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Cross-national patterns of substance use disorder treatment and associations with mental disorder comorbidity in the WHO World Mental Health Surveys

dc.creatorHarris, Meredith G.es_ES
dc.creatorBharat, Chriannaes_ES
dc.creatorGlantz, Meyer D.es_ES
dc.creatorSampson, Nancy A.es_ES
dc.creatorAl-Hamzawi, Alies_ES
dc.creatorAlonso, Jordies_ES
dc.creatorBruffaerts, Ronnyes_ES
dc.creatorCaldas de Almeida, José Migueles_ES
dc.creatorCia, Alfredo H.es_ES
dc.creatorGirolamo, Giovanni dees_ES
dc.creatorFlorescu, Silviaes_ES
dc.creatorGureje, Oyees_ES
dc.creatorHaro, Josep Mariaes_ES
dc.creatorHinkov, Hristoes_ES
dc.creatorKaram, Elie G.es_ES
dc.creatorKaram, Georgeses_ES
dc.creatorLee, Singes_ES
dc.creatorLé pine, Jean-Pierrees_ES
dc.creatorLevinson, Daphnaes_ES
dc.creatorMakanjuola, Victores_ES
dc.creatorMcGrath, Johnes_ES
dc.creatorMneimneh, Zeinaes_ES
dc.creatorNavarro-Mateu, Fernandoes_ES
dc.creatorPiazza, Marinaes_ES
dc.creatorPosada-Villa, Josées_ES
dc.creatorRapsey, Charlenees_ES
dc.creatorTachimori, Hisaterues_ES
dc.creatorHave, Margreet tenes_ES
dc.creatorTorres, Yolandaes_ES
dc.creatorViana, Maria Carmenes_ES
dc.creatorChatterji, Somnathes_ES
dc.creatorZaslavsky, Alan M.es_ES
dc.creatorKessler, Ronald C.es_ES
dc.creatorDegenhardt, Louisaes_ES
dc.creatorWHO World Mental Health Surveys collaboratorses_ES
dc.creatorBenjet, Corinaes_ES
dc.creatorBorges, Guilhermees_ES
dc.creatorMedina-Mora, María Elenaes_ES
dc.date2019
dc.date.accessioned2022-07-14T19:04:43Z
dc.date.available2022-07-14T19:04:43Z
dc.date.issued2019es_ES
dc.identifierJC014es_ES
dc.identifier.issn0965-2140es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7554
dc.identifier.urihttps://doi.org/10.1111/add.14599es_ES
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7408310/es_ES
dc.descriptionAims To examine cross-national patterns of 12-month substance use disorder (SUD) treatment and minimally adequate treatment (MAT), and associations with mental disorder comorbidity. Design Cross-sectional, representative household surveys. Setting Twenty-seven surveys from 25 countries of the WHO World Mental Health Survey Initiative. Participants A total of 2446 people with past-year DSM-IV SUD diagnoses (alcohol or illicit drug abuse and depen dence). Measurements Outcomes were SUD treatment, defined as having either received professional treatment or attended a self-help group for substance-related problems in the past 12 months, and MAT, defined as having either four or more SUD treatment visits to a health-care professional, six or more visits to a non-health-care professional or being in ongoing treatment at the time of interview. Covariates were mental disorder comorbidity and several socio-economic char acteristics. Pooled estimates reflect country sample sizes rather than population sizes. Findings Of respondents with past year SUD, 11.0% [standard error (SE) = 0.8] received past 12-month SUD treatment. SUD treatment was more common among people with comorbid mental disorders than with pure SUDs (18.1%, SE = 1.6 versus 6.8%, SE = 0.7), as was MAT (84.0%, SE = 2.5 versus 68.3%, SE = 3.8) and treatment by health-care professionals (88.9%, SE = 1.9 versus 78.8%, SE = 3.0) among treated SUD cases. Adjusting for socio-economic characteristics, mental disorder comorbidity doubled the odds of SUD treatment [odds ratio (OR) = 2.34; 95% confidence interval (CI) = 1.71–3.20], MAT among SUD cases (OR = 2.75; 95% CI = 1.90–3.97) and MAT among treated cases (OR = 2.48; 95% CI = 1.23–5.02). Patterns were similar within country income groups, although the proportions receiving SUD treatment and MAT were higher in high than low-/middle-income countries. Conclusions Few people with past-year substance use disorders receive adequate 12-month substance use disorder treatment, even when comorbid with a mental disorder. This is largely due to the low proportion of people receiving any substance use disorder treatment, as the proportion of patients whose treatment is at least minimally adequate is high.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherWiley-Blackwelles_ES
dc.relation114(8)1446-1459es_ES
dc.rightsAcceso Cerradoes_ES
dc.titleCross-national patterns of substance use disorder treatment and associations with mental disorder comorbidity in the WHO World Mental Health Surveyses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationSchool of Public Health, The University of Queensland and Queensland Centre for Mental Health Research Level 3, Dawson House, The Park Centre for Mental Health Australia, Queensland, Australia.es_ES
dc.contributor.emailmeredith_harris@qcmhr.uq.edu.aues_ES
dc.relation.jnabreviadoADDICTIONes_ES
dc.relation.journalAddictiones_ES
dc.identifier.placeInglaterraes_ES
dc.date.published2019
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1360-0443es_ES
dc.identifier.doi10.1111/add.14599es_ES
dc.subject.kwComorbidityes_ES
dc.subject.kwMental disorderses_ES
dc.subject.kwMinimally adequate treatmentes_ES
dc.subject.kwSubstance use disorderses_ES
dc.subject.kwTreatmentes_ES
dc.subject.kwWorld Mental Health Surveyses_ES


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