Oser Carrie B, Harp Kathi L H
Department of Sociology, Center on Drug & Alcohol Research, University of Kentucky, Lexington, KY 40506, USA.
Department of Behavioral Science, Center on Drug & Alcohol Research, University of Kentucky, Lexington, KY 40506, USA.
J Subst Abuse Treat. 2015 Jan;48(1):77-84. doi: 10.1016/j.jsat.2014.08.002. Epub 2014 Aug 12.
This is the first known study to examine geographic discordance (traveling from one's home residence to a county with a different socio-cultural context to receive substance abuse treatment) as a predictor of clinical and social functioning treatment outcomes (i.e., relapse, self-help attendance, anxiety, and incarceration) among a sample of prescription drug misusers. Treatment entry and 12-month follow-up client-level survey data were collected from 187 clients who misused prescription drugs, and center-level survey data were collected from the supervisors at treatment centers attended by the clients. Multivariate models reveal that geographic discordance significantly increased the odds that prescription drug misusers would report relapse to prescription opioid misuse, anxiety, and any incarceration at follow-up. Moreover, geographically discordant clients were significantly less likely to have attended a self-help group, net of the effect of other individual- and center-level factors. Implications for clinical practice and substance abuse treatment policy are provided.
这是已知的第一项研究，旨在考察地理不一致性（即从某人的家乡前往社会文化背景不同的县接受药物滥用治疗）作为处方药物滥用者样本中临床和社会功能治疗结果（即复发、参加自助小组、焦虑和监禁）预测指标的情况。从187名滥用处方药物的客户那里收集了治疗开始时和12个月随访时的客户层面调查数据，并从这些客户所就诊治疗中心的主管那里收集了中心层面调查数据。多变量模型显示，地理不一致性显著增加了处方药物滥用者在随访时报告复吸处方阿片类药物滥用、焦虑和任何监禁情况的几率。此外，在排除其他个人层面和中心层面因素的影响后，地理不一致的客户参加自助小组的可能性显著降低。本文还提供了对临床实践和药物滥用治疗政策的启示。
