Longitudinal trajectories of substance use disorder treatment use: A latent class growth analysis using a national cohort in Chile.
Background and aims: Longitudinal studies have revealed that substance use treatment use is often recurrent among patients; the longitudinal patterns and characteristics of those treatment trajectories have received less attention, particularly in the global south. This study aimed to disentangle he...
| Publicado en: | Addiction Vol. 119; no. 4; pp. 753 - 766 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175800762&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175800762 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Apr2024 vid: 119 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 175800762 174630477 175800762 175800762 10.1111/add.16412 175800762 ppf: 753 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Longitudinal trajectories of substance use disorder treatment use: A latent class growth analysis using a national cohort in Chile. aug: au: Bórquez, Ignacio Cerdá, Magdalena González‐Santa Cruz, Andrés Krawczyk, Noa Castillo‐Carniglia, Álvaro affil: Center for Opioid Epidemiology and Policy (COEP), Department of Population Health, Grossman School of Medicine, New York University, New York New York,, USA sug: subj: Substance Use Disorders Therapy Substance Use Disorders Psychosocial Factors Substance Use Disorders Rehabilitation Prospective Studies Risk Assessment Human Male Female Adolescence Adult Middle Age Aged Chile Descriptive Statistics Retrospective Design Sociodemographic Factors Structural Equation Modeling Alcohol Abuse Cocaine Cannabis Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background and aims: Longitudinal studies have revealed that substance use treatment use is often recurrent among patients; the longitudinal patterns and characteristics of those treatment trajectories have received less attention, particularly in the global south. This study aimed to disentangle heterogeneity in treatment use among adult patients in Chile by identifying distinct treatment trajectory groups and factors associated with them. Design: National‐level registry‐based retrospective cohort. Setting and participants: Adults admitted to publicly funded substance use disorder treatment programs in Chile from November 2009 to November 2010 and followed for 9 years (n = 6266). Measurements Monthly treatment use; type of treatment; ownership of the treatment center; discharge status; primary substance used; sociodemographic. Findings A seven‐class treatment trajectory solution was chosen using latent class growth analysis. We identified three trajectory groups that did not recur and had different treatment lengths: Early discontinuation (32%), Less than a year in treatment (19.7%) and Year‐long episode, without recurrence (12.3%). We also identified a mixed trajectory group that had a long first treatment or two treatment episodes with a brief time between treatments: Long first treatment, or immediate recurrence (6.3%), and three recurrent treatment trajectory groups: Recurrent and decreasing (14.2%), Early discontinuation with recurrence (9.9%) and Recurrent after long between treatments period (5.7%). Inpatient or outpatient high intensity (vs. outpatient low intensity) at first entry increased the odds of being in the longer one‐episode groups compared with the Early discontinuation group. Women had increased odds of belonging to all the recurrent groups. Using cocaine paste (vs. alcohol) as a primary substance decreased the odds of belonging to long one‐episode groups. Conclusions: In Chile, people in publicly funded treatment for substance use disorder show seven distinct care trajectories: three groups with different treatment lengths and no recurring episodes, a mixed group with a long first treatment or two treatment episodes with a short between‐treatment‐episodes period and three recurrent treatment groups. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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