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治疗机构内酒精与药物联合使用的流行病学:按性别比较

The epidemiology of combined alcohol and drug use within treatment agencies: a comparison by gender.

作者信息

Weisner C

机构信息

Institute of Epidemiology and Behavioral Medicine, Medical Research Institute, Berkeley, California 94709.

出版信息

J Stud Alcohol. 1993 May;54(3):268-74. doi: 10.15288/jsa.1993.54.268.

Abstract

As clinical and research attention focuses on the phenomenon of combined alcohol- and drug-related problems and alcohol and drug systems merge, important questions remain regarding the role of gender across treatment systems. This study examines epidemiologic characteristics in a comprehensive sample of female and male clients in one county's separately administered alcohol treatment (N = 381) and drug treatment (N = 304) systems. Large differences were found between women in alcohol and drug treatment agencies on measures of alcohol and drug patterns and problems. Women in alcohol treatment reported more combined use of problem attribution than women in drug treatment. The same patterns were found for men in comparisons across the two systems. A multivariate model predicting membership in drug versus alcohol treatment discriminated better between women than between men. An unexpected finding was that for all measures of alcohol and drug use and problems, gender differences within treatment systems were smaller than differences comparing women and comparing men between the two treatment systems. The findings point to the heterogeneous nature of both women and men in alcohol and drug programs, and call for further examination of these differences in planning treatment strategies in combined alcohol and drug programs.

摘要

随着临床和研究重点聚焦于酒精与药物相关问题的合并现象以及酒精和药物系统的融合,关于性别在整个治疗系统中的作用仍存在重要问题。本研究调查了一个县分别管理的酒精治疗系统(N = 381)和药物治疗系统(N = 304)中男性和女性客户综合样本的流行病学特征。在酒精和药物使用模式及问题的测量方面,发现酒精治疗机构和药物治疗机构中的女性存在很大差异。与药物治疗机构中的女性相比,酒精治疗机构中的女性报告的问题归因联合使用情况更多。在两个系统的比较中,男性也呈现出相同的模式。一个预测药物治疗与酒精治疗成员身份的多变量模型在区分女性方面比区分男性方面表现更好。一个意外发现是,对于所有酒精和药物使用及问题的测量指标,治疗系统内的性别差异小于两个治疗系统中女性之间以及男性之间的差异比较。研究结果表明,参与酒精和药物项目的男性和女性都具有异质性,并呼吁在规划酒精和药物联合项目的治疗策略时进一步研究这些差异。

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