Access to alcohol and drug treatment for people from historically disadvantaged communities in the Cape Town metropole

Abstract

This study examined factors associated with access to alcohol and drug treatment for people from historically disadvantaged communities in Cape Town, South Africa. The Behavioural Model of Health Services Utilisation was used as a conceptual framework for variable selection, data analysis and the interpretation of findings. A mixed methods design was used that comprised a case-control study and qualitative in-depth interviews. For the case-control study, data were gathered from 434 cases who had accessed treatment and 555 controls who had alcohol or drug problems but had not accessed services. An interviewer-administered questionnaire was used to gather data on socio-demographic variables, indicators of treatment need, and barriers to service use.