Cohen Emily, Feinn Richard, Arias Albert, Kranzler Henry R
Alcohol Research Center, Department of Psychiatry, University of Connecticut Health Center, Farmington, CT 06030-2103, United States.
Drug Alcohol Depend. 2007 Jan 12;86(2-3):214-21. doi: 10.1016/j.drugalcdep.2006.06.008. Epub 2006 Aug 17.
Epidemiological studies consistently show low rates of alcohol treatment utilization among individuals with an alcohol use disorder (AUD). However, there is not as great consistency in the characteristics that predict alcohol treatment utilization.
Using data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), we examined attributes associated with treatment utilization among individuals with an AUD. We used stepwise backward selection logistic regression analysis to examine demographic and clinical predictors of treatment utilization, in order to identify opportunities to improve the delivery of services to this population.
Only 14.6% of individuals who met lifetime criteria for an AUD reported ever having received alcohol treatment (including self-help group participation). A greater proportion of respondents with both alcohol abuse and dependence (27.9%) reported having received treatment, compared with 7.5% of those with alcohol abuse only and 4.8% of those with alcohol dependence only. Older individuals, men, and those who were divorced, had less education or more lifetime comorbid mood, personality, and drug use disorders were also more likely to have received treatment.
The majority of individuals with an AUD never receive formal alcohol treatment, nor do they participate in self-help groups. Although natural recovery from an AUD is well documented, participation in alcohol treatment is associated with improved outcomes. The data presented here should be taken into account when efforts are made to enhance alcohol treatment utilization.
流行病学研究一致表明，酒精使用障碍（AUD）患者中酒精治疗利用率较低。然而，预测酒精治疗利用率的特征方面的一致性却没那么高。
利用全国酒精及相关疾病流行病学调查（NESARC）的数据，我们研究了AUD患者中与治疗利用率相关的属性。我们使用逐步向后选择逻辑回归分析来研究治疗利用率的人口统计学和临床预测因素，以便确定改善向该人群提供服务的机会。
符合AUD终身标准的个体中，只有14.6%报告曾接受过酒精治疗（包括参加自助小组）。与仅患有酒精滥用的人群中的7.5%以及仅患有酒精依赖的人群中的4.8%相比，同时患有酒精滥用和依赖的受访者中报告接受过治疗的比例更高（27.9%）。年龄较大的个体、男性以及那些离婚、受教育程度较低或患有更多终身共病性情绪、人格和药物使用障碍的人也更有可能接受过治疗。
大多数AUD患者从未接受过正规的酒精治疗，也未参加自助小组。尽管有充分记录表明AUD可自然康复，但参与酒精治疗与改善预后相关。在努力提高酒精治疗利用率时，应考虑此处呈现的数据。
