Weisner C, Greenfield T, Room R
Alcohol Research Group, California Pacific Medical Research Institute, Berkeley.
Am J Public Health. 1995 Jan;85(1):55-60. doi: 10.2105/ajph.85.1.55.
The purpose of this study was to conduct a comprehensive analysis of alcohol-treatment service utilization trends in the general population during the 1980s.
Three national surveys of the US household population (1979, 1984, and 1990) were used for trend analysis of treatment utilization. Trends in demographic characteristics of persons with lifetime treatment rates and particular types of treatment were examined by means of logistic regression analysis, controlling for alcohol problem severity and other variables.
Substantial increases in the numbers reporting treatment were found. In all surveys, Alcoholics Anonymous was the treatment used most frequently and its use increased most, especially for women. Men were more likely than women (odds ratio [OR] = 2.01, 95% confidence interval [CI] = 1.20, 5.39) and unmarried persons were twice as likely as married persons to have been treated [corrected]. Social consequences carried more predictive power than dependence symptoms.
From a general population perspective, while overall treatment capacity has increased, the structural changes in the public/private balance of services have not positively affected the representation of women or other characteristics of the treatment population.
本研究旨在对20世纪80年代普通人群中酒精治疗服务利用趋势进行全面分析。
利用三项全美国庭人口调查（1979年、1984年和1990年）对治疗利用情况进行趋势分析。通过逻辑回归分析，在控制酒精问题严重程度和其他变量的情况下，研究终生接受治疗率人群的人口统计学特征趋势以及特定类型的治疗情况。
报告接受治疗的人数大幅增加。在所有调查中，匿名戒酒会是使用最频繁的治疗方式，其使用增加最多，尤其是女性。男性接受治疗的可能性高于女性（优势比[OR]=2.01，95%置信区间[CI]=1.20，5.39），未婚者接受治疗的可能性是已婚者的两倍[校正后]。社会后果比依赖症状具有更强的预测力。
从普通人群的角度来看，虽然总体治疗能力有所提高，但服务的公共/私人平衡结构变化并未对女性的代表性或治疗人群的其他特征产生积极影响。
