Historique
Périodique
Treatment readiness among out-of-treatment African-American crack users
(Le désir de traitement chez des usagers de crack afro-americains non pris en charge)
Auteur(s) :
W. A. ZULE ;
LAM W. K. K. ;
W. M. WECHSBERG
Article en page(s) :
503-510
Refs biblio. :
40
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Thésaurus mots-clés
CRACK
;
TRAITEMENT
;
DEMANDE
;
MOTIVATION
;
QUESTIONNAIRE
Thésaurus géographique
ETATS-UNIS
Note générale :
Journal of Psychoactive Drugs, 2003, 35, (4), 503-510
Note de contenu :
tabl.
Résumé :
ENGLISH :
Crack cocaine use is linked to high rates of HIV and other sexually transmitted infections, as well as violence and criminal activity. Substance abuse treatment can play an important role in reducing drug use and related problems. However, many crack users do not want treatment, and those who do often encounter significant obstacles to access. This study compares 216 out-of-treatment African-American crack users who reported wanting to enter treatment with 129 who did not want treatment. In bivariate analyses, participants wanting treatment in the next 30 days were more likely to report needing help with medical care, daily crack use, physical abuse, transportation issues, and legal pressure to enter treatment. Predictors of treatment readiness in multiple logistic regression analysis included gender, daily crack use, legal pressure, depression, and problem recognition. Fear of physical abuse and previous treatment admissions were associated with decreased odds of wanting treatment. The many unmet needs reported by crack users motivated for treatment suggest that treatment entry and retention could be facilitated by pretreatment and more comprehensive and ancillary treatment services. (Review's abstract.)
ENGLISH :
Crack cocaine use is linked to high rates of HIV and other sexually transmitted infections, as well as violence and criminal activity. Substance abuse treatment can play an important role in reducing drug use and related problems. However, many crack users do not want treatment, and those who do often encounter significant obstacles to access. This study compares 216 out-of-treatment African-American crack users who reported wanting to enter treatment with 129 who did not want treatment. In bivariate analyses, participants wanting treatment in the next 30 days were more likely to report needing help with medical care, daily crack use, physical abuse, transportation issues, and legal pressure to enter treatment. Predictors of treatment readiness in multiple logistic regression analysis included gender, daily crack use, legal pressure, depression, and problem recognition. Fear of physical abuse and previous treatment admissions were associated with decreased odds of wanting treatment. The many unmet needs reported by crack users motivated for treatment suggest that treatment entry and retention could be facilitated by pretreatment and more comprehensive and ancillary treatment services. (Review's abstract.)
Affiliation :
RTI Int., 3040 Cornwallis Rd, Res. Triangle Park, NC 27709
Etats-Unis. United States.
Etats-Unis. United States.
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