Davis Christal N, O'Neill Susan E
Department of Psychological Sciences, University of Missouri, Columbia, MO 65211 USA.
Curr Addict Rep. 2022;9(4):432-444. doi: 10.1007/s40429-022-00454-3. Epub 2022 Nov 22.
Individuals living in rural areas face unique challenges when accessing services for alcohol-related problems and are at increased risk of experiencing alcohol-related harms. We outline research on rural-urban treatment gaps in alcohol use treatment, identify common barriers to treatment, and provide recommendations for how to address the difficulties faced by this population.
Globally, individuals living in rural and remote areas are less likely to receive care for alcohol-related concerns compared to those residing in urban areas. Rural areas suffer from insufficient access to specialty providers, and rural residents are likely to experience greater stigma regarding seeking treatment for alcohol-related concerns.
Given rural-urban disparities in access to treatment for alcohol use concerns, treatment efforts should incorporate stakeholders across the medical system. Telehealth options are particularly promising for increasing access to care. Adaptations should emphasize existing strengths among rural populations, such as strong religious beliefs and close community ties.
生活在农村地区的人在获取与酒精相关问题的服务时面临独特挑战，且遭受与酒精相关伤害的风险更高。我们概述了酒精使用治疗方面城乡治疗差距的研究，确定了治疗的常见障碍，并就如何解决该人群面临的困难提供建议。
在全球范围内，与城市地区居民相比，生活在农村和偏远地区的人因与酒精相关问题接受治疗的可能性较小。农村地区获得专科医疗服务的机会不足，农村居民在寻求与酒精相关问题的治疗时可能会面临更大的耻辱感。
鉴于在酒精使用治疗的可及性方面存在城乡差异，治疗工作应纳入医疗系统的各利益相关方。远程医疗选项在增加医疗服务可及性方面尤其具有前景。调整应强调农村人口现有的优势，如强烈的宗教信仰和紧密的社区联系。
