Camacho-Ruiz Julio A, Galvez-Sánchez Carmen M, Galli Federica, Limiñana Gras Rosa M
Foundation Project Man Jaén, 23002 Jaén, Spain.
Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Speech Therapy, University of Murcia, Building 31, 30100 Murcia, Spain.
J Clin Med. 2024 Oct 12;13(20):6086. doi: 10.3390/jcm13206086.
: Addictive and substance-related disorders represent a substantial public health challenge, marked by rising incidence and prevalence rates. Men and women exhibit different patterns of help-seeking for health and social issues including addictions. This research aimed to analyze the help-seeking process among men with addiction to improve understanding and develop more effective, person-centered treatments. : This systematic review was performed based on the Cochrane Collaboration guidelines and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The protocol of the revision was registered in advance in PROSPERO. Searches were conducted in the PubMed, Scopus, and Web of Science (WOS) databases. Based on the literature search, 16 studies were included in the current systematic review. The analyzed studies included seven on substance-use disorders, three on gambling disorder, two on tobacco-use disorder, two addressing substance-related disorders in general, one on opioid-use disorder, and one focused on marijuana use. Gender differences influenced help-seeking behavior, with women generally exhibiting a higher propensity to seek assistance for addiction-related issues than men. Seeking help for addiction-whether substance use or gambling-can be hindered by several barriers, particularly public stigma and discrimination, which tend to be more pronounced for alcohol and gambling compared to tobacco. Additional barriers in the help-seeking process include negative beliefs and attitudes toward seeking help, often associated with traditional male gender roles. Each substance-use disorder was analyzed in depth to gain a better understanding of the barriers faced by this population. : Integrating a gender perspective into the diagnosis, prevention, and treatment of addiction is essential. As addiction patterns vary between men and women, approaches must be tailored accordingly. Recognizing men as a distinct group in research and clinical practice is also crucial for developing more effective and personalized treatments.
成瘾及物质相关障碍构成了重大的公共卫生挑战，其发病率和患病率不断上升。男性和女性在寻求健康及社会问题（包括成瘾问题）的帮助方面表现出不同模式。本研究旨在分析成瘾男性的求助过程，以增进理解并开发更有效、以人为本的治疗方法。 本系统评价依据Cochrane协作指南进行，并按照系统评价和Meta分析的首选报告项目（PRISMA）指南进行报告。修订方案已预先在PROSPERO中注册。在PubMed、Scopus和科学网（WOS）数据库中进行了检索。基于文献检索，16项研究被纳入当前的系统评价。分析的研究包括7项关于物质使用障碍的研究、3项关于赌博障碍的研究、2项关于烟草使用障碍的研究、2项关于一般物质相关障碍的研究、1项关于阿片类物质使用障碍的研究以及1项关注大麻使用的研究。性别差异影响求助行为，女性通常比男性更倾向于就成瘾相关问题寻求帮助。寻求成瘾问题（无论是物质使用还是赌博）的帮助可能会受到多种障碍的阻碍，特别是公众的耻辱感和歧视，与烟草相比，酒精和赌博方面的耻辱感和歧视往往更为明显。求助过程中的其他障碍包括对寻求帮助的负面信念和态度，这通常与传统男性性别角色相关。对每种物质使用障碍进行了深入分析，以更好地了解该人群面临的障碍。 将性别视角纳入成瘾的诊断、预防和治疗至关重要。由于男性和女性的成瘾模式不同，方法必须相应地进行调整。在研究和临床实践中将男性视为一个独特群体对于开发更有效和个性化的治疗方法也至关重要。
