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Aftercare Attendance Partially Moderated by History of Physical Abuse and Gender.

Poster presented at the College on Problems of Drug Dependence (CPDD) annual meeting, Quebec City, Canada, June 16-21, 2007.

Louise F. Haynes, MSW (Medical University of South Carolina, SC Node), Amy E. Herrin (Medical University of South Carolina, SC Node), Rickey E. Carter, PhD (Medical University of South Carolina, SC Node), Sudie E. Back (Medical University of South Carolina, SC Node), Robert L. Hubbard, PhD, MBA (Duke University, NC Node).

This secondary analysis of data from protocol CTN-0011, "Feasibility Study of a Telephone Enhancement Procedure (TELE) to Improve Participation in Continuing Care Activities," examines the relationship of participant gender on aftercare attendance, and the moderating effects of a history of physical abuse. Four residential addiction treatment centers participated in CTN-0011, a feasibility study designed to estimate the efficacy of a post-discharge telephone intervention intended to encourage compliance with aftercare. Participants were 282 outpatients (100 women, 182 men) with substance use disorders. The findings revealed that the odds of attending aftercare were 1.91 times higher in women than men. Women were also more likely to report higher rates of physical abuse (PA) and sexual abuse (SA). To determine whether prior PA or SA confounded the gender effect observed, separate logistic regression models were used to test each interaction. A significant gender-by-PA interaction was found, but there was no interaction between SA and gender. However, while the interaction between SA and gender was not significant, the gender effect persisted after adjustment for history of SA. For the PA-by-gender interaction, women without PA were more likely to return for aftercare when compared to men with PA or men without PA; however, the odds of aftercare for women with PA were one-tenth times that of females without PA. Women with PA were no more likely to attend aftercare than either males with or without PA. The findings suggest that women may be more influenced by the post-discharge telephone intervention than men, although it is not clear from the data whether this is a result of the women benefiting more from this particular intervention or the result of other unmeasured variables. Further studies are needed to better understand the observed gender effect. (Poster, PDF, English, 2007)

Keywords: Aftercare | Telephone Enhancement Procedure (TELE) | Trauma | Women | College on Problems of Drug Dependence (CPDD) annual meeting, 2007

Document No: 211

Submitted by Louise Haynes, MSW, 6/28/2007.

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