title: Gender Differences in the Life Concerns of Persons Seeking Alcohol Detoxification.
abstract: BACKGROUND
  This study explored the life concerns of persons seeking alcohol detoxification, a group with multiple life and psychosocial challenges. Gender may be an important contributor to the particular life concerns of persons with alcohol use disorders.
  
  
  METHODS
  Using a 32-item, previously-validated life concerns survey that captures ten conceptual domains, we interviewed persons entering inpatient alcohol detoxification asking them to rate their level of concern about health and welfare items.
  
  
  RESULTS
  Participants (n=189) were 27% female, with a mean age of 43.5 years. Overall, concern about alcohol problems was perceived as the most serious, followed by mental health, cigarette smoking, financial, and relationship problems. Men were significantly more concerned than women about six of the ten domains including money, drug use, transmissible diseases, and physical illness.
  
  
  CONCLUSIONS
  Recognition of the daily worries of persons seeking inpatient alcohol detoxification persons could allow providers to better tailor their services to the context of their patients' lives. Focusing on pressing life concerns such as mental health, financial, relationship problems, and other drug use may influence detoxification services and aftercare treatment choices.
authors.affiliation: General Medicine Research Unit, Butler Hospital, Providence, RI 02906; Warren Alpert Medical School of Brown University, Providence, RI 02912. Electronic address: Michael_Stein@brown.edu.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Stein
authors.affiliation: General Medicine Research Unit, Butler Hospital, Providence, RI 02906.
authors.forename: Megan M
authors.initials: MM
authors.lastname: Risi
authors.affiliation: General Medicine Research Unit, Butler Hospital, Providence, RI 02906.
authors.forename: Jessica N
authors.initials: JN
authors.lastname: Flori
authors.affiliation: General Medicine Research Unit, Butler Hospital, Providence, RI 02906.
authors.forename: Micah T
authors.initials: MT
authors.lastname: Conti
authors.affiliation: General Medicine Research Unit, Butler Hospital, Providence, RI 02906.
authors.forename: Bradley J
authors.initials: BJ
authors.lastname: Anderson
authors.affiliation: Warren Alpert Medical School of Brown University, Providence, RI 02912; Stanley Street Treatment and Resources, Inc., Fall River, MA 02720.
authors.forename: Genie L
authors.initials: GL
authors.lastname: Bailey
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D012737:Sex Factors; D019966:Substance-Related Disorders / Q000628:therapy*; D011795:Surveys and Questionnaires
keywords: Alcohol; Detoxification; Life concerns; Self-reported health
references.citation: J Addict Dis. 2004;23(2):47-70
references.pmid: 15132342
references.citation: Alcohol Clin Exp Res. 2014 Jun;38(6):1697-705
references.pmid: 24848495
references.citation: Drug Alcohol Depend. 2011 Apr 1;114(2-3):87-99
references.pmid: 21193271
references.citation: J Gen Psychol. 2006 Oct;133(4):357-74
references.pmid: 17128956
references.citation: Alcohol Res Health. 2006;29(3):162-71
references.pmid: 17373404
references.citation: Am J Drug Alcohol Abuse. 1998 Nov;24(4):685-94
references.pmid: 9849778
references.citation: J Consult Clin Psychol. 2004 Dec;72(6):1144-56
references.pmid: 15612860
references.citation: Am J Addict. 2006 Nov-Dec;15(6):462-7
references.pmid: 17182449
references.citation: BMC Public Health. 2014;14:1303
references.pmid: 25523951
references.citation: Alcohol Clin Exp Res. 2005 May;29(5):896-901
references.pmid: 15897736
references.citation: Addict Res Theory. 2010 Apr 1;18(2):122-142
references.pmid: 23946720
