title: Barriers and facilitators for alcohol treatment for women: are there more or less for rural women?
abstract: Among women at-risk for problems drinking, treatment seeking can be hindered by a complex array of issues such as a lack of transportation, social stigma, denial, fear of losing children, and reluctance of primary care physicians to refer women. This study describes the barriers/facilitators and need for treatment among a community sample of rural and urban women at-risk drinkers. Data for this study were assembled from the baseline sample of individuals who participated in a large probability sample of rural and urban at-risk drinkers (N = 733) from six Southern states: Alabama, Arkansas, Georgia, Louisiana, Mississippi, and Tennessee. Men and women differed on perceived barriers/facilitators and need for alcohol treatment. Women differed from men on measures of treatment affordability, accessibility, acceptability and report of social support, illness severity, comorbidities, and demographic characteristics. Rural women differed from urban women on measures of treatment affordability and accessibility and report of illness severity and comorbidities.
authors.affiliation: University of Arkansas for Medical Sciences Psychiatric Research Institute-Division of Health Services Research, Little Rock, AR 72205-7199, USA. jsmall@uams.edu
authors.forename: Jeon
authors.initials: J
authors.lastname: Small
authors.forename: Geoffrey M
authors.initials: GM
authors.lastname: Curran
authors.forename: Brenda
authors.initials: B
authors.lastname: Booth
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000517:prevention & control*; D019973:Alcohol-Related Disorders / Q000503:physiopathology / Q000534:rehabilitation*; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D012424:Rural Population; D012720:Severity of Illness Index; D012944:Social Support; D014481:United States; D014505:Urban Population; D055815:Young Adult