Résumé :
|
[BDSP. Notice produite par INIST-CNRS MR0x7AC8. Diffusion soumise à autorisation]. Objectives. We explored changing relations between substance use, welfare receipt, and substance-abuse treatment among low-income mothers before and after welfare reform. Methods. We examined annual data from mothers aged 18 to 49 years in the 1990-2001 National Household Survey of Drug Abuse and the 2002 National Survey of Drug Use and Health. Logistic regression was used to examine determinants of treatment receipt. Results. Among low-income, substance-using mothers, the proportion receiving cash assistance declined from 54% in 1996 to 38% in 2001. The decline was much smaller (37% to 31%) among low-income mothers who did not use illicit substances. Low-income, substance-using mothers who received cash assistance were much more likely than other low-income, substance-using mothers to receive treatment services. Among 2002 National Survey of Drug Use and Health respondents deemed "in need" of substance-abuse treatment, welfare recipients were significantly more likely than nonrecipients to receive such services (adjusted odds ratio=2.31 ; P<. controlling for other factors welfare receipt was associated with higher prevalence of illicit drug use. such use declined among both recipients and mothers between conclusions. is a major access point to identify serve low-income substance-use disorders but it reaches smaller proportion users than did pre-reform. declining substance abuse poses new challenge in serving this population.>
|