Receipt of pharmacotherapy for alcohol use disorder by justice-involved women in the Veterans Health Administration.
Identifieur interne : 000415 ( Main/Exploration ); précédent : 000414; suivant : 000416Receipt of pharmacotherapy for alcohol use disorder by justice-involved women in the Veterans Health Administration.
Auteurs : Emmeline Taylor [États-Unis] ; Christine Timko [États-Unis] ; Alex H S. Harris [États-Unis] ; Mengfei Yu [États-Unis] ; Andrea K. Finlay [États-Unis]Source :
- Addiction science & clinical practice [ 1940-0640 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Alcoolisme (ethnologie), Alcoolisme (traitement médicamenteux), Anciens combattants (statistiques et données numériques), Department of Veterans Affairs (USA) (statistiques et données numériques), Facteurs socioéconomiques (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Humains (MeSH), Populations d'origine continentale (MeSH), Prisonniers (statistiques et données numériques), États-Unis (MeSH).
- MESH :
- ethnologie : Alcoolisme.
- statistiques et données numériques : Anciens combattants, Department of Veterans Affairs (USA), Prisonniers.
- traitement médicamenteux : Alcoolisme.
- Adulte, Adulte d'âge moyen, Facteurs socioéconomiques, Facteurs âges, Femelle, Humains, Populations d'origine continentale, États-Unis.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Adult (MeSH), Age Factors (MeSH), Alcoholism (drug therapy), Alcoholism (ethnology), Continental Population Groups (MeSH), Female (MeSH), Humans (MeSH), Middle Aged (MeSH), Prisoners (statistics & numerical data), Socioeconomic Factors (MeSH), United States (MeSH), United States Department of Veterans Affairs (statistics & numerical data), Veterans (statistics & numerical data).
- MESH :
- geographic : United States.
- drug therapy : Alcoholism.
- ethnology : Alcoholism.
- statistics & numerical data : Prisoners, United States Department of Veterans Affairs, Veterans.
- Adult, Age Factors, Continental Population Groups, Female, Humans, Middle Aged, Socioeconomic Factors.
Abstract
BACKGROUND
Alcohol use disorder (AUD) and unhealthy drinking are prevalent among women involved in the criminal justice system and women military veterans. Pharmacotherapy-including naltrexone, topiramate, acamprosate, and disulfiram-for AUD is one form of effective treatment that is associated with better health and criminal justice outcomes. The current study examined the association of justice involvement with receipt of pharmacotherapy for AUD, as well as other patient factors that may explain variation in receipt of pharmacotherapy for AUD among women veterans who receive care at Veterans Health Administration (VHA) facilities.
METHODS
Using national VHA clinical records, we examined all women VHA patients who received an AUD diagnosis during an outpatient or inpatient visit in fiscal years (FY) 2014-2017. We compared patient characteristics by justice status, defined as contact with one of the VHA's justice outreach programs, and used a mixed-effects logistic regression model to test whether justice involvement was independently associated with odds of receiving pharmacotherapy for AUD.
RESULTS
Of 10,511 women veterans diagnosed with AUD in FY2017, 852 (8%) met our definition of justice-involved. Since FY2014, the percentage of women veterans who received pharmacotherapy for AUD increased (14-21%). Women justice-involved veterans and those who were homeless had higher odds of receiving pharmacotherapy for AUD (OR 1.29, CI 1.15-1.45; OR 1.35, CI 1.25-1.47). Women veterans age 55 or older or who were African-American had lower odds of receiving pharmacotherapy (OR 0.74, CI 0.67-0.82; OR 0.73, CI 0.68-0.79).
CONCLUSIONS
While women involved in the criminal justice system face many barriers to accessing health and social services, women justice-involved veterans had higher odds of receiving pharmacotherapy for AUD at VHA facilities compared to women veterans with no justice involvement. Legal mandates and supportive programming directed towards veterans in the criminal justice system may explain the higher rate of receipt of pharmacotherapy observed among justice-involved women veterans. Women veterans who are homeless may also have more opportunities to access and use pharmacotherapy for AUD compared to their housed counterparts.
