Historique
Périodique
Perceived addiction treatment needs among alcohol using injection drug users
(Perception des besoins en traitement par des usagers de drogues par injection consommateurs d'alcool.)
Auteur(s) :
CHARUVASTRA, A. ;
ANDERSON, B. J. ;
FRIEDMANN, P. D. ;
STEIN, M. D.
Année
2002
Page(s) :
93-107
Langue(s) :
Anglais
Refs biblio. :
31
Domaine :
Plusieurs produits / Several products
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
ALCOOL
;
HEROINE
;
INJECTION
;
POLYCONSOMMATION
;
DEMANDE
;
TRAITEMENT
;
USAGER
;
AUTOEVALUATION
Note générale :
Journal of Addictive Diseases, 2002, 21, (4), 93-107
Note de contenu :
tabl.
Résumé :
ENGLISH :
Hazardous drinking is common among active injection drug users (IDUs). This report examines: (1) the perceived alcohol and drug treatment needs of a cohort of IDUs, and (2) whether perceived needs predict treatment entry. One hundred and eighty-seven AUDIT- positive (>= 8), active IDUs were recruited between 2/98-10/99 for the Brief Alcohol Intervention for Needle Exchangers (BRAINE) trial. At entry, about 18% of participants perceived no need for substance abuse treatment, 52% for drug treatment alone, 26% for drug and alcohol treatment, and only 3% a need for alcohol treatment only. Very high levels of drinking and adverse drinking consequences were observed among those perceiving no need for treatment of alcohol problems. Perceived need for alcohol treatment was positively associated with measures of adverse drinking consequences and DSM-lV diagnosis for alcohol dependence. Persons who at baseline perceived the need for alcohol treatment were more likely to enter alcohol treatment at 6-month follow-up than those without a perceived need. We conclude that IDUs with co-occurring alcohol-use disorders perceive alcohol treatment needs as less immediate than drug treatment. Because perceived need predicts treatment entry, changing alcohol treatment perceptions in IDUs promises the potential of significant long-term public health benefits. (Author' s abstract)
Affiliation :
Div. General Internal Med., Rhode Island Hosp., 593 Eddy St., Providence, RI 02903. E-mail: msteinlifespan.org
Etats-Unis. United States.
Etats-Unis. United States.