Cited by 335Substance Abuse Treatment and OutcomesMental Health Treatment and AccessHomelessness and Social Issues

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Barriers to alcoholism treatment: reasons for not seeking treatment in a general population sample.

Grant, B F·1997·Journal of Studies on Alcohol

DOI 10.15288/jsa.1997.58.365

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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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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
DOI: 10.15288/jsa.1997.58.365
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
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Sociology and Political Science › 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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Barriers to alcoholism treatment: reasons for not seeking treatment in a general population sample.

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