Skip to main content

Advertisement

Log in

Women’s Use of Substance Use Disorder Treatment Services: Rates, Correlates, and Comparisons to Men

  • Original Paper
  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

In spite of evidence of increasing prevalence of substance use disorders (SUDs) among women, there is little information on gender differences in SUD treatment use. Nationally representative survey data were used to compare specialized SUD treatment among women and men with past-year DSM-5 SUD diagnoses (N = 5,789, 42.8% women). An estimated 10.7% of women and 9.9% of men (p = 0.45) received SUD treatment. Those who received treatment among both men and women had more problems than others. Five variables were independently associated with receipt of past-year treatment in both women and men and while five others were independently associated with receipt of treatment for only one gender. Interaction analysis, however, revealed no statistically significant gender differences in any correlate of treatment receipt. Although men were more likely to have SUDs than women, there were no significant differences by gender in rates or correlates of service use.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ronan MV, Herzig SJ. Hospitalizations related to opioid abuse/dependence and associated serious infections increased sharply, 2002–12. Health Aff. 2016;35(5):832–7.

    Article  Google Scholar 

  2. Zibbell JE, et al. Increases in acute hepatitis C virus infection related to a growing opioid epidemic and associated injection drug use, United States, 2004 to 2014. Am J Public Health. 2018;108(2):175–81.

    Article  Google Scholar 

  3. Wong T, et al. Prevalence of alcoholic fatty liver disease among adults in the United States, 2001–2016. JAMA. 2019;321(17):1723–5.

    Article  Google Scholar 

  4. Disney E, et al. Psychiatric comorbidity is associated with drug use and HIV risk in syringe exchange participants. J Nerv Ment Dis. 2006;194(8):577–83.

    Article  Google Scholar 

  5. Grant BF, et al. The 12-month prevalence and trends in DSM-IV alcohol abuse and dependence: United States, 1991–1992 and 2001–2002. Drug Alcohol Depend. 2004;74(3):223–34.

    Article  Google Scholar 

  6. Piazza NJ, Vrbka JL, Yeager RD. Telescoping of alcoholism in women alcoholics. Int J Adhes. 1989;24(1):19–28.

    CAS  Google Scholar 

  7. Antai-Otong D. Women and alcoholism: Gender-related medical complications: Treatment considerations. J Addict Nurs. 2006;17(1):33–45.

    Article  Google Scholar 

  8. Mann K, et al. Neuroimaging of gender differences in alcohol dependence: are women more vulnerable? Alcohol Clin Exp Res. 2005;29(5):896–901.

    Article  CAS  Google Scholar 

  9. Sherman C. Drugs affect men’s and women’s brains differently. NIDA Archives. 2006; 20(6).

  10. Hernandez-Avila CA, Rounsaville BJ, Kranzler HR. Opioid-, cannabis-and alcohol-dependent women show more rapid progression to substance abuse treatment. Drug Alcohol Depend. 2004;74(3):265–72.

    Article  CAS  Google Scholar 

  11. Ridenour TA, et al. Factors associated with the transition from abuse to dependence among substance abusers: implications for a measure of addictive liability. Drug Alcohol Depend. 2005;80(1):1–14.

    Article  Google Scholar 

  12. Rubonis AV, et al. Alcohol cue reactivity and mood induction in male and female alcoholics. J Stud Alcohol. 1994;55(4):487–94.

    Article  CAS  Google Scholar 

  13. McCance-Katz FE, Carroll KM, Rounsaville BJ. Gender differences in treatment-seeking cocaine abusers-implications for treatment and prognosis. Am J Addict. 1999;8(4):300–11.

    Article  CAS  Google Scholar 

  14. McHugh RK, et al. Sex and gender differences in substance use disorders. Clin Psychol Rev. 2018;66:12–23.

    Article  Google Scholar 

  15. Bertakis KD, et al. Gender differences in the utilization of health care services. J Fam Pract. 2000;49(2):147–147.

    CAS  PubMed  Google Scholar 

  16. Jessup MA, et al. Extrinsic barriers to substance abuse treatment among pregnant drug dependent women. J Drug Issues. 2003;33(2):285–304.

    Article  Google Scholar 

  17. Brady TM, Ashley OS. Women in substance abuse treatment: Results from the Alcohol and Drug Services Study (ADSS). Citeseer; 2005.

  18. McCoy CB, Comerford M, Metsch LR. Employment among chronic drug users at baseline and 6-month follow-up. Subst Use Misuse. 2007;42(7):1055–67.

