物使用和健康状况不佳也与接受酒精治疗服务有关。
本研究呼吁改善服务提供系统,以满足有酒精相关问题的青少年的服务需求,特别是在少数族裔以及那些有酒精相关问题但尚未经历重大负面社会后果的青少年中。