Gender comparisons of drug abuse treatment outcomes and predictors

Hser, Yih‐Ing; Huang, David; Teruya, Cheryl; Anglin, M. Douglas

doi:10.1016/j.drugalcdep.2003.07.005

Cited by 136 publications

(116 citation statements)

References 33 publications

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“…For example, one recent report (Acharyya and Zhang, 2003) found treatment-related improvements, but only minimal differences in outcomes between men and women in four substance abuse treatment modalities (methadone, non-methadone outpatient, short-term inpatient, and longterm residential). Another study (Hser et al, 2003) found no overall gender differences in one-year drug and alcohol treatment outcomes but did find gender-specific baseline predictors of treatment outcomes, including the use of multiple drugs, readiness for treatment, and spousal drug use (Hser et al, 2003). A study of outpatient treatment (Green et al, 2004) found no gender differences in outcomes, although there were important gender differences in the predictors of those outcomes.…”

Section: Substance Abuse Outcomes Versus Predictors Of Outcomesmentioning

confidence: 99%

“…Lower educational attainment can lead to less-frequent employment (Green et al, 2002;Hser et al, 2003;Loneck et al, 1997;Wechsberg et al, 1998;Wong et al, 2002) and other economic barriers experienced by women enrolled in entitlement programs (Hammett et al, 1998;Klein and Zahnd, 1997;Montoya and Atkinson, 2002;Rosen et al, 2004).…”

Section: Specific Barriers To Treatment Entry For Womenmentioning

confidence: 99%

“…While concerns have been raised about the effectiveness of substance abuse treatment for women (Ferrence et al, 1994;Floyd et al, 1996;Hodgins et al, 1997;Schmidt and Weisner, 1995;Schober and Annis, 1996), many studies have found few or no gender differences in treatment outcome across various populations (e.g., Acharyya and Zhang, 2003;Alterman et al, 2000;Ballesteros et al, 2004;Benishek et al, 1992;Foster et al, 2000;Green et al, 2004;Greenfield et al, 1998;Hser et al, 2003;Jerrell and Ridgely, 1995;Marsh et al, 2004;McCance et al, 1999;McLellan et al, 1994;Rohsenow et al, 2000;Sterling et al, 2004;Toneatto et al, 1992;Wong et al, 2002). For example, one recent report (Acharyya and Zhang, 2003) found treatment-related improvements, but only minimal differences in outcomes between men and women in four substance abuse treatment modalities (methadone, non-methadone outpatient, short-term inpatient, and longterm residential).…”

Section: Substance Abuse Outcomes Versus Predictors Of Outcomesmentioning

confidence: 99%

“…In a study of patients recruited from drug treatment programs in Los Angeles County (Hser et al, 2003), longer treatment retention was associated with drug abstinence and crime desistence for both men and women at oneyear follow-up. A study of older adult men and women in outpatient alcohol treatment found that greater length of stay in treatment predicted abstinence at six months for both men and women (Satre et al, 2004).…”

Section: Effects Of Treatment Retention and Completion On Substance Amentioning

confidence: 99%

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Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Greenfield

Brooks

Gordon

et al. 2007

Drug and Alcohol Dependence

892

782

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This paper reviews the literature examining characteristics associated with treatment outcome in women with substance use disorders. A search of the English language literature from 1975 to 2005 using Medline and PsycInfo databases found 280 relevant articles. Ninety percent of the studies investigating gender differences in substance abuse treatment outcomes were published since 1990, and of those, over 40% were published since the year 2000. Only 11.8% of these studies were randomized clinical trials. A convergence of evidence suggests that women with substance use disorders are less likely, over the lifetime, to enter treatment compared to their male counterparts. Once in treatment, however, gender is not a significant predictor of treatment retention, completion, or outcome. Gender-specific predictors of outcome do exist, however, and individual characteristics and treatment approaches can differentially affect outcomes by gender. While women-only treatment is not necessarily more effective than mixed-gender treatment, some greater effectiveness has been demonstrated by treatments that address problems more common to substance-abusing women or that are designed for specific subgroups of this population. There is a need to develop and test effective treatments for specific subgroups such as older women with substance use disorders, as well as those with co-occurring substance use and psychiatric disorders such as eating disorders. Future research on effectiveness and cost-effectiveness of gender-specific versus standard treatments, as well as identification of the characteristics of women and men who can benefit from mixed-gender versus single-gender treatments, would advance the field.

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Section: Substance Abuse Outcomes Versus Predictors Of Outcomesmentioning

confidence: 99%

Section: Specific Barriers To Treatment Entry For Womenmentioning

confidence: 99%

Section: Substance Abuse Outcomes Versus Predictors Of Outcomesmentioning

confidence: 99%

Section: Effects Of Treatment Retention and Completion On Substance Amentioning

confidence: 99%

See 2 more Smart Citations

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Greenfield

Brooks

Gordon

et al. 2007

Drug and Alcohol Dependence

892

782

View full text Add to dashboard Cite

show abstract

“…Em relação ao padrão, a maioria dos estudos referiu diferenças somente para o álcool (Caetano, Weisner, 1995;Hser et al, 2003). As mulheres geralmente bebem menos freqüentemente e consomem quantidades menores que os homens (Health Canada, 2001;Nolen-Hoeksema, 2004).…”

Section: Especificidadeunclassified