Evidence map›Paper›PMID 34483012›Full record

ArticleJournal of substance abuse treatment2022

Treatment outcome and readmission risk among women in women-only versus mixed-gender drug treatment programs in Chile.

Carla F Olivari, Andrés Gonzáles-Santa Cruz, Pia M Mauro, Silvia S Martins, Jaime Sapag, Jorge Gaete, Magdalena Cerdá, Alvaro Castillo-Carniglia

Open access · hybridAbstract read
In one paragraph

Article in Journal of substance abuse treatment, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Carla F OlivariSociety and Health Research Center, Facultad de Humanidades, Universidad Mayor, Badajoz 130, Suite 1305, Las Condes, Santiago, Chile; Faculty of Education, Universidad de los Andes, Monseñor Álvaro del Portillo 12455, Las Condes, Santiago, Chile.
Andrés Gonzáles-Santa CruzSociety and Health Research Center, Facultad de Humanidades, Universidad Mayor, Badajoz 130, Suite 1305, Las Condes, Santiago, Chile.
Pia M MauroDepartment of Epidemiology, Columbia University Mailman School of Public Health, 722 West 168th St., New York, NY 10032, United States. Electronic address: pm2838@cumc.columbia.edu.
Silvia S MartinsDepartment of Epidemiology, Columbia University Mailman School of Public Health, 722 West 168th St., New York, NY 10032, United States. Electronic address: ssm2183@cumc.columbia.edu.
Jaime SapagDepartment of Public Health and Family Medicine, Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Santiago, Chile. Electronic address: jsapag@med.puc.cl.
Jorge GaeteFaculty of Education, Universidad de los Andes, Monseñor Álvaro del Portillo 12455, Las Condes, Santiago, Chile; Research Center for School Mental Health, Faculty of Education (ISME), Universidad de los Andes, Chile; Millennium Nucleus to Improve the Mental Health of Adolescents and Youths, Imhay, Santiago, Chile. Electronic address: jgaete@uandes.cl.
Magdalena CerdáDepartment of Population Health and Center for Opioid Epidemiology and Policy, New York University Grossman School of Medicine, 180 Madison Avenue, New York, NY 10016, United States. Electronic address: Magdalena.Cerda@nyulangone.org.
Alvaro Castillo-CarnigliaSociety and Health Research Center, Facultad de Humanidades, Universidad Mayor, Badajoz 130, Suite 1305, Las Condes, Santiago, Chile; Department of Population Health and Center for Opioid Epidemiology and Policy, New York University Grossman School of Medicine, 180 Madison Avenue, New York, NY 10016, United States; School of Public Health, Universidad Mayor, José Toribio Medina 38, Santiago, Chile. Electronic address: alvacasti@gmail.com.
Columbia University · USNew York University · USUniversidad Mayor · CLPontificia Universidad Católica de Chile · CLUniversidad de Los Andes, Chile · CL

Funding

Multi-level associations between medical marijuana laws and substance use disorder treatmentK01DA045224 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAURO, PIA M. · 2018 to 2022
$878k
NIDA NIH HHS K01 DA045224
6 · The paper itself

Abstract

introductionTraditional treatment programs for substance use disorder (SUD) tend to be male-dominated environments, which can negatively affect women's access to treatment and related outcomes. Women's specific treatment needs have led some providers to develop women-only SUD treatment programs in several countries. In Chile, women-only programs were only fully implemented in 2010. We compared treatment outcomes and readmission risk for adult women admitted to state-funded women-only versus mixed-gender SUD treatment programs in Chile.

methodsWe used a registry-based retrospective cohort design of adult women in women-only (N = 8200) and mixed-gender (N = 13,178) SUD treatment programs from 2010 to 2019. The study obtained data from the National Drug and Alcohol Service from Chile. We used a multistate model to estimate the probabilities of experiencing treatment completion, discharge without completion (i.e., patient-initiated discharge and administrative discharge), or readmission, as well as the likelihood of being readmitted, conditioned on prior treatment outcome. We adjusted models for multiple baseline characteristics (e.g., substance use, socioeconomic).

resultsOverall, 24% of women completed treatment and 54% dropped out of treatment. The proportion of patient-initiated discharges within the first three month was larger in women-only than in mixed-gender programs (19% vs. 12%). In both programs, women who completed treatment were more likely to experience readmission at three months, and one and three years. In the long term, women in the women-only programs were more likely to complete treatment than women in mixed-gender programs (34% vs. 23%, respectively). The readmission probability was higher among women who previously completed treatment than those who had a discharge without completion (40% vs 21% among women in women-only programs; 38% vs. 19% among women in mixed-gender programs, respectively); no differences occurred in the risk of readmission between women-only and mixed-gender programs.

conclusionsIn terms of treatment outcomes and readmission risk, women-only programs had similar results to mixed-gender programs in Chile. The added value of these specialized programs should be addressed in further research.

Indexed as

Patient ReadmissionSubstance-Related DisordersAdultChileFemaleHumansMaleRetrospective StudiesTreatment OutcomeChileGenderSubstance use disorderTreatment

Identifiers

PMID34483012
PMCPMC9052114
OpenAlexW3198814408

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.