Perceived Barriers to Treatment for Alcohol Problems: A Latent Class Analysis

被引:72
|
作者
Schuler, Megan S. [1 ]
Puttaiah, Savitha [2 ]
Mojtabai, Ramin [3 ]
Crum, Rosa M. [4 ]
机构
[1] Penn State Univ, Methodol Ctr, State Coll, PA USA
[2] Sinai Hosp, Dept Psychiat, Baltimore, MD 21215 USA
[3] Johns Hopkins Univ, Dept Mental Hlth, Baltimore, MD USA
[4] Johns Hopkins Univ, Dept Epidemiol, Baltimore, MD USA
关键词
SUBSTANCE USE DISORDERS; NATIONAL EPIDEMIOLOGIC SURVEY; MENTAL-HEALTH TREATMENT; UNITED-STATES; HELP-SEEKING; GENERAL-POPULATION; SERVICE UTILIZATION; ANXIETY DISORDERS; ABUSE TREATMENT; NEED;
D O I
10.1176/appi.ps.201400160
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: Low rates of alcohol treatment seeking have been shown to be associated with perceived barriers to treatment, but heterogeneity in patterns of perceived barriers has not been explored. The study analyzed data from a population-based sample of adults with alcohol abuse and dependence in order to describe latent classes of individuals who reported one or more of 15 perceived barriers to seeking alcohol treatment and to identify characteristics associated with class membership. Methods: Data were from the National Epidemiologic Survey on Alcohol and Related Conditions (2001-2002). Analyses were restricted to treatment-naive adults with alcohol abuse or dependence who reported a perceived treatment need (N=1,053). Latent class analysis was performed to identify subgroups with respect to barriers to treatment. Latent class regression identified variables associated with each subgroup. Results: Two subgroups emerged: the low-barriers class (87%), characterized primarily by attitudinal barriers, and the high-barriers class (13%), characterized by significant attitudinal, financial, stigma, and readiness-for-change barriers. In both classes, the most frequently endorsed barrier was the attitudinal belief that "I should be strong enough" to handle the problem without treatment. Univariate analyses showed strong associations between membership in the high-barriers class and comorbid psychiatric disorders, alcohol dependence (compared with abuse), and a family history of alcohol problems. Multivariate analyses found significant associations with a lifetime anxiety disorder and with education level. Conclusions: Attitudinal barriers were most prevalent. Findings revealed a notable subgroup with multiple barriers, including financial and stigma-related barriers. This subgroup may require additional resources and support to enter treatment.
引用
收藏
页码:1221 / 1228
页数:8
相关论文
共 50 条
  • [11] Adolescents' Perceived Control in the Sociopolitical Domain: A Latent Class Analysis
    Christens, Brian D.
    Peterson, N. Andrew
    Reid, Robert J.
    Garcia-Reid, Pauline
    YOUTH & SOCIETY, 2015, 47 (04) : 443 - 461
  • [12] A latent class analysis of alcohol-related problems among adults who drank in the past year
    Frankeberger, Jessica
    Coulter, Robert W. S.
    Mair, Christina
    JOURNAL OF SUBSTANCE USE, 2024, 29 (05) : 753 - 758
  • [13] Examining Childhood Behavior Problems as Predictors of Alcohol Dependency in Emerging Adulthood: A Latent Class Analysis Approach
    Wojciechowski, Thomas
    JOURNAL OF DRUG ISSUES, 2024,
  • [14] Perceived barriers to quitting smoking among alcohol dependent patients in treatment
    Asher, MK
    Martin, RA
    Rohsenow, DJ
    MacKinnon, SV
    Traficante, R
    Monti, PM
    JOURNAL OF SUBSTANCE ABUSE TREATMENT, 2003, 24 (02) : 169 - 174
  • [15] Perceived stigma, self stigma and barriers to treatment in alcohol dependent individuals
    Tripathi, R.
    Singh, S.
    Prithviraj, M.
    Nair, A.
    EUROPEAN PSYCHIATRY, 2023, 66 : S673 - S673
  • [16] THE ROLE OF DRUGS IN ALCOHOL OVERDOSE: A LATENT CLASS ANALYSIS AMONG PATIENTS IN RESIDENTIAL ADDICTION TREATMENT
    Gicquelais, R. E.
    Jannaush, M.
    Bohnert, A. S. B.
    Fernandez, A. C.
    ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 2019, 43 : 122A - 122A
  • [17] The Role of Drugs in Alcohol Poisoning and Blackout Events: A Latent Class Analysis of a Residential Treatment Sample
    Fernandez, Anne C.
    Gicquelais, Rachel E.
    Jannausch, Mary
    Bohnert, Amy S. B.
    ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 2019, 43 (11) : 2431 - 2437
  • [18] SUBTYPES OF ALCOHOL DEPENDENCE IN MILITARY VETERANS: A LATENT CLASS ANALYSIS
    Arias, A.
    Mota, N.
    Trevisan, L.
    Southwick, S.
    Pietrzak, R.
    ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 2015, 39 : 12A - 12A
  • [19] Subtypes of Alcohol and Intimate Partner Violence: A Latent Class Analysis
    Klostermann, Keith
    Mignone, Theresa
    Chen, Rui
    VIOLENCE AND VICTIMS, 2009, 24 (05) : 563 - 576
  • [20] Alcohol consumption among university students: A latent class analysis
    Davoren, Martin P.
    Dahly, Darren
    Shiely, Frances
    Perry, Ivan J.
    DRUGS-EDUCATION PREVENTION AND POLICY, 2018, 25 (05) : 422 - 430