Spatial and Environmental Correlates of Prevalence of Treatment for Substance Use Disorders, Retention, and SUD Services Utilization in South Sardinia.

التفاصيل البيبلوغرافية
العنوان:	Spatial and Environmental Correlates of Prevalence of Treatment for Substance Use Disorders, Retention, and SUD Services Utilization in South Sardinia.
المؤلفون:	Congia P; Department of Mental Health and Addiction, SER.D.2, ASSL Cagliari, Via Liguria, Cagliari, Italy. pierpaolo.congia@gmail.com., Carta E; Department of Mental Health and Addiction, SER.D.2, ASSL Cagliari, Via Liguria, Cagliari, Italy.
المصدر:	The Psychiatric quarterly [Psychiatr Q] 2024 Mar; Vol. 95 (1), pp. 121-135. Date of Electronic Publication: 2023 Dec 28.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Kluwer Academic/Plenum Publishers Country of Publication: United States NLM ID: 0376465 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-6709 (Electronic) Linking ISSN: 00332720 NLM ISO Abbreviation: Psychiatr Q Subsets: MEDLINE
أسماء مطبوعة:	Publication: 1999- : New York, NY : Kluwer Academic/Plenum Publishers Original Publication: Utica, N. Y.
مواضيع طبية MeSH:	Facilities and Services Utilization* , Substance-Related Disorders/epidemiology , Substance-Related Disorders/therapy, Male ; Humans ; Prevalence ; Italy/epidemiology
مستخلص:	This study explored the economic, social, and spatial correlates of treatment prevalence, retention, and service utilization for substance use disorder (SUD) in South Sardinia. Data from 1,667 patients with an ICD-10 diagnosis of SUD were extracted from the medical records of individuals assisted by three public addiction services in 2019. We used a spatial autoregressive model, a parametric proportional hazard model, and Poisson regression to examine the associations of spatial factors and residents' socioeconomic status with the prevalence of treatment at the census block level, treatment retention, and SUD service utilization at the individual level. The prevalence was higher among residents of areas closer to competent treatment centers, with the worst building conservation status, a lower percentage of high school and university graduates, and a higher percentage of unemployed, divorced, separated, or widowed residents. Men who were older at the time of their first treatment access; primary users of cocaine, cannabis, and alcohol; had higher education level; and who lived far from competent treatment centers and closer to drug trafficking centers interrupted their treatment earlier. Primary heroin users experienced more SUD treatment encounters. Living in economically and socially disadvantaged areas and near treatment facilities was associated with a higher prevalence, whereas living near drug-dealing centers and far from competent treatment centers was associated with a decrease in treatment retention. (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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فهرسة مساهمة:	Keywords: Neighborhood context; Retention; Substance use disorder; Treatment access; Treatment disparities
تواريخ الأحداث:	Date Created: 20231228 Date Completed: 20240229 Latest Revision: 20240229
رمز التحديث:	20240229
DOI:	10.1007/s11126-023-10065-4
PMID:	38153599
قاعدة البيانات:	MEDLINE

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تدمد:	1573-6709
DOI:	10.1007/s11126-023-10065-4