RAND Corporation, Santa Monica, CA 90407, USA.
J Subst Abuse Treat. 2011 Apr;40(3):287-94. doi: 10.1016/j.jsat.2010.11.006. Epub 2010 Dec 24.
Many homeless women do not receive needed treatment for substance abuse. This study identified social network and other predisposing factors associated with perceived need for and receipt of substance abuse treatment among 273 homeless women who screened positive for past-year substance abuse. Perceived treatment need was more likely among women with drug-using sex partners, a denser network, and an arrest history but less likely for those with a minor child and a longer history of homelessness. Receiving treatment was more likely among women who received informational support from their sex partners and who had an arrest history but less likely among those who had a more street-based social network, had a minor child, considered themselves homeless, and recently needed mental health treatment. Treatment services researchers should attend more closely to social contextual factors, as well as the more traditional individual factors, to understand access and barriers to treatment.
许多无家可归的女性得不到所需的药物滥用治疗。本研究在对 273 名过去一年药物滥用筛查呈阳性的无家可归女性中，确定了与感知药物滥用治疗需求和获得相关的社会网络和其他促成因素。与性伴侣有药物滥用史、社交网络更密集、有被捕史的女性更有可能认为自己需要治疗，但有未成年子女和更长无家可归史的女性则不太可能认为自己需要治疗。获得治疗的女性更有可能从性伴侣那里获得信息支持，并有被捕史，但不太可能来自社会网络更倾向于街头的女性，她们有未成年子女，认为自己无家可归，最近需要心理健康治疗。治疗服务研究人员应该更密切地关注社会背景因素，以及更传统的个人因素，以了解获得治疗的途径和障碍。
