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不同时期婴儿潮一代对酒精治疗需求的否认:对社会工作的启示

Denial of Alcohol Treatment Need among Baby Boomers across Time: Implications for Social Work.

作者信息

Quinn Adam

机构信息

Barbara Solomon School Of Social Work, Walden University, Minneapolis, Minnesota, USA.

出版信息

J Gerontol Soc Work. 2020 Apr;63(3):174-188. doi: 10.1080/01634372.2020.1744058. Epub 2020 Mar 22.

Abstract

As baby boomers continue to enter older adulthood in the coming decades, research suggests that this cohort is expected to exhibit changes in alcohol usage and treatment need patterns compared to previous older-adult cohorts. The literature suggests that unmet alcohol treatment need may be related to denial of treatment need among baby boomers who possess a diagnosable alcohol-use disorder (AUD). Therefore, this study explores potential risk and protective factors predicting alcohol-use among baby boomers who d\eny treatment need at two time periods. Data was obtained from the National Survey of Drug and Health (NSDUH). Variable selection procedures were performed at each time period, resulting in two predictive models for baby boomers who denied alcohol treatment need when treatment was indicated by a concurrent diagnosable alcohol-use disorder. The primary findings suggest that generalized, nonspecific alcohol treatment may be ineffective for treating AUD baby boomers who deny alcohol treatment need. Rather, as baby boomers continue to enter older adulthood, individualized specialty treatments may be needed in order to provide effective alcohol treatment for this unprecedentedly large birth cohort.

摘要

在未来几十年里,随着婴儿潮一代持续步入老年,研究表明,与之前的老年人群体相比,这一群体的饮酒习惯和治疗需求模式预计会发生变化。文献表明,未满足的酒精治疗需求可能与患有可诊断酒精使用障碍(AUD)的婴儿潮一代对治疗需求的否认有关。因此,本研究探讨了在两个时间段内预测那些否认治疗需求的婴儿潮一代饮酒行为的潜在风险和保护因素。数据来自全国药物和健康调查(NSDUH)。在每个时间段都进行了变量选择程序,从而得出了两个针对那些在同时患有可诊断酒精使用障碍表明需要治疗时却否认酒精治疗需求的婴儿潮一代的预测模型。主要研究结果表明,一般化的、非特定的酒精治疗对于治疗那些否认酒精治疗需求的AUD婴儿潮一代可能无效。相反,随着婴儿潮一代继续步入老年,可能需要个性化的专科治疗,以便为这一规模空前庞大的出生队列提供有效的酒精治疗。

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