Original Article

Public Perceptions of Substance Abuse and How Problems Are Resolved: Implications for Medical and Public Health Services

Authors: Jalie A. Tucker, PhD, MPH, H Russell Foushee, PhD, Cathy A. Simpson, PhD

Abstract

Background: Increasing utilization and appeal of substance abuse services requires understanding public perceptions of substance abuse and problem resolution.


Method: A statewide survey (N = 439) assessed public views of the prevalence of problems, service utilization, and outcomes using random digit dialing sampling.


Results: Compared with population data, the sample overestimated the prevalence of alcohol and drug problems, accurately gauged rates of help-seeking for substance-related problems, and underestimated rates of recovery, particularly natural resolutions without treatment. Perceived influences on help-seeking included extrinsic pressures like legal problems and wanting help with problems of living related to substance misuse.


Conclusions: Substance abuse is less prevalent and less intractable than the public perceives, and natural resolutions are common, but appear to be largely hidden from the public view. Implications for reducing barriers and expanding services in healthcare and public health settings are discussed.


Key Points


* Expanding services for alcohol and drug problems depends on understanding public perceptions of substance abuse and how problems are resolved.


* A statewide telephone survey indicated that adults accurately perceived that help-seeking is uncommon, but underestimated the prevalence of recovery, particularly natural recovery without treatment.


* Health communications to correct public misconceptions about substance abuse, in combination with evidence-based practices, hold promise for extending the reach of services for these stigmatized disorders in medical and public health settings.

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References

1.Fleming MF, Mundt MP, French MT, et al. Brief physician advice for problem drinkers: long-term efficacy and cost-benefit analysis. Alcohol Clin Exp Res 2002;26:36–43.
 
2.National Institute on Alcohol Abuse and Alcoholism (NIAAA). Helping patients who drink too much: a clinician’s guide. NIAAA website. 2005. Available at: http://pubs.niaaa.nih.gov/publications/Practitioner/CliniciansGuide2005/guide.pdf. Accessed August 11, 2007.
 
3.Miller WR, Munoz RF. Controlling Your Drinking: Tools to Make Moderation Work for You. New York, Guilford Press, 2005.
 
4.Klingemann H, Sobell L, Barker J, et al. Promoting Self-Change from Problem Substance Use: Practical Implications for Policy, Prevention and Treatment. Dordrecht, Netherlands, Kluwer Academic Publishers, 2001.
 
5.Institute of Medicine. Improving the Quality of Health Care for Mental Health and Substance Use Condition. Washington, DC, National Academy Press, 2006.
 
6.Wang PS, Lane M, Olfson M, et al. Twelve-month use of mental health services in the United States. Arch Gen Psychiatry 2005;62:629–640.
 
7.Walsh DC, Rudd RE, Moeykens BA, et al. Social marketing for public health. Health Aff (Millwood) 1993;12:104–119.
 
8.Carlson MJ, Gabriel RM. Patient satisfaction, use of services, and one-year outcomes in publicly funded substance abuse treatment. Psychiatr Serv 2001;52:1230–1236.
 
9.Lavrakas PJ. Telephone Survey Methods: Sampling, Selection, and Supervision. Newbury Park, CA, Sage Publications, 1993.
 
10.Tucker JA, Foushee HR, Simpson CA. Increasing the appeal and utilization of services for alcohol and drug problems: what consumers and their social networks prefer. Int J Drug Policy. In press.
 
11.Centers for Disease Control and Prevention (CDC). Behavioral risk factor surveillance system: 2005 data quality reports. CDC Web site. 2005. Available at: http://www.cdc.gov/brfss/technical_infodata/quality.htm. Accessed February 8, 2007.
 
12.Substance Abuse and Mental Health Services Administration. Overview of findings of the 2004 national survey on drug use and health. Office of Applied Studies Web site. 2005. Available at: http://www.oas.samhsa.gov/nsduh/2k4nsduh/2k4overview/2k4overview.pdf. Accessed August 25, 2006.
 
13.Substance Abuse and Mental Health Services Administration. SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH), 2003 and 2004. Office of Applied Studies Web site. 2006. Available at: http://oas.samhsa.gov/2k4State/varsLinks.htm. Accessed February 8, 2007.
 
14.Dawson DA. Correlates of past-year status among treated and untreated persons with former alcohol dependence. Alcohol Clin Exp Res 1996;20:771–779.
 
15.Yarber WL, Milhausen RR, Crosby RA, et al. Public opinion about condoms for HIV and STD prevention: a Midwestern state telephone survey. Perspect Sex Reprod Health 2005;37:148–154.
 
16.Berdie DR. Telephone survey response rates: how high is high enough? Marketing Res 1991;28:35–44.
 
17.Groves RM, Presser S, Dipko S. The role of topic interest in survey participation decisions. Public Opin Q 2004;68:2–31.
 
18.Blumberg SJ, Luke JV, Cynamon ML. Telephone coverage and health survey estimates: evaluating the need for concern about wireless substitution. Am J Public Health 2006;96:926–931.