Health care utilization of families of carpenters with alcohol or substance abuse‐related diagnoses

Lipscomb, Hester J.; Dement, John M.; Li, Leiming

doi:10.1002/ajim.10214

Cited by 12 publications

(6 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…CSOs with a substance abusing family member are more likely to seek medical services than those without such a family member (12, 13). Medical conditions such as acid-related disorders, asthma, hypertension, and sexually transmitted diseases are reported more frequently by family members who have an SUI relative to those who do not (14).…”

Section: Prevalence and Frequency Of Problems Of Family Members With mentioning

confidence: 99%

Prevalence and frequency of problems of concerned family members with a substance-using loved one

Benishek

Kirby

Dugosh

2011

The American Journal of Drug and Alcohol Abuse

View full text Add to dashboard Cite

Background Limited research has examined the prevalence and frequency of specific problems of concerned family members and significant others (CSOs) of alcohol or substance using individuals (SUIs). Objectives We surveyed CSOs of SUIs to determine the prevalence and frequency of their problems and explored whether relationship to the SUI, gender of the CSO, or living arrangements altered problem prevalence and frequency. Method Non-substance using CSOs (N = 110) completed the Significant Other Survey, which asks about problems in seven domains (emotional; family; relationship; financial; health; violence; legal). Problem outcomes were compared based on the CSO’s relationship to the SUI (partner or spouse vs. parent), gender of the CSO (male vs. female), and living arrangements of the CSO and SUI (residing together vs. residing apart). Results Problems were prevalent with at least two-thirds of the participants endorsing one or more problems in all but the legal domain. They also occurred frequently, with CSOs reporting problems on one-third to one-half of the past 30 days, in all but the violence and legal domains. Problems tended to be greater for CSOs who were partners, females, or living with the SUI. Conclusion CSOs experience frequent problems in a wide range of life domains and the types of difficulties they experience appear to differ based on type of relationship, gender, and their living arrangement relative to the SUI. Scientific Significance This investigation expands our understanding of the specific problems that CSOs face. The findings have important implications for treatment and health policy regarding these individuals.

show abstract

Section: Prevalence and Frequency Of Problems Of Family Members With mentioning

confidence: 99%

Prevalence and frequency of problems of concerned family members with a substance-using loved one

Benishek

Kirby

Dugosh

2011

The American Journal of Drug and Alcohol Abuse

View full text Add to dashboard Cite

show abstract

“…Having a family member with an alcohol or drug problem affects family functioning and dynamics [1–4] which may lead to increased risk of developing patterns of illness and behavioral problems [5]. A number of studies have shown that family members of alcoholics, or people with an alcohol or drug disorder, have increased prevalence of medical and psychiatric conditions and increased medical cost and utilization, compared to the family members of people without alcohol or drug disorders [5–11]. No studies, however, have investigated how these people compare to the family members of people with other chronic conditions.…”

Section: Introductionmentioning

confidence: 99%

Family members of people with alcohol or drug dependence: health problems and medical cost compared to family members of people with diabetes and asthma

2009

View full text Add to dashboard Cite

Aims-To compare the medical costs and prevalence of health conditions of family members of persons with an alcohol or drug dependence (AODD) diagnosis to family members of persons with diabetes and asthma. Measurements-Logistic regression was used to determine whether the family members of persons with AODD were more likely to be diagnosed with medical conditions than family members of persons with diabetes or asthma. Multivariate models were used to compare health services cost and utilization of AODD family members and diabetes and asthma family members. Analyses were for the year before, and two years after, initial diagnosis of the index person. Setting-KaiserFindings-In the year before initial diagnosis of the index person, AODD family members were more likely to be diagnosed with substance use disorders, depression and trauma than diabetes or asthma family members. AODD family members had higher total health care costs than diabetes family members in the year after, and the second year after, the index date ($217 and $293, respectively). AODD family members had higher total health care costs than asthma family members in the year before, and second year after, the index date ($104 and $269, respectively).Conclusions-AODD family members have unique patterns of health conditions compared to the diabetes and asthma family members, and have similar, or higher, health care cost and utilization.

show abstract

“…For people friendly with a heavy drinker, but not living together with them, the odds were 23% higher compared to individuals not friendly with a heavy drinker ( Bloomfield et al, 2019 ). CSOs are also more likely than others to seek medical services ( Lennox et al, 1992 ; Lipscomb et al, 2003 ) and have healthcare costs 31–70% higher than the people not close to an individual with heavy alcohol or substance use ( Ray et al, 2007 ; Svenson et al, 1995 ). It is, therefore, no surprise that Birkeland et al (2018) , in a scoping review, found that partners of people with problematic alcohol or substance use reported lower quality of life compared to the general population.…”

mentioning

confidence: 99%

“He is lovely and awful”: The challenges of being close to an individual with alcohol problems

Hellum

Bilberg

Nielsen

2021

Nordic Studies on Alcohol and Drugs

View full text Add to dashboard Cite

Introduction: In the last 20 years, there has been growing evidence that heavy drinking causes serious harm not only to the person who drinks but also to the person's relations and concerned significant others (CSOs). A relationship with a heavy drinker is often full of conflicts, and CSOs are frequently exposed to aggression, psychological, and sometimes physical violence from the heavy drinker. Despite their struggles, CSOs often feel it is difficult to seek professional help for these problems. The aim of this study was to investigate what problems CSOs of people with alcohol problems experience prior to seeking professional help to handle these issues. Moreover, to investigate what led to seeking professional help at all. Methods: This is a qualitative study with 12 female help-seeking CSOs of persons with alcohol problems. The participants were recruited from a randomised controlled trial (RCT) on Community Reinforcement and Family Training (CRAFT). Semi-structured interviews were conducted, audio-recorded, and transcribed. The analysis was based on interpretative phenomenological analysis. Results: Three overall themes and one sub-theme emerged from the analysis: (1) The CSO’s feelings and experiences of the situation prior to help-seeking, (2) The relationship with the drinker, (3) Reasons for help-seeking and its trajectory; and the sub-theme, What the CSOs hoped to gain from help-seeking. Conclusion: The present study showed that female CSOs of people with alcohol problems had suffered for a long time before seeking professional help. They felt their daily lives were unpredictable and stressful. They were often exposed to verbal and mental abuse and their relationships with the drinking relative were often characterised by frequent rowing. The CSOs had tried to cope for a long time using a number of different strategies; seeking help seemed to be the last option considered. Despite all the struggles and pain, the CSOs also felt a lot of love for their drinking relative and hoped for the return of their once sober relative. Our findings can be viewed as a support to the stress-strain-coping-support (SSCS) model proposed by Orford and colleagues.

show abstract

Health care utilization of families of carpenters with alcohol or substance abuse‐related diagnoses

Abstract: Utilization patterns were influenced to a significant degree by concordant diagnoses among spouses and children. Excess mental health care was seen among families of carpenters with ASRD above their care for substance abuse treatment.

Cited by 12 publications

References 17 publications

Prevalence and frequency of problems of concerned family members with a substance-using loved one

Prevalence and frequency of problems of concerned family members with a substance-using loved one

Family members of people with alcohol or drug dependence: health problems and medical cost compared to family members of people with diabetes and asthma

“He is lovely and awful”: The challenges of being close to an individual with alcohol problems

Contact Info

Product

Resources

About