Callaghan Russell C, Cunningham John A
Department of Psychology, University of Toronto, Toronto, ON, Canada M5S 2S1.
J Subst Abuse Treat. 2002 Dec;23(4):399-407. doi: 10.1016/s0740-5472(02)00302-1.
This study examined the medical records of 2595 consecutive admissions over a 3-year period to an inpatient mixed-gender, hospital-based alcohol and drug detoxification unit. Women reported a significantly different pattern of primary drug use, a younger age, a different pattern of referral sources, and higher rates of parenting status and unemployment. In addition, females were administered prescription medication and medical evaluation tests at a significantly higher rate than males. Multiple regression analyses demonstrated that an opiate as a primary drug of choice was a significant risk factor for dropout. Risk factors for re-admission to inpatient detoxification included: alcohol as a primary drug of choice, residential instability, multiple drug use, single marital status, unemployment, an older age (> 37 years), and treatment dropout at Time 1 in the study. For both the final prediction models, gender was not a significant factor. The treatment implications of these findings are discussed.
本研究调查了一家综合性住院男女混合的医院酒精和药物戒毒治疗单元在3年期间连续收治的2595例患者的病历。女性报告的主要药物使用模式显著不同，年龄更小，转诊来源模式不同，育儿状况和失业率更高。此外，女性接受处方药治疗和医学评估测试的比例显著高于男性。多元回归分析表明，选择阿片类药物作为主要毒品是退出治疗的一个重要风险因素。再次入住住院戒毒治疗的风险因素包括：选择酒精作为主要毒品、居住不稳定、多种药物使用、单身婚姻状况、失业、年龄较大（>37岁）以及在研究的第1阶段退出治疗。对于这两个最终预测模型，性别不是一个显著因素。本文讨论了这些研究结果对治疗的启示。
