Department of Obstetrics and Gynecology & Institute for Drug and Alcohol Studies, Virginia Commonwealth University School of Medicine, 1250 E Marshall St., Box #980034, Richmond, VA, 23298, USA.
Virginia Department of Medicaid Assistance Services, 801 E Marshall St, Richmond, VA, 23219, USA.
Matern Child Health J. 2020 May;24(5):660-667. doi: 10.1007/s10995-020-02904-8.
To describe the current unmet major depression and substance use disorder (SUD) treatment needs among reproductive age women METHODS: Data from the 2007 to 2014 National Survey on Drug Use and Health (NSDUH) were analyzed to determine proportions of women ages 18 to 44 years with unmet treatment need for depression and SUD. Logistic regression determined factors associated with receiving past year SUD and major depression treatment among those in need.
Only 9.2% of women with past year SUD treatment need received treatment (95% CI 8.3-10.1%) compared to 60.7% for those in need of depression treatment (95% CI 59.5-62.0%). Over time, treatment receipt for depression increased significantly (OR 1.4, 95% CI 1.15-1.67) but not for substance use disorders (OR 1.4, 95% CI 0.69-1.45). Neither pregnant nor parenting women were more likely to receive treatment for SUD or depression. Young and racial/ethnically minority women were less likely to receive needed behavioral health treatment for either condition.
Depression and SUD treatment need are common among women. However, treatment receipt differs between these behavioral health conditions.
描述生殖年龄女性中目前未满足的重度抑郁症和物质使用障碍（SUD）治疗需求。
对 2007 年至 2014 年全国药物使用和健康调查（NSDUH）的数据进行分析，以确定 18 至 44 岁女性中未满足重度抑郁症和 SUD 治疗需求的比例。逻辑回归确定了有需要的人群中过去一年 SUD 和重度抑郁症治疗的相关因素。
仅有 9.2%有过去一年 SUD 治疗需求的女性接受了治疗（95%CI 8.3-10.1%），而有重度抑郁症治疗需求的女性中，接受治疗的比例为 60.7%（95%CI 59.5-62.0%）。随着时间的推移，重度抑郁症的治疗接受率显著增加（OR 1.4，95%CI 1.15-1.67），但 SUD 的治疗接受率没有增加（OR 1.4，95%CI 0.69-1.45）。怀孕或有子女的女性都不太可能接受 SUD 或重度抑郁症的治疗。年轻和种族/族裔少数群体的女性接受这两种疾病所需的行为健康治疗的可能性较小。
重度抑郁症和 SUD 的治疗需求在女性中很常见。然而，这两种行为健康状况的治疗接受率存在差异。
