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Tuesday, May 28, 2019

Comments

I don't understand the purpose of providing retrospective data without current data for comparing and contrasting changes over time, or collecting information from all years for a longitudinal study. Maybe I'm missing the point.

Thank you for your question. The authors of the original study pointed out this particular time period because of a previous observation that treatment seeking rates had fallen between these two time-points. Looking at this era from a historical perspective, there were a number of factors that could have potentially contributed to this difference. The authors pointed out, in particular, the war on drugs and drunk-driving campaigns in the 1980's and 90's, economic growth and reductions in spending in health insurance programs in the 90's, and changes in overall rates of drug use and depression between the 90's and the 00's. By examining the reasons people gave for not seeking treatment during this time period, the authors could begin to understand whether any of these potential historical reasons might have been related to falling treatment-seeking rates, and importantly, determine whether they were structural (i.e., not having access to healthcare) or more related to attitudes and beliefs of people at that time.

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