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JAMA. 1992 Oct 14;268(14):1872-6.

Gender disparities in treatment for alcohol problems.

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  • 1Alcohol Research Group, School of Public Health, University of California, Berkeley.

Abstract

OBJECTIVE:

To examine women's access to treatment for alcohol problems in terms of the prevalence, characteristics, and treatment-seeking patterns of problem drinkers in a range of alcohol-specific and nonspecialized health care systems.

DESIGN:

In-person survey.

SETTING:

A Northern California county.

PARTICIPANTS:

Consecutive samples of admissions in public alcohol treatment (n = 381), drug treatment (n = 210), mental health treatment (n = 406), emergency health services (n = 2626), primary health clinics (n = 394), and adults in the county general population (n = 3069).

PRIMARY OUTCOME MEASURES:

Prevalence and relative risk (RR) of problem drinking and rates of alcohol-related treatment episodes.

RESULTS:

Rates of problem drinking were higher among men than women across all samples. However, after accounting for gender differences in general population rates, women in all of the non-alcohol-specific clinical samples were at greater risk than men for problem drinking (eg, RR = 5.6 for women and RR = 2.1 for men in the mental health sample). Men reported a greater variety in types of services sought in past alcohol-related treatment encounters, but women experienced greater symptom severity.

CONCLUSIONS:

Female problem drinkers were more likely than male problem drinkers to use non-alcohol-specific health care settings, particularly mental health treatment services, and to report greater symptom severity. Future research on women's access to services for alcohol problems should consider a range of health care systems and gender differences in seeking help.

PMID:
1328695
[PubMed - indexed for MEDLINE]
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