Novins D K, Harman C P, Mitchell C M, Manson S M
National Center for American Indian and Alaska Native Mental Health Research, Department of Psychiatry, University of Colorado Health Sciences Center, Denver 80220, USA.
J Am Acad Child Adolesc Psychiatry. 1996 Jan;35(1):110-7. doi: 10.1097/00004583-199601000-00019.
This study examines factors potentially associated with the receipt of alcohol treatment services among a large sample of American Indian adolescents.
Data for this study were drawn from the Voices of Indian Teens project, a 5-year, longitudinal project involving school-based survey data collection at 10 primarily American Indian schools. In November 1992 a total of 2,077 American Indian youths in grades 9 through 12 completed self-report surveys. Of these, 1,681 had a complete set of data for these analyses. Three logistic regression models were developed to predict the probability of (1) receipt of treatment, (2) treatment recommendation, and (3) receipt of treatment among those teenagers who received a treatment recommendation.
The probability of an individual receiving treatment was 15 times greater if treatment was recommended. Treatment recommendation mediated the relationship of several measures of psychological distress and alcohol use, abuse, and dependence with actual treatment.
Recommendation for treatment is strongly associated with receiving treatment. Community education about the risks, signs, symptoms, need, and mechanisms for obtaining treatment of alcohol abuse among youths might help alcohol-abusing individuals receive the help they need.
本研究调查了一大批美国印第安青少年接受酒精治疗服务可能相关的因素。
本研究的数据取自“印第安青少年之声”项目，这是一个为期5年的纵向项目，涉及在10所主要为美国印第安人学校进行基于学校的调查数据收集。1992年11月，共有2077名9至12年级的美国印第安青年完成了自我报告调查。其中，1681人有用于这些分析的完整数据集。开发了三个逻辑回归模型来预测以下概率：（1）接受治疗；（2）治疗建议；（3）在那些收到治疗建议的青少年中接受治疗的概率。
如果被建议接受治疗，个体接受治疗的概率会高出15倍。治疗建议介导了几种心理困扰及酒精使用、滥用和依赖的测量指标与实际治疗之间的关系。
治疗建议与接受治疗密切相关。开展关于青少年酒精滥用的风险、迹象、症状、需求以及获得治疗的机制的社区教育，可能有助于酗酒个体获得他们所需的帮助。
