[Gender and accessibility barriers to treatment in alcohol abuse patients in the Autonomous Region of Valencia].
BACKGROUND
This study aimed at identifying the factors that contribute to delaying the access of alcohol abuse patients to specific treatment centres in the Autonomous Region of Valencia (Spain).


METHODS
563 patients from Addictive Behaviours Units (UCA) and Alcohology Units (UA) were interviewed. A survey was conducted which included items on previous requested treatment in other centres and on barriers of accessibility to treatment in specific ambulatory centres. A descriptive analysis and t-student and ANOVA with Scheffé post-hoc tests were carried out.


RESULTS
59.7% of respondents said they had requested previous treatment in non-specific resources due to physical or psychical trouble that they now relate to their alcohol use although they did not do so at the time, in addition to being motivated by their own alcohol abuse (42.8%). The most attended resources were Primary Care and Specialist Unit Care. Women showed a higher demand for treatment in Mental Health Services (p < 0,05). The most important treatment barriers were included in the axis "unawareness of illness and related problems" (2.2; dt = 0,6). Women obtained higher scores in the axes "stigmatisation and environment response" and "treatment intrinsic factors".


CONCLUSIONS
gender differences in barriers that delay access to treatment do exist. It is necessary to build gender-adapted intervention guidelines to be used in Primary Care and Mental Health services to reduce the accessibility barriers to treatment.
Tomás-Dols
Sofía
S
Agencia Valenciana de Salud, Conselleria de Sanitat, Generalitat Valenciana.
Valderrama-Zurián
Juan Carlos
JC
Vidal-Infer
Antonio
A
Samper-Gras
Teresa
T
Hernández-Martínez
Ma Carmen
MC
Torrijo-Rodrigo
Ma José
MJ
D000328:Adult; D000437:Alcoholism / Q000534:rehabilitation*; D002391:Catchment Area, Health; D005260:Female; D006296:Health Services / Q000600:supply & distribution*; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology