Barriers to help-seeking for change in drinking: A gender-focused review of the literature

• Published in: Addictive behaviors Vol. 21; no. 1; pp. 81 - 92
• Main Authors: Schober, Renate, Annis, Helen M.
• Format: Journal Article
• Language: English
• Published: Oxford Elsevier Ltd 1996; New York, NY Elsevier; Elsevier Science Ltd
• Subjects: Alcohol Drinking; Alcoholism; Behavior; Biological and medical sciences; Desintoxication. Drug withdrawal; Female; Humans; Male; Medical sciences; Patient Acceptance of Health Care; Psychology; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Sex; Socioeconomic Factors; Substance abuse treatment; Treatments; Women; Human; Poison withdrawal; Treatment; Alcoholism; Use; Therapeutical request; Sex; Health service; Comparative study; Public health
• ISSN: 0306-4603; 1873-6327
• DOI: 10.1016/0306-4603(95)00041-0

Women with drinking problems are less likely than men to utilize alcoholspecific treatment services; they are comparatively more likely to seek help in general health and mental health care settings. These patterns in service utilization may be attributable, in part, to gender differences in barriers or disincentives to seeking and receiving care for alcohol abuse. In this paper we provide a gender-focused review of research on barriers to help-seeking for addictions behavior change. Two major categories of barrier, involving client and treatment program characteristics, appear to have a greater impact on service utilization of women than men. Insights gained from barriers literature provide valuable direction for future research and suggest applications in clinical service provision and treatment planning.