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Patterns and predictors of treatment seeking after onset of a substance use disorder

dc.creatorKessler, Ronald C.
dc.creatorAguilar-Gaxiola, Sergio
dc.creatorBerglund, Patricia A.
dc.creatorCaraveo-Anduaga, Jorge J.
dc.creatorDeWit, David J.
dc.creatorGreenfield, Shelly F.
dc.creatorKolody, Bohdan
dc.creatorOlfson, Mark
dc.creatorVega, William A.
dc.date.accessioned2017-06-29T04:25:15Z
dc.date.available2017-06-29T04:25:15Z
dc.date.issued2001es_ES
dc.identifier327es_ES
dc.identifier.issn0003-990Xes_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/5020
dc.identifier.urihttps://doi.org/10.1001/archpsyc.58.11.1065es_ES
dc.language.isoenges_ES
dc.relation58 (11) 1065-1071 p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshAdolescentes_ES
dc.subject.meshAdultes_ES
dc.subject.meshFemalees_ES
dc.subject.meshHumanses_ES
dc.subject.meshMalees_ES
dc.subject.meshMiddle Agedes_ES
dc.subject.meshPatient Acceptance of Health Care-statistics & numerical dataes_ES
dc.subject.meshPrevalencees_ES
dc.subject.meshProspective Studieses_ES
dc.subject.meshPsychiatric Status Rating Scaleses_ES
dc.subject.meshQuestionnaireses_ES
dc.subject.meshRetrospective Studieses_ES
dc.subject.meshSubstance-Related Disorders-diagnosises_ES
dc.subject.meshSubstance-Related Disorders-epidemiologyes_ES
dc.subject.meshSubstance-Related Disorders-therapyes_ES
dc.subject.meshPsychiatryes_ES
dc.titlePatterns and predictors of treatment seeking after onset of a substance use disorderes_ES
dc.typearticlees_ES
dc.contributor.affiliationDepartment of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA.es_ES
dc.contributor.emailkessler@hcp.med.harvard.edues_ES
dc.relation.jnabreviadoARCH GEN PSYCHIATRYes_ES
dc.relation.journalArchives of General Psychiatryes_ES
dc.identifier.placeChicagoes_ES
dc.date.published2001es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1538-3636es_ES
dc.identifier.doi10.1001/archpsyc.58.11.1065es_ES
dc.description.abstractotrodiomaBACKGROUND: We studied survey respondents aged 18 through 54 years to determine consistent predictors of treatment seeking after onset of a DSM-III-R substance use disorder. METHODS: Survey populations included a regional sample in Ontario (n = 6261), a national sample in the United States (n = 5388), and local samples in Fresno, Calif (n = 2874) and Mexico City, Mexico (n = 1734). The analysis examined the effects of demographics, symptoms, and types of substances on treatment seeking. RESULTS: Between 50% (Ontario) and 85% (Fresno) of people with substance use disorders seek treatment but the time lag between onset and treatment seeking averages a decade or more. Consistent predictors of treatment seeking include: (1) late onset of disorder (odds ratio [OR], 3.8; 95% confidence interval [CI], 2.6-5.6 for late [> or =30 years] vs early [1-15 years] age at first symptom of disorder); (2) recency of cohort (OR, 3.4; 95% CI, 2.3-5.0 for most recent [aged 15-24 years at interview] vs earliest [aged > or =45 years] cohorts); (3) 4 specific dependence symptoms (using larger amounts than intended, unsuccessful attempts to cut down use, tolerance, and withdrawal symptoms), with ORs ranging between 1.6 (95% CI, 1.3-2.0) and 2.7 (95% CI, 2.1-3.6) for people with vs without these symptoms; and (4) use vs nonuse of cocaine (OR, 2.1; 95% CI, 1.6-2.7) and heroin (OR, 2.6; 95% CI, 1.1-6.0). CONCLUSIONS: Although most people with substance use disorders eventually seek treatment, treatment seeking often occurs a decade or more after the onset of symptoms of disorder. While treatment seeking has increased in recent years, it is not clear whether this is because of increased access, increased demand, increased societal pressures, or other factors.es_ES


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