Measuring social integration, treatment, and mortality after substance use treatment: methodological elaborations in a 20-year follow-up study

医学 损耗 危害 语域(社会语言学) 精神科 老年学 心理学 社会心理学 语言学 哲学 牙科
作者
Tove Sohlberg,Jessica Storbjörk,Peter Wennberg
出处
期刊:BMC Research Notes [BioMed Central]
卷期号:18 (1)
标识
DOI:10.1186/s13104-025-07108-3
摘要

Abstract Objective Alcohol and Other Drug (AOD) disorders cause substantial harm. Effective Substance Use Treatment (SUT) exists, but long-term outcomes remain inconclusive. This study used a 20-year prospective follow-up of 1248 service users entering SUT in Stockholm, Sweden, in 2000–2002 to elaborate on how different dimensions of long-term outcomes may be measured by register-based indicators. Baseline characteristics and attrition bias were explicated, and register-based outcomes were examined. Results Register-based indicators are valuable, but they also have inherent limitations such as the lack of substance use data and inability to differentiate between un/met treatment needs and access. Significant variations in long-term outcomes were evident depending on which register-based indicator was used, and whether used in isolation or combinations. Six out of 10 service users were still alive after 20 years, but as many as 8 out of 10 of the survivors remained in treatment, and only two out of 10 had a stable economic situation. Hence, the register indicators identified only a few survivors, with stable economic and social situations, and without recent treatment contacts 20 years after treatment entry. The long-term outcomes were concerning and even more so when combining outcome dimensions.
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