在理解治疗寻求使用危险物质的过程中考虑上下文因素
Madeline B Benz1,2, Kathleen Palm Reed3
1Department of Psychiatry & Human Behavior, Alpert Medical School of Brown University, Providence, RI.
Substance use & misuse
|July 10, 2025
概括
计划行为理论预测物质使用寻求治疗,但种族主义和耻辱等上下文因素对不同人群,特别是黑人个人至关重要. 需要进一步的研究.
科学领域:
- 行为科学 行为科学
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 药物使用问题很普遍,但寻求治疗的比例仍然很低.
- 像计划行为理论 (TPB) 这样的理论解释了寻求帮助,但可能会忽视少数群体的上下文因素.
- 外部障碍不成比例地影响寻求 stigmatized 条件的帮助.
研究的目的:
- 调查影响寻求有问题的 SU 治疗帮助的个人和背景因素.
- 评估TPB在预测SU寻求治疗的意图和行为方面的适用性.
- 通过纳入种族主义,耻辱和结构性障碍,为种族/族裔少数群体提供TPB的背景.
主要方法:
- 利用 TPB 预测 243 名参与者样本中的 SU 寻求治疗的意图和行为.
- 进行多组路径分析以检查群体差异.
- 对黑人和西班牙裔参与者进行了背景化的TPB,通过在医疗保健中增加种族主义,制定了SU耻辱和结构性障碍.
主要成果:
- 积极的态度和主观规范预测了寻求帮助的意图和行为增加.
- 对于白人参与者来说,感知行为控制负面地预测了意图,而对于有色人种参与者来说则无关.
- 语境化TPB显著改善了适合黑人参与者的模型,但不适合西班牙裔参与者.
结论:
- TPB可以类似地和差异地应用于SU寻求治疗的推广努力.
- 结构性障碍,系统性种族主义和与物质有关的耻辱感相互影响,需要进一步调查.
- 建议在未来对这些复杂关系的研究中使用纵向数据.
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