Wu Li-Tzy, Pilowsky Daniel J, Schlenger William E, Hasin Deborah
Department of Psychiatry and Behavioral Sciences, School of Medicine, Duke University Medical Center, P.O. Box 17969, Durham, NC 27715, USA.
Psychiatr Serv. 2007 Feb;58(2):192-200. doi: 10.1176/ps.2007.58.2.192.
This study examined the utilization of and the perceived need for alcohol treatment services among college-age young adults (18-22 years) according to their educational status: full-time college students, part-time college students, noncollege students (currently in school with the highest grade level below college), and nonstudents (N=11,337). This breakdown of young adults had not been addressed previously.
Secondary analyses were conducted on data from the 2002 National Survey on Drug Use and Health.
Full-time college students (21%) were as likely to have an alcohol use disorder as nonstudents (19%), but were more likely than part-time college students (15%) and noncollege students (12%). Only 4% of full-time college students with an alcohol use disorder received any alcohol services in the past year. Of those with an alcohol use disorder who did not receive treatment services, only 2% of full-time college students, close to 1% of part-time college students, and approximately 3% of young adults who were not in college reported a perceived need for alcohol treatment. Full-time college students were less likely than noncollege students to receive treatment for alcohol use disorders. All young adults with an alcohol use disorder were very unlikely to perceive a need for alcohol treatment or counseling.
College-age adults have a high prevalence of alcohol use disorders, yet they are very unlikely to receive alcohol treatment or early intervention services or to perceive a need for such services. Underutilization of alcohol-related services among college-age young adults deserves greater research attention.
本研究根据教育状况调查了18至22岁的大学适龄青年对酒精治疗服务的利用情况及感知需求，这些青年包括全日制大学生、非全日制大学生、非大学生（目前在校且最高年级低于大学）和非学生（N = 11337）。此前尚未对青年的这种分类进行过研究。
对2002年全国药物使用和健康调查的数据进行了二次分析。
全日制大学生（21%）患酒精使用障碍的可能性与非学生（19%）相当，但高于非全日制大学生（15%）和非大学生（12%）。在过去一年中，只有4%患有酒精使用障碍的全日制大学生接受过任何酒精相关服务。在未接受治疗服务的酒精使用障碍患者中，只有2%的全日制大学生、近1%的非全日制大学生以及约3%未上大学的青年表示有接受酒精治疗的感知需求。全日制大学生接受酒精使用障碍治疗的可能性低于非大学生。所有患有酒精使用障碍的青年都极不可能意识到需要接受酒精治疗或咨询。
大学适龄成年人中酒精使用障碍的患病率很高，但他们极不可能接受酒精治疗或早期干预服务，也不太可能意识到有这种服务的需求。大学适龄青年对酒精相关服务的利用不足值得更多的研究关注。
