Belzunegui-Eraso Ángel, Pastor-Gosálbez Inma
Profesor del doctorado en Ciencias de la Enfermería. Facultad de Enfermería. Universidad Rovira i Virgili. Tarragona. España.
Cátedra de Inclusión Social. Universidad Rovira i Virgili. Tarragona. España.
Rev Esp Salud Publica. 2019 Jul 17;93:e201907043.
The incorporation of gender variable in drug addiction studies provides information about the presence of differences in the therapeutic success rates between men and women. Is therefore essential to carry out studies to analyse the efficacy of differentiated treatments to improve their success. The objective of this study is to observe differences in success rates among women and men undergoing therapy for drug dependence at an addiction centre during two different periods, before 2005, in which they are treated together and after 2005, in which they are treated in separate groups.
The method was as follows: profiling of the individuals in treatment, analysis of the relationship between successful therapy and the independent variables, T-tests of independent samples and, finally, a logistic regression analysis of the period after 2005 when women and men were separated.
Improved success rates were observed among women after 2005 compared with the previous period (Odds of success in women before 2005=2,00; after 2005=7,08). Success rates among men did not change significantly (Odds of success in men before 2005=2,78; after 2005=2,75). Women's success rates were higher than men's (24,4 times more probable on average) for all types of substance abuse and increased for shorter types of treatment, whereas success rates with longer treatments tended to be similar for both men and women (20,5 more likely).
The study shows improved success rates for drug-dependent women when they are treated separately from men, once the specific problems of drug addiction in women are taken into account.
将性别变量纳入药物成瘾研究可提供有关男性和女性治疗成功率差异存在情况的信息。因此,开展研究以分析差异化治疗的疗效以提高成功率至关重要。本研究的目的是观察在一个成瘾中心接受药物依赖治疗的男性和女性在两个不同时期(2005年之前,他们一起接受治疗;2005年之后,他们被分在不同组接受治疗)的成功率差异。
方法如下:对接受治疗的个体进行概况分析,分析成功治疗与自变量之间的关系,进行独立样本t检验,最后对2005年之后男性和女性分开治疗的时期进行逻辑回归分析。
与前一时期相比,2005年之后女性的成功率有所提高(2005年之前女性成功的几率=2.00;2005年之后=7.08)。男性的成功率没有显著变化(2005年之前男性成功的几率=2.78;2005年之后=2.75)。对于所有类型的药物滥用,女性的成功率均高于男性(平均可能性高24.4倍),且在较短疗程时有所增加,而对于较长疗程,男性和女性的成功率趋于相似(可能性高20.5倍)。
该研究表明,一旦考虑到女性药物成瘾的特定问题,将药物依赖女性与男性分开治疗时,她们的成功率会提高。