DOI: 10.1186/s13722-018-0129-x
PubMed: 30602392
PubMed Central: PMC6317204
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Age Factors (MeSH)</term>
<term>Alcoholism (drug therapy)</term>
<term>Alcoholism (ethnology)</term>
<term>Continental Population Groups (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Prisoners (statistics & numerical data)</term>
<term>Socioeconomic Factors (MeSH)</term>
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<term>United States Department of Veterans Affairs (statistics & numerical data)</term>
<term>Veterans (statistics & numerical data)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Alcoolisme (ethnologie)</term>
<term>Alcoolisme (traitement médicamenteux)</term>
<term>Anciens combattants (statistiques et données numériques)</term>
<term>Department of Veterans Affairs (USA) (statistiques et données numériques)</term>
<term>Facteurs socioéconomiques (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Populations d'origine continentale (MeSH)</term>
<term>Prisonniers (statistiques et données numériques)</term>
<term>États-Unis (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Alcoholism</term>
</keywords>
<keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Alcoolisme</term>
</keywords>
<keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Alcoholism</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Prisoners</term>
<term>United States Department of Veterans Affairs</term>
<term>Veterans</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Anciens combattants</term>
<term>Department of Veterans Affairs (USA)</term>
<term>Prisonniers</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Alcoolisme</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age Factors</term>
<term>Continental Population Groups</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Socioeconomic Factors</term>
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<term>Adulte d'âge moyen</term>
<term>Facteurs socioéconomiques</term>
<term>Facteurs âges</term>
<term>Femelle</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Alcohol use disorder (AUD) and unhealthy drinking are prevalent among women involved in the criminal justice system and women military veterans. Pharmacotherapy-including naltrexone, topiramate, acamprosate, and disulfiram-for AUD is one form of effective treatment that is associated with better health and criminal justice outcomes. The current study examined the association of justice involvement with receipt of pharmacotherapy for AUD, as well as other patient factors that may explain variation in receipt of pharmacotherapy for AUD among women veterans who receive care at Veterans Health Administration (VHA) facilities.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Using national VHA clinical records, we examined all women VHA patients who received an AUD diagnosis during an outpatient or inpatient visit in fiscal years (FY) 2014-2017. We compared patient characteristics by justice status, defined as contact with one of the VHA's justice outreach programs, and used a mixed-effects logistic regression model to test whether justice involvement was independently associated with odds of receiving pharmacotherapy for AUD.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Of 10,511 women veterans diagnosed with AUD in FY2017, 852 (8%) met our definition of justice-involved. Since FY2014, the percentage of women veterans who received pharmacotherapy for AUD increased (14-21%). Women justice-involved veterans and those who were homeless had higher odds of receiving pharmacotherapy for AUD (OR 1.29, CI 1.15-1.45; OR 1.35, CI 1.25-1.47). Women veterans age 55 or older or who were African-American had lower odds of receiving pharmacotherapy (OR 0.74, CI 0.67-0.82; OR 0.73, CI 0.68-0.79).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>While women involved in the criminal justice system face many barriers to accessing health and social services, women justice-involved veterans had higher odds of receiving pharmacotherapy for AUD at VHA facilities compared to women veterans with no justice involvement. Legal mandates and supportive programming directed towards veterans in the criminal justice system may explain the higher rate of receipt of pharmacotherapy observed among justice-involved women veterans. Women veterans who are homeless may also have more opportunities to access and use pharmacotherapy for AUD compared to their housed counterparts.</p>
</div>
</front>
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<Abstract><AbstractText Label="BACKGROUND">Alcohol use disorder (AUD) and unhealthy drinking are prevalent among women involved in the criminal justice system and women military veterans. Pharmacotherapy-including naltrexone, topiramate, acamprosate, and disulfiram-for AUD is one form of effective treatment that is associated with better health and criminal justice outcomes. The current study examined the association of justice involvement with receipt of pharmacotherapy for AUD, as well as other patient factors that may explain variation in receipt of pharmacotherapy for AUD among women veterans who receive care at Veterans Health Administration (VHA) facilities.</AbstractText>
<AbstractText Label="METHODS">Using national VHA clinical records, we examined all women VHA patients who received an AUD diagnosis during an outpatient or inpatient visit in fiscal years (FY) 2014-2017. We compared patient characteristics by justice status, defined as contact with one of the VHA's justice outreach programs, and used a mixed-effects logistic regression model to test whether justice involvement was independently associated with odds of receiving pharmacotherapy for AUD.</AbstractText>
<AbstractText Label="RESULTS">Of 10,511 women veterans diagnosed with AUD in FY2017, 852 (8%) met our definition of justice-involved. Since FY2014, the percentage of women veterans who received pharmacotherapy for AUD increased (14-21%). Women justice-involved veterans and those who were homeless had higher odds of receiving pharmacotherapy for AUD (OR 1.29, CI 1.15-1.45; OR 1.35, CI 1.25-1.47). Women veterans age 55 or older or who were African-American had lower odds of receiving pharmacotherapy (OR 0.74, CI 0.67-0.82; OR 0.73, CI 0.68-0.79).</AbstractText>
<AbstractText Label="CONCLUSIONS">While women involved in the criminal justice system face many barriers to accessing health and social services, women justice-involved veterans had higher odds of receiving pharmacotherapy for AUD at VHA facilities compared to women veterans with no justice involvement. Legal mandates and supportive programming directed towards veterans in the criminal justice system may explain the higher rate of receipt of pharmacotherapy observed among justice-involved women veterans. Women veterans who are homeless may also have more opportunities to access and use pharmacotherapy for AUD compared to their housed counterparts.</AbstractText>
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<AffiliationInfo><Affiliation>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA.</Affiliation>
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<AffiliationInfo><Affiliation>Department of Surgery, Stanford University School of Medicine, Stanford, CA, 94305, USA.</Affiliation>
</AffiliationInfo>
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</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Veterans Affairs, National Center on Homelessness Among Veterans, Menlo Park, CA, 94025, USA.</Affiliation>
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