Barriers to alcoholism treatment: reasons for not seeking treatment in a general population sample.
Abstract
OBJECTIVE: The present study reports responses to numerous direct questions related to reasons for not seeking alcoholism treatment given the perceived need for treatment among respondents classified with an alcohol use disorder (N = 964, 69.8% male, 93.5% nonblack) in a larger representative sample of the United States population. METHOD: Data were derived from the 1992 National Longitudinal Alcohol Epidemiologic Survey, a national probability sample of 42,862 respondents, aged 18 years and older, from the noninstitutionalized population of the contiguous states. RESULTS: Lack of confidence in the alcoholism treatment system and its effectiveness, stigmatization and denial were identified as significant barriers to alcoholism treatment at the aggregate level. In general, enabling factors such as lack of financial resources or facilities for child care were much less important barriers to care than were individual predisposing factors including attitudes towards alcoholism treatment. CONCLUSIONS: Important sociodemographic differences in identified barriers to care are discussed in terms of their minimization through proposed changes in education, screening, outreach, detection, and referral patterns in alcoholism treatment delivery systems.
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A high proportion of individuals with problematic drinking behaviour do not seek help.
“To reach even the high proportion of individuals with problematic drinking behaviour, who do not seek help (Grant, 1997), BI may be usefully applied in primary health care settings (Bertholet et al., 2005).”
From Differences in help seeking rates after brief intervention for alcohol use disorders in general practice patients with and without comorbid anxiety or depressive disorders (2008) · cites this paper as Grant, 1997
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- Authors
- Grant, B. F.
- Affiliations
- National Institute on Alcohol Abuse and Alcoholism (US)
- Corresponding author
- Grant, B F
- Venue
- Journal of Studies on Alcohol
- Publisher
- Alcohol Research Documentation, Inc.
- Published
- 1997-07
- Volume
- 58
- Issue
- 4
- Pages
- 365-371
- ISSN
- 0096-882X (ISSN-L)
- 1934-2683
- OpenAlex
- W1972267476
- Cited by
- 334
- References
- 13
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 6 · 2023: 7 · 2022: 10 · 2021: 10 · 2020: 51 · 2019: 9 · 2018: 14 · 2017: 9 · 2016: 15 · 2015: 17 · 2014: 9 · 2013: 16 · 2012: 13
- FWCI
- 4.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Studies on Alcohol (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- alcoholism treatment, barriers to treatment, treatment seeking, alcoholism, perceived need for treatment, treatment confidence, treatment attitudes, sociodemographic differences, referral to treatment, alcohol screening
- MeSH terms
- Adolescent, Adult, Aged, Alcoholism, Attitude to Health, Denial, Psychological, Female, Health Services Accessibility, Humans, Longitudinal Studies, Male, Middle Aged, Motivation, Patient Acceptance of Health Care, United States, Treatment Outcome
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