农村地区兴奋剂使用者滥用物质和精神卫生服务的使用轨迹。
Trajectories in use of substance abuse and mental health services among stimulant users in rural areas.
机构信息
Department of Psychiatry, Universityof Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
出版信息
Psychiatr Serv. 2011 Oct;62(10):1230-2. doi: 10.1176/ps.62.10.pss6210_1230.
Abstract
OBJECTIVE
This study examined substance abuse and mental health service utilization during a three-year period among stimulant users living in rural areas.
METHODS
Participants (N=710) were interviewed at baseline and every six months for 36 months. One-step transition probabilities were constructed between the two types of service use for each consecutive pair of interviews to examine the resulting steady-state probabilities among multiple one-step transition matrices.
RESULTS
Most participants received no substance abuse or mental health services. On average, the probabilities of reporting use of the same types of services during the 36-month follow-up were 82% for receiving neither service, 9% for receiving only mental health treatment, 6% for receiving only substance abuse treatment, and 2% for receiving both services.
CONCLUSIONS
Further study is needed to determine factors that affect the decision to seek mental health or substance abuse treatment among residents of rural communities.
摘要
目的
本研究调查了在农村地区居住的兴奋剂使用者在三年内的物质滥用和精神卫生服务利用情况。
方法
参与者（N=710）在基线和每 6 个月进行 36 个月的访谈。在每两次访谈之间构建两种服务使用之间的一步转移概率，以检查多个一步转移矩阵中的最终稳定状态概率。
结果
大多数参与者没有接受物质滥用或精神卫生服务。平均而言，在 36 个月的随访期间报告使用相同类型服务的概率分别为：既不接受服务的占 82%，仅接受心理健康治疗的占 9%，仅接受物质滥用治疗的占 6%，同时接受两种服务的占 2%。
结论
需要进一步研究确定影响农村社区居民寻求心理健康或物质滥用治疗决策的因素。
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