    Article  Google Scholar 

  19. Finkelstein N, et al. Gender-specific substance abuse treatment. Rockville, MD: Center for Substance Abuse Prevention; 1997.

    Google Scholar 

  20. Amaro H, Hardy-Fanta C. Gender relations in addiction and recovery. J Psychoactive Drugs. 1995;27(4):325–37.

    Article  CAS  Google Scholar 

  21. Wilsnack S. Barriers to treatment for alcoholic women. Addict Recover. 1991;11(4):10–2.

    Google Scholar 

  22. Blume SB. Women and alcohol: Issues in social policy. Gender and alcohol: individual and social perspectives. New Brunswick, NJ: Rutgers Center of Alcohol Studies; 1997. p. 462–489.

  23. Greenfield SF, et al. Substance abuse treatment entry, retention, and outcome in women: A review of the literature. Drug Alcohol Depend. 2007;86(1):1–21.

    Article  Google Scholar 

  24. Stone R. Pregnant women and substance use: fear, stigma, and barriers to care. Health & Justice. 2015;3(1):1–15.

    Article  Google Scholar 

  25. Ehrmin JT. Unresolved feelings of guilt and shame in the maternal role with substance-dependent African American women. J Nurs Scholarsh. 2001;33(1):47–52.

    Article  CAS  Google Scholar 

  26. Finkelstein N. Treatment issues for alcohol-and drug-dependent pregnant and parenting women. Health Soc Work. 1994;19(1):7–15.

    Article  CAS  Google Scholar 

  27. Kulesza M, Larimer ME, Rao D. Substance use related stigma: what we know and the way forward. J Addict Behav Ther Rehabil. 2013; 2(2).

  28. Grant B, et al. National institute on alcohol abuse and alcoholism national epidemiologic survey on alcohol and related conditions-III (NESARC-III) source and accuracy statement. Bethesda, MD: NIAAA; 2015.

    Google Scholar 

  29. Bureau U. 2012 American Community Survey. 2012.

  30. Manhapra A, et al. Who uses veterans mental health services?: A National observational study of male veteran and nonveteran mental health service users. J Nerv Ment Dis. 2021.

  31. Ware Jr JE, Kosinski M, Keller SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996; 220–233.

  32. Cohen S, et al. Measuring the functional components of social support. In: Social support: Theory, research and applications. Springer; 1985. p. 73–94.

    Chapter  Google Scholar 

  33. Ferguson CJ. An effect size primer: a guide for clinicians and researchers. 2016.

  34. Cohen J. Statistical power analysis for the behavioral sciences. Academic press; 2013.

  35. SAMHSA, Center for Behavioral Health Statistics and Quality. 2016 National Suvey on Drug Use and Health: Detailed Tables. 2017.

  36. Kessler RC, Brown RL, Broman CL. Sex differences in psychiatric help-seeking: evidence from four large-scale surveys. J Health Soc Behav. 1981 Mar;22(1): 49–64.

  37. Gove W, Swafford M, et al. Sex differences in the propensity to seek psychiatric treatment: Prevailing folk beliefs and misused log-linear analysis-comment on Kessler. Soc F. 1980;59:1281.

    Article  Google Scholar 

  38. Powis MG. Catherine Bury, Katherine Payne, Paul Griffiths, Beverly, Drug-using mothers: social, psychological and substance use problems of women opiate users with children. Drug Alcohol Rev. 2000;19(2):171–80.

    Article  Google Scholar 

  39. Schutte KK, Hearst J, Moos RH. Gender differences in the relations between depressive symptoms and drinking behavior among problem drinkers: a three-wave study. J Consult Clin Psychol. 1997;65(3):392.

    Article  CAS  Google Scholar 

  40. Hser Y-I, et al. Predicting drug treatment entry among treatment-seeking individuals. J Subst Abuse Treat. 1998;15(3):213–20.

    Article  CAS  Google Scholar 

  41. Blanco C, et al. Probability and predictors of treatment-seeking for substance use disorders in the US. Drug Alcohol Depend. 2015;149:136–44.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Robert A. Rosenheck.

Ethics declarations

Conflicts of Interest

None of the authors report any conflict of interest.

Competing Interests

The authors have no competing interests to declare.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Falker, C.G., Stefanovics, E.A., Rhee, T.G. et al. Women’s Use of Substance Use Disorder Treatment Services: Rates, Correlates, and Comparisons to Men. Psychiatr Q 93, 737–752 (2022). https://doi.org/10.1007/s11126-022-09989-0

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11126-022-09989-0

Keywords

Navigation