Gender differences in substance use, problems, social situation and treatment experiences among clients entering addiction treatment in Stockholm (original) (raw)
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Women and men in alcohol and drug treatment: An overview of a Stockholm County study
2003
Treatment centers specifically for alcohol problems first appeared in Sweden on a small scale in 1885 and the years following. In 1916 the Alcoholics Act came into force, providing for compulsory treatment for anyone who due to excessive drinking was a danger to his/her own or others' safety or life, failed to provide for his/her family, or was a burden to the poor-relief system (Blomqvist, 1998).
Frontiers in Psychiatry, 2022
Background: Gender inequity is a pervasive challenge to health equity on a global scale, and research shows the impact of sex and gender on substance use regarding for example epidemiology, treatment needs, treatment admission and treatment outcomes. The gender-transformative approach to action and health indicates that health interventions may maintain, exacerbate or reduce gender-related health inequalities, depending on the degree and quality of gender-responsiveness within the programme or policy. However, research shows a lack of gender-responsive initiatives in the alcohol and drug addiction field. Aims: The purpose of this study is to explore in depth how alcohol and drug treatment can be made more sensitive to female users' treatment needs from the perspective of service providers. Consequently, study findings can inform the development of gender-responsive treatment options and aid to a deeper understanding of how these trends are designated on the continuum of approaches to action and health in the alcohol and drug field. Methods: Four focus groups were organized across di erent regions in Belgium with a total of participants, including service providers, policy makers and women who use(d) drugs. Results: The perspective of the participants on substance use prevention and treatment for female users incorporates some crucial gender-specific and gender-transformative features. Next to implementing mother-child options, a holistic approach, experts by experience and empowering women in treatment, professionals report the relevance of awareness raising campaigns targeting all levels and sectors in society. Also, recurring attention was given to the role of men in the narratives of female users. Conclusion: Study findings show that the field of alcohol and drug prevention and treatment is being looked at through the lens of gender-responsiveness. However, to achieve improvement in the lives of both women and men, and hence creating more equal chances and opportunities in substance abuse Frontiers in Psychiatry frontiersin.org Schamp et al.. /fpsyt. .
Substance Use Disorder: A Need to Address the Gender Difference
International Journal of Indian Psychology
This paper aim to emphasize on the increase in the number of substance abuse among women along with a highlight on the need to understand gender differences in substance use disorders and necessitate having gender specific treatment which address the specific needs of women with substance use problems. With this aim, this article has put an effort to give more insight into gender differences in substance use disorders by elaborating on bio-psycho-social differences. This article also help the mental health professionals to acknowledge the need to have a specific intervention programme which address the issues, needs, strengths and challenges of women with substance use disorder. A brief review of literature pertaining to this specific area shows the necessity to develop a need based psychosocial intervention exclusively addressing women specific bio-psycho-social issues of substance dependence is of critical in the context of increasing women’s alcohol and other substance dependenc...
WOMEN WITH ALCOHOL PROBLEMS SEEKING TREATMENT
2010
The consequences of hazardous or harmful alcohol use are both physiological and psychosocial and seem to occur earlier in the use of alcohol for women as compared to men. Seeking treatment for alcohol problems means crossing a threshold; this is especially the case for women who perceive that having an alcohol problem is not compatible with female gender expectations. In the present thesis the complete data sets of 134 women, consecutively seeking treatment during 2001 -2005 at a Swedish clinic specialized in women with alcohol problems, were studied. Almost all women fulfilled the criteria of a DSM-IV diagnosis of alcohol dependence. The main aims were to explore the women's underlying individual and psychosocial characteristics within a Swedish context, and to examine factors influencing treatment outcomes.
American Journal on Addictions, 2010
Despite a lower prevalence of opioid dependence among females, drug-related problems and risk factors such as prostitution have a negative effect for women in treatment. This study was conducted with the purpose of analyzing gender differences in the German trial on heroin-assisted treatment (HAT), which compared HAT with methadone maintenance treatment (MMT). Significant baseline gender differences were found, with females showing a greater extent of mental distress. Differences in retention and outcome were significant for male patients, but no differences between treatment options were found for female patients. Ongoing prostitution was found to influence drug use outcomes. Other outcome criteria may need to be stressed when assessing the effect of HAT for women. (Am J Addict 2010;00:1–7)
American Journal on Addictions, 2000
Despite a lower prevalence of opioid dependence among females, drug-related problems and risk factors such as prostitution have a negative effect for women in treatment. This study was conducted with the purpose of analyzing gender differences in the German trial on heroin-assisted treatment (HAT), which compared HAT with methadone maintenance treatment (MMT). Significant baseline gender differences were found, with females showing a greater extent of mental distress. Differences in retention and outcome were significant for male patients, but no differences between treatment options were found for female patients. Ongoing prostitution was found to influence drug use outcomes. Other outcome criteria may need to be stressed when assessing the effect of HAT for women. (Am J Addict
A Nationwide Study of Norwegian Drug Abusers in Treatment: Methods and findings
Nordic Studies on Alcohol and Drugs, 1997
The National Institute for Alcohol and Drug Research (SIFA) has completed the first nationwide survey of drug abusers in treatment in Norway. Experiences from the study have contributed to the creation and initial implementation of a monitoring system for treatment demands and treatment measures in the country. This article presents the approach and methods used in the SIFA study. It provides an overview of the material and focusses on describing clients from long-term residential and outpatient treatment modalities. The results are presented within seven areas: socio-demographics, substance abuse, mental health and significant problems, risk behaviour, social functioning, social network, and biographical data on childhood/adolescence. These areas are analysed by the variables of gender, age, urban Oslo/outside Oslo clients, and client populations from residential/outpatient treatment. The authors reflect upon the prospects opened by such comprehensive documentation concerning preve...
Sex differences in the comorbidity of patients seeking a first treatment for Alcohol Use Disorder
International Journal of Mental Health and Addiction
Background The CohRTA multicenter study aims to characterize patients undergoing a first treatment for alcohol use disorder (AUD). The objective is to analyze sex-specific differences in the comorbidity of AUD when starting the first treatment for the disorder. Methods A multicenter study was carried out between 2014 and 2021 in 6 public centers in Spain. Sociodemographic characteristics were collected, variables related to alcohol consumption, medical comorbidity according to Cumulative Illness Rating Scale-Substance Abuse (CIRS-SA), antecedent of psychiatric comorbidity, general blood test and screening for drugs in urine. Logistic regression models were used to establish associations. Results A total of 896 patients (634 M, 262 W) were included. Median age at admission was 48 years [IQR:41–56 years]. Men reported beginning regular alcohol consumption at an earlier age and drank more alcohol. The most frequent medical comorbidities were hepatic, respiratory, vascular and neurologi...
Journal of Substance Abuse Treatment, 2004
This article aims to examine specific substance use profiles among former Soviet Union (FSU) immigrant and native-born women in Israeli therapeutic treatment facilities. Individuals were sampled at drug treatment facilities and assessed using the Addiction Severity Index. ASI scores suggest differences between the two groups. Among the findings are native born females have been using heroin and amphetamines longer than FSU immigrants; however, immigrant women have more years of alcohol use. FSU women are more inclined to be injection drug users, prefer shorter forms of treatment, and to use alcohol when receiving treatment for heroin addiction. FSU women have higher levels of chronic medical problems, HCV, and HIV/AIDS. The study results tend to support the position that treatment of special populations may be enhanced if their particular needs associated with personal attributes and background characteristcs are considered and met in a treatment environment.