Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa
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...
| Main Authors: | , , , , |
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| Format: | Journal Article |
| Language: | English |
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2014
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| Online Access: | http://hdl.handle.net/20.500.11937/84449 |
| _version_ | 1848764651013144576 |
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| author | Myers-Franchi, Bronwyn Kline, T.L. Doherty, I.A. Carney, T. Wechsberg, W.M. |
| author_facet | Myers-Franchi, Bronwyn Kline, T.L. Doherty, I.A. Carney, T. Wechsberg, W.M. |
| author_sort | Myers-Franchi, Bronwyn |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. © 2014 Myers et al.; licensee BioMed Central Ltd. |
| first_indexed | 2025-11-14T11:22:44Z |
| format | Journal Article |
| id | curtin-20.500.11937-84449 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | eng |
| last_indexed | 2025-11-14T11:22:44Z |
| publishDate | 2014 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-844492021-07-30T04:00:20Z Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa Myers-Franchi, Bronwyn Kline, T.L. Doherty, I.A. Carney, T. Wechsberg, W.M. Adolescent Adult Female Health Knowledge, Attitudes, Practice Health Services Accessibility Health Services Needs and Demand Humans Perception South Africa Substance-Related Disorders Vulnerable Populations Young Adult 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. © 2014 Myers et al.; licensee BioMed Central Ltd. 2014 Journal Article http://hdl.handle.net/20.500.11937/84449 10.1186/1471-244X-14-100 eng http://creativecommons.org/licenses/by/4.0/ fulltext |
| spellingShingle | Adolescent Adult Female Health Knowledge, Attitudes, Practice Health Services Accessibility Health Services Needs and Demand Humans Perception South Africa Substance-Related Disorders Vulnerable Populations Young Adult Myers-Franchi, Bronwyn Kline, T.L. Doherty, I.A. Carney, T. Wechsberg, W.M. Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa |
| title | Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa |
| title_full | Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa |
| title_fullStr | Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa |
| title_full_unstemmed | Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa |
| title_short | Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa |
| title_sort | perceived need for substance use treatment among young women from disadvantaged communities in cape town, south africa |
| topic | Adolescent Adult Female Health Knowledge, Attitudes, Practice Health Services Accessibility Health Services Needs and Demand Humans Perception South Africa Substance-Related Disorders Vulnerable Populations Young Adult |
| url | http://hdl.handle.net/20.500.11937/84449 |