| Titre : | Stigma and Treatment for Alcohol Disorders in the United States. (2010) |
| Auteurs : | K.M. KEYES ; B.F. GRANT ; D. HASIN ; M.L. HATZENBUEHLER ; B. LINK ; K.A. MCLAUGHLIN ; M. OLFSON |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 172, n° 12, 2010) |
| Pagination : | 1364-1372 |
| Langues: | Anglais |
| Mots-clés : | Alcoolisme ; Thérapeutique ; Alcool ; Boisson alcoolisée ; Consommation alcool ; Consommation ; Alcooliques anonymes ; Psychopathologie ; Honte ; Epidémiologie ; Amérique ; Maladie chronique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 9R0xHm79. Diffusion soumise à autorisation]. Among a nationally representative sample of adults with an alcohol use disorder, the authors tested whether perceived stigmatization of alcoholism was associated with a lower likelihood of receiving alcohol-related services. Data were drawn from a face-to-face epidemiologic survey of 34,653 adults interviewed in 2004-2005 who were aged 20 years or older and residing in households and group quarters in the United States. Alcohol abuse/dependence was diagnosed by using the Alcohol Use Disorder and Associated Disabilities Interview Schedule-Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, version (AUDADIS-IV). The stigma measure used was the Perceived Devaluation-Discrimination Scale. The main outcome was lifetime intervention including professional services and 12-step groups for alcohol disorders. Individuals with a lifetime diagnosis of an alcohol use disorder were less likely to utilize alcohol services if they perceived higher stigma toward individuals with alcohol disorders (odds ratio=0.37,95% confidence interval : 0.18,0.76). Higher perceived stigma was associated with male gender (bêta=-0.75 ; P<0.01), nonwhite compared with non-Hispanic white race/ethnicity, lower income (bêta=1.0 ; P<0.01), education (bêta=1.48 ; P<0.01), and being previously married (bêta=0.47 ; P=0.02). Individuals reporting close contact with an alcohol-disordered individual (e.g., relative with an alcohol problem) reported lower perceived stigma (bêta=-1.70 ; P<0.01). A link between highly stigmatized views of alcoholism and lack of services suggests that stigma reduction should be integrated into public health efforts to promote alcohol treatment. |
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