Perceived unmet need for alcohol and drug use treatments and future use of services: Results from a longitudinal study

Research output: Contribution to journalArticle

Abstract

Background: This study assessed the association of perceived need for and perceived barriers to treatments for substance use disorder (SUD) with subsequent use of these treatments in community settings. Methods: Drawing on data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), we examined the association of perceived need and barriers to SUD treatments in waves 1 of NESARC (2001-2002; n= 43,093) with the subsequent use of these treatments in the follow-up wave 2 (2004-2005; n= 34,625). Results: Only 8.5% (n= 195) of the 2333 NESARC participants with an untreated 12-month SUD in wave 1 perceived a need for SUD treatment. Participants who reported a perceived need were more likely to use these services in follow-up than those who did not report such a need (14.8% vs. 4.9%, adjusted odds ratio [aOR] = 3.16, 95% confidence intervals [CI] = 1.70-5.90, P<0.001). Among participants who perceived a need, those who reported pessimistic attitudes towards treatments as a barrier were less likely than others to use services in follow-up (aOR = 0.08, 95% CI = 0.01-0.73, P= 0.027). Other barriers, including financial barriers and stigma were not significantly associated with treatment seeking. Conclusions: The findings suggest the need for a two-pronged approach to improving treatment seeking for SUD in community settings: one focusing on enhancing recognition of these disorders, the other focusing on educating potential consumers regarding the benefits of SUD treatments.

Original languageEnglish (US)
Pages (from-to)59-64
Number of pages6
JournalDrug and Alcohol Dependence
Volume127
Issue number1-3
DOIs
StatePublished - Jan 1 2013

Fingerprint

Substance-Related Disorders
Longitudinal Studies
Alcohols
Pharmaceutical Preparations
Odds Ratio
Confidence Intervals
Surveys and Questionnaires

Keywords

  • Barriers to care
  • Help-seeking
  • Perceived need for treatment

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Toxicology
  • Pharmacology
  • Pharmacology (medical)

Cite this

@article{55e8f1e99d954d7b95a0988eb49dee82,
title = "Perceived unmet need for alcohol and drug use treatments and future use of services: Results from a longitudinal study",
abstract = "Background: This study assessed the association of perceived need for and perceived barriers to treatments for substance use disorder (SUD) with subsequent use of these treatments in community settings. Methods: Drawing on data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), we examined the association of perceived need and barriers to SUD treatments in waves 1 of NESARC (2001-2002; n= 43,093) with the subsequent use of these treatments in the follow-up wave 2 (2004-2005; n= 34,625). Results: Only 8.5{\%} (n= 195) of the 2333 NESARC participants with an untreated 12-month SUD in wave 1 perceived a need for SUD treatment. Participants who reported a perceived need were more likely to use these services in follow-up than those who did not report such a need (14.8{\%} vs. 4.9{\%}, adjusted odds ratio [aOR] = 3.16, 95{\%} confidence intervals [CI] = 1.70-5.90, P<0.001). Among participants who perceived a need, those who reported pessimistic attitudes towards treatments as a barrier were less likely than others to use services in follow-up (aOR = 0.08, 95{\%} CI = 0.01-0.73, P= 0.027). Other barriers, including financial barriers and stigma were not significantly associated with treatment seeking. Conclusions: The findings suggest the need for a two-pronged approach to improving treatment seeking for SUD in community settings: one focusing on enhancing recognition of these disorders, the other focusing on educating potential consumers regarding the benefits of SUD treatments.",
keywords = "Barriers to care, Help-seeking, Perceived need for treatment",
author = "Ramin Mojtabai and Crum, {Rosa M}",
year = "2013",
month = "1",
day = "1",
doi = "10.1016/j.drugalcdep.2012.06.012",
language = "English (US)",
volume = "127",
pages = "59--64",
journal = "Drug and Alcohol Dependence",
issn = "0376-8716",
publisher = "Elsevier Ireland Ltd",
number = "1-3",

}

TY - JOUR

T1 - Perceived unmet need for alcohol and drug use treatments and future use of services

T2 - Results from a longitudinal study

AU - Mojtabai, Ramin

AU - Crum, Rosa M

PY - 2013/1/1

Y1 - 2013/1/1

N2 - Background: This study assessed the association of perceived need for and perceived barriers to treatments for substance use disorder (SUD) with subsequent use of these treatments in community settings. Methods: Drawing on data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), we examined the association of perceived need and barriers to SUD treatments in waves 1 of NESARC (2001-2002; n= 43,093) with the subsequent use of these treatments in the follow-up wave 2 (2004-2005; n= 34,625). Results: Only 8.5% (n= 195) of the 2333 NESARC participants with an untreated 12-month SUD in wave 1 perceived a need for SUD treatment. Participants who reported a perceived need were more likely to use these services in follow-up than those who did not report such a need (14.8% vs. 4.9%, adjusted odds ratio [aOR] = 3.16, 95% confidence intervals [CI] = 1.70-5.90, P<0.001). Among participants who perceived a need, those who reported pessimistic attitudes towards treatments as a barrier were less likely than others to use services in follow-up (aOR = 0.08, 95% CI = 0.01-0.73, P= 0.027). Other barriers, including financial barriers and stigma were not significantly associated with treatment seeking. Conclusions: The findings suggest the need for a two-pronged approach to improving treatment seeking for SUD in community settings: one focusing on enhancing recognition of these disorders, the other focusing on educating potential consumers regarding the benefits of SUD treatments.

AB - Background: This study assessed the association of perceived need for and perceived barriers to treatments for substance use disorder (SUD) with subsequent use of these treatments in community settings. Methods: Drawing on data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), we examined the association of perceived need and barriers to SUD treatments in waves 1 of NESARC (2001-2002; n= 43,093) with the subsequent use of these treatments in the follow-up wave 2 (2004-2005; n= 34,625). Results: Only 8.5% (n= 195) of the 2333 NESARC participants with an untreated 12-month SUD in wave 1 perceived a need for SUD treatment. Participants who reported a perceived need were more likely to use these services in follow-up than those who did not report such a need (14.8% vs. 4.9%, adjusted odds ratio [aOR] = 3.16, 95% confidence intervals [CI] = 1.70-5.90, P<0.001). Among participants who perceived a need, those who reported pessimistic attitudes towards treatments as a barrier were less likely than others to use services in follow-up (aOR = 0.08, 95% CI = 0.01-0.73, P= 0.027). Other barriers, including financial barriers and stigma were not significantly associated with treatment seeking. Conclusions: The findings suggest the need for a two-pronged approach to improving treatment seeking for SUD in community settings: one focusing on enhancing recognition of these disorders, the other focusing on educating potential consumers regarding the benefits of SUD treatments.

KW - Barriers to care

KW - Help-seeking

KW - Perceived need for treatment

UR - http://www.scopus.com/inward/record.url?scp=84870948978&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84870948978&partnerID=8YFLogxK

U2 - 10.1016/j.drugalcdep.2012.06.012

DO - 10.1016/j.drugalcdep.2012.06.012

M3 - Article

C2 - 22770461

AN - SCOPUS:84870948978

VL - 127

SP - 59

EP - 64

JO - Drug and Alcohol Dependence

JF - Drug and Alcohol Dependence

SN - 0376-8716

IS - 1-3

ER -