Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa

 

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dc.contributor.author Myers, Bronwyn en_ZA
dc.contributor.author Kline, Tracy en_ZA
dc.contributor.author Doherty, Irene en_ZA
dc.contributor.author Carney, Tara en_ZA
dc.contributor.author Wechsberg, Wendee en_ZA
dc.date.accessioned 2015-11-27T09:34:28Z
dc.date.available 2015-11-27T09:34:28Z
dc.date.issued 2014 en_ZA
dc.identifier.citation Myers, B., Kline, T. L., Doherty, I. A., Carney, T., & Wechsberg, W. M. (2014). Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa. BMC psychiatry, 14(1), 100. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/15407
dc.identifier.uri http://dx.doi.org/10.1186/1471-244X-14-100
dc.description.abstract BACKGROUND: Initiation of treatment for substance use disorders is low among young women from disadvantaged communities in Cape Town, South Africa. Yet little is known about the factors that influence perceived need for treatment (a determinant of treatment entry) within this population. METHODS: Baseline data on 720 young, drug-using women, collected as part of a randomized field experiment were analyzed to identify predisposing, enabling and health need factors associated with perceived need for treatment. RESULTS: Overall, 46.0% of our sample perceived a need for treatment. Of these participants, 92.4% wanted treatment for their substance use problems but only 50.1% knew where to access services. In multivariable logistic regression analyses, we found significant main effects for ethnicity (AOR=1.54, 95% CI=1.05-1.65), income (AOR=0.96, 95% CI=0.93-0.99), anxiety (AOR=1.22, 95% CI=1.05-1.45), and not having family members with drug problems (AOR=1.45, 95% CI=1.05-2.04) on perceived need for treatment. When the sample was stratified by methamphetamine use, income (AOR=0.87, 95% CI=0.79-0.96), awareness of treatment services (AOR =1.84, 95% CI=1.03-3.27), anxiety (AOR =1.41, 95% CI=1.06-1.87) and physical health status (AOR=6.29, 95% CI=1.56-25.64) were significantly associated with perceived need for treatment among those who were methamphetamine-negative. No variables were significantly associated with perceived need for treatment among participants who were methamphetamine-positive. CONCLUSIONS: A sizeable proportion of young women who could benefit from substance use treatment do not believe they need treatment, highlighting the need for interventions that enhance perceived need for treatment in this population. Findings also show that interventions that link women who perceive a need for treatment to service providers are needed. Such interventions should address barriers that limit young women's use of services for substance use disorders. en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_ZA
dc.source BMC Psychiatry en_ZA
dc.source.uri http://www.biomedcentral.com/bmcpsychiatry/ en_ZA
dc.subject.other Perceived need for drug treatment en_ZA
dc.subject.other Mental health en_ZA
dc.subject.other Women en_ZA
dc.subject.other South Africa en_ZA
dc.subject.other Methamphetamine en_ZA
dc.title Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa en_ZA
dc.type Journal Article en_ZA
dc.rights.holder 2014 Myers et al.; licensee BioMed Central Ltd. en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Psychiatry and Mental Health en_ZA
uct.type.filetype Text
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This is an Open Access article distributed under the terms of the Creative Commons Attribution License Except where otherwise noted, this item's license is described as This is an Open Access article distributed under the terms of the Creative Commons Attribution License