references.citation: J Affect Disord. 2015 Mar 15;174:503-10
references.pmid: 25554995
references.citation: Alcohol Clin Exp Res. 2004 Jan;28(1):64-77
references.pmid: 14745303
references.citation: Alcohol Res Health. 2000;24(1):5-11
references.pmid: 11199274
references.citation: JAMA. 2004 Mar 10;291(10):1238-45
references.pmid: 15010446
references.citation: Addict Behav. 2015 Mar;42:96-100
references.pmid: 25437264
references.citation: J Health Soc Behav. 1993 Mar;34(1):71-88
references.pmid: 8463637
references.citation: N Engl J Med. 2003 May 1;348(18):1786-95
references.pmid: 12724485
references.citation: Alcohol Clin Exp Res. 1997 Dec;21(9):1742-6
references.pmid: 9438541
references.citation: Am J Addict. 2015 Apr;24(3):240-5
references.pmid: 25662479
references.citation: J Subst Abuse Treat. 2015 Jan;48(1):43-8
references.pmid: 25171955
references.citation: Cancer Epidemiol Biomarkers Prev. 1993 May-Jun;2(3):189-93
references.pmid: 8318870
references.citation: Drug Alcohol Depend. 2008 Jan 11;93(1-2):21-9
references.pmid: 17980512
references.citation: Clin Psychol Rev. 2006 Mar;26(2):128-48
references.pmid: 16412541
references.citation: Alcohol Alcohol. 2006 Jul-Aug;41(4):455-63
references.pmid: 16627624
references.citation: J Public Health Manag Pract. 2013 Jan-Feb;19(1):E30-4
references.pmid: 23169412
references.citation: Aust Dent J. 2011 Jun;56(2):166-70
references.pmid: 21623808
references.citation: Am J Psychiatry. 2013 Jan;170(1):23-30
references.pmid: 23223834
references.citation: Drug Alcohol Depend. 2007 Jan 5;86(1):1-21
references.pmid: 16759822
references.citation: Qual Life Res. 1999 May;8(3):255-61
references.pmid: 10472156
references.citation: J Stud Alcohol. 2001 Jul;62(4):501-8
references.pmid: 11513228
references.citation: Addiction. 2008 Aug;103(8):1283-93
references.pmid: 18855817
references.citation: Arch Womens Ment Health. 2003 Nov;6(4):239-43
references.pmid: 14628175
references.citation: Alcohol Res Health. 2011;34(2):135-43
references.pmid: 22330211
references.citation: Lancet. 2013 Nov 9;382(9904):1575-86
references.pmid: 23993280
references.citation: J Womens Health Gend Based Med. 1999 Jun;8(5):657-61
references.pmid: 10839652
references.citation: J Gerontol. 1994 May;49(3):S137-45
references.pmid: 8169348
references.citation: J Dual Diagn. 2009 Apr 1;5(2):226-232
references.pmid: 21170176
references.citation: J Health Econ. 1996 Aug;15(4):409-34
references.pmid: 10164037
references.citation: Alcohol Res Health. 2000;24(1):27-31
references.pmid: 11199271
references.citation: Ind Relat (Berkeley). 2013 Apr;52(2):444-466
references.pmid: 23543880
references.citation: Soc Sci Med. 2008 Sep;67(6):947-55
references.pmid: 18573582
references.citation: Alcohol Res Health. 2006;29(3):193-8
references.pmid: 17373408
references.citation: Subst Use Misuse. 2013 Feb;48(3):200-10
references.pmid: 23302062
references.citation: Arch Gen Psychiatry. 2004 Nov;61(11):1107-15
references.pmid: 15520358
references.citation: Arch Sex Behav. 2015 May;44(4):837-56
references.pmid: 25586945
references.citation: J Trauma Stress. 2010 Oct;23(5):649-52
references.pmid: 20803578
references.citation: Alcohol Res Health. 2006;29(3):199-202
references.pmid: 17373409
references.citation: Alcohol Alcohol. 2005 Sep-Oct;40(5):453-60
references.pmid: 15972275
references.citation: J Hepatol. 2005 Feb;42(2):218-24
references.pmid: 15664247
references.citation: Drug Alcohol Depend. 2014 Sep 1;142:350-3
references.pmid: 25042761
references.citation: J Stud Alcohol Drugs. 2012 Nov;73(6):938-50
references.pmid: 23036212
references.citation: Arch Gen Psychiatry. 1997 Apr;54(4):313-21
references.pmid: 9107147
references.citation: J Stud Alcohol Drugs. 2014 Nov;75(6):993-8
references.pmid: 25343657