Oser Carrie B, Leukefeld Carl G, Tindall Michele Staton, Garrity Thomas F, Carlson Robert G, Falck Russel, Wang Jichuan, Booth Brenda M
Department of Sociology, Center on Drug and Alcohol Research, University of Kentucky, Lexington, KY 40506, USA.
Int J Offender Ther Comp Criminol. 2011 Jun;55(4):567-86. doi: 10.1177/0306624X10366012. Epub 2010 May 12.
The purpose of this study is to use a modified version of Andersen's Behavioral Model of Health Services Use to identify the correlates of the number of substance abuse treatment episodes received by rural drug users. Data were collected from face-to-face interviews with 711 drug users in rural areas of Ohio, Arkansas, and Kentucky. Descriptive analyses examine rural drug users' substance use histories and retrospective substance abuse treatment service utilization patterns. A negative binomial regression model indicated that selected predisposing, historical health, and enabling factors were significantly associated with the utilization of substance abuse treatment among rural drug users. Despite high levels of recent and lifetime self-reported substance use among these rural drug users, treatment services were underutilized. Future studies are needed to examine the impact of the health care system and characteristics of the external environment associated with rural substance abuse treatment in order to increase utilization among drug users.
本研究的目的是使用安德森卫生服务利用行为模型的一个修改版本，来确定农村吸毒者接受药物滥用治疗疗程数量的相关因素。数据来自对俄亥俄州、阿肯色州和肯塔基州农村地区711名吸毒者的面对面访谈。描述性分析考察了农村吸毒者的物质使用史和回顾性药物滥用治疗服务利用模式。负二项回归模型表明，选定的易患因素、既往健康因素和促成因素与农村吸毒者药物滥用治疗的利用显著相关。尽管这些农村吸毒者近期和终生自我报告的物质使用水平较高，但治疗服务的利用不足。未来需要开展研究，以考察医疗保健系统的影响以及与农村药物滥用治疗相关的外部环境特征，从而提高吸毒者对治疗服务的利用率。
