ArticleDrug and alcohol dependence2023
Non-engagement in substance use treatment among women with an unmet need for treatment: A latent class analysis on multidimensional barriers.
Article in Drug and alcohol dependence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled 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.
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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors that facilitate treatment uptake for women with alcohol use disorders in high-income countries: A systematic review.Women's health (London, England)Pooled it
- Association of Continuous Medicaid Eligibility With Postpartum Coverage and Opioid Use Disorder Treatment.American journal of preventive medicine · 2026Article
- Questions on Medicines, Alcohol, and Illicit Drug Interactions in the Finnish AddictionLink Online Service: A Descriptive Analysis.Nordisk alkohol- & narkotikatidskrift : NAT · 2026Article
- Out of Sight: Sex Differences in Public and Semi-Public Drug Use Settings Among People Who Use Opioids in Baltimore, Maryland.International journal of environmental research and public health · 2026Article
- The role of micro-, meso-, and macro-level stigma on the uptake of medications for opioid use disorder (MOUD) among women in the criminal legal system.BMC women's health · 2025Article
- Special needs of refugees with substance use disorders from conflict-affected countries: a comparison with German-born individuals.Social psychiatry and psychiatric epidemiology · 2025Observational
- Differences in barriers to specialty alcohol treatment between Latino and White adults with an alcohol use disorder.Drug and alcohol dependence · 2025Article
- Just an unfair score: Perceptions of gender inequity in the treatment of substance use disorders among women involved in the criminal legal system.Journal of substance use and addiction treatment · 2025Article
- Methamphetamine use and suicide risk: a comprehensive case-control study.Frontiers in public health · 2025Article
- Modeling the variables that influence substance consumption of people who experience homelessness in Colombia.Frontiers in sociology · 2025Article
- Is Childcare Availability in Addiction Treatment Associated with County-Level Childcare Prices and Median Income in the United States?Health services insights · 2025Article
- The impact of family systems and social networks on substance use initiation and recovery among women with substance use disorders.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024Article
- Gender sensitivity of the COVID-19 mental health research in Europe: a scoping review.International journal for equity in health · 2024Article
- An Exploratory Study of Overlapping Stigmas and Substance Use Stigma Among Women with Substance Use Histories Who are Incarcerated.Journal of drug issues · 2024Article
- Opioid and stimulant attributed treatment admissions and fatal overdoses: Using national surveillance data to examine the intersection of race, sex, and polysubstance use, 1992-2020.Drug and alcohol dependence · 2023Article
- Factors associated with not ready to stop using substances among adults with an unmet treatment need: findings from the National Survey of Drug Use and Health 2015-2019.The American journal of drug and alcohol abuse · 2023Article
- Alcohol and Cannabis Use Disorder Diagnoses in Mental Health Treatment 2013 to 2022: A Descriptive Epidemiological Study.Substance use : research and treatmentArticle
- Pregnancy- and parenting-related barriers to receiving medication for opioid use disorder: A multi-paneled qualitative study of women in treatment, women who terminated treatment, and the professionals who serve them.Women's health (London, England)Article
- Drug overdose deaths among women 1999-2021 in the United States: Differences by race, ethnicity, and age.Women's health (London, England)Observational
- Substance Use Treatment Utilization Among Individuals With Substance Use Disorders in the United States During the COVID-19 Pandemic: Findings on the Role of Polysubstance Use, Criminal Justice Involvement, and Mental Illness From the National Survey on Drug Use and Health.Substance use : research and treatmentArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundWomen with substance use disorders experience multifaceted barriers in accessing substance use treatment. Little is known about how these barriers may aggregate. Using a person-centered approach, this study evaluates patterns of treatment barriers and the factors associated with experiencing distinct sets of barriers among women.
methodsData were from the NSDUH (2015-2019). 461 adult women with an unmet need for substance use treatment in the last year reported on 14 treatment barriers. Latent class analysis examined classes of barriers; multinomial logistic regression assessed predictors of class membership.
resultsThree classes were identified: just not ready to abstain (71.2%), logistical barriers and stigmatization (18.2%), and barriers across all dimensions (10.6%). Higher education (aOR:1.94, p = 0.03) and psychological distress (aOR:2.19, p = 0.02) predicted higher odds-and identifying as African American predicted lower odds (aOR:0.17, p = 0.02)-of belonging to the "Logistics and Stigma Barriers" class relative to the "Just Not Ready" class. Similarly, higher education (aOR: 2.57, p = 0.02) and having children (aOR:2.28, p = 0.03) predicted higher odds-and marriage predicted lower odds (aOR:0.22, p = 0.02)-of belonging to the "High and Diverse Barriers" class relative to the "Just Not Ready" class. Having children predicted higher odds (aOR: 2.93, p = .02), and marriage predicted lower odds (aOR:0.19, p = 0.02) of belonging to the "High and Diverse Barriers" class relative to the "Logistics and Stigma" class.
conclusionA lack of readiness to abstain, socioeconomic circumstances, and family obligations are main barriers to SUD treatment among women. Interventions incorporating motivational interviewing, family systems, and social networks are needed.
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