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

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dc.contributor.authorOlivari, Carla F. F.
dc.contributor.authorCruz, Andres Gonzales-Santa M.
dc.contributor.authorMauro, Pia M. S.
dc.contributor.authorMartins, Silvia S.
dc.contributor.authorSapag, Jaime
dc.contributor.authorGaete, Jorge
dc.contributor.authorCerda, Magdalena
dc.contributor.authorCastillo-Carniglia, Alvaro
dc.date.accessioned2025-01-20T21:07:35Z
dc.date.available2025-01-20T21:07:35Z
dc.date.issued2022
dc.description.abstractIntroduction: Traditional treatment programs for substance use disorder (SUD) tend to be male-dominated en-vironments, 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.
dc.description.abstractMethods: We 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 admin-istrative 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).
dc.description.abstractResults: Overall, 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 pro-grams (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.
dc.description.abstractConclusions: In 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.
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.jsat.2021.108616
dc.identifier.eissn1873-6483
dc.identifier.issn0740-5472
dc.identifier.urihttps://doi.org/10.1016/j.jsat.2021.108616
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/93424
dc.identifier.wosidWOS:000789151900007
dc.language.isoen
dc.revistaJournal of substance abuse treatment
dc.rightsacceso restringido
dc.subjectSubstance use disorder
dc.subjectTreatment
dc.subjectGender
dc.subjectChile
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleTreatment outcome and readmission risk among women in women-only versus mixed-gender drug treatment programs in Chile
dc.typeartículo
dc.volumen134
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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