Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
PLoS One. 2024 Jul 8;19(7):e0306820. doi: 10.1371/journal.pone.0306820. eCollection 2024.
Alcohol use has profound public health impact on women; however, modifiable factors that may influence alcohol use progression/recovery, including health service utilization, are understudied in women.
To investigate the association between mental health (MH) and substance use (SU) treatment with alcohol use progression and recovery among women who currently use alcohol or have in the past.
This study is a secondary data analysis of prospective data from waves 1 (2001-2002) and 2 (2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC; a US-nationally representative sample of adults). The analytic sample was limited to women who reported past or current alcohol use at wave 1 (N = 15,515). Latent transition analysis (LTA) examined whether receiving SU/MH treatment in the year prior to wave 1 was associated with transitioning between three empirically-derived stages of alcohol involvement (no, moderate, and severe problems classes), between Waves 1 and 2 adjusting for possible confounders using propensity score weight.
Compared to White female drinkers, female drinkers who were from Black, Hispanic, or other races were less likely to receive SU/MH treatment (p-values ≤. 001). SU/MH treatment in the year prior to wave 1 was associated with transitioning from the moderate problems class to the no problems class between Waves 1 and 2 (p-value = .04).
Receipt of SU or MH treatment among women, was associated with a higher likelihood of remission from moderate alcohol use problems to no problems over time. Future research, including investigation into treatment characteristics (e.g., frequency, duration, type) should further explore why women initially experiencing severe alcohol use problems did not experience similar remission.
酒精使用对女性的公共健康有深远影响；然而，在女性中，影响酒精使用进展/恢复的可改变因素，包括卫生服务的利用，研究较少。
调查心理健康（MH）和物质使用（SU）治疗与目前使用酒精或过去使用过酒精的女性的酒精使用进展和恢复之间的关系。
这是对国家酒精和相关条件流行病学调查（NESARC；一项美国全国性的成年人代表性样本）的第 1 波（2001-2002 年）和第 2 波（2004-2005 年）的前瞻性数据的二次数据分析。分析样本仅限于在第 1 波报告过去或目前使用酒精的女性（N=15515）。潜在转移分析（LTA）检查了在第 1 波前一年接受 SU/MH 治疗是否与在第 1 波和第 2 波之间从三个经验上得出的酒精参与阶段（无、中度和严重问题类）之间的转移有关，使用倾向评分权重调整了可能的混杂因素。
与白人女性饮酒者相比，来自黑人、西班牙裔或其他种族的女性饮酒者接受 SU/MH 治疗的可能性较小（p 值≤.001）。在第 1 波前一年接受 SU/MH 治疗与第 1 波和第 2 波之间从中度问题类转移到无问题类有关（p 值=.04）。
在女性中，接受 SU 或 MH 治疗与从中度酒精使用问题缓解到无问题的可能性增加有关。未来的研究，包括对治疗特征（例如，频率、持续时间、类型）的研究，应进一步探讨为什么最初经历严重酒精使用问题的女性没有经历类似的缓解。
