Access to substance abuse treatment in the Cape Town metropole ...

and R1000 per month than their female counterparts. For competing needs,female control subjects had more than double the odds of reporting additionalfinancial demands (that took priority over the need for treatment) than their malecounterparts. Similarly, females who did not access treatment had 1.6 times theodds of reporting demands to care for others (that took priority over theirtreatment entry) than their male counterparts (Table 12).Similarly, only a few gender differences were found on continuousenabling/restricting variables significantly associated with access (Table 13).Compared to male controls, women reported significantly higher levels of barriersrelated to perceived utility and appropriateness of treatment services (includingcultural and gender appropriateness of services). Women also reported moregeographic accessibility barriers (including longer travelling times and distancesto treatment) than men. In contrast, male subjects who had not accessedtreatment reported lower levels of social trust and social cohesion (indicators ofsocial capital) than their female counterparts. However, these variables areprobably only weakly associated with gender, given the small effects obtained.4.3.2. Factors that differentiate between male and female subjects that didnot access treatmentTo identify factors associated with access that differentiate between male andfemale substance abusers who do not access treatment, a multivariate logisticregression analyses were performed with gender as the dependent variable.This allowed us to evaluate the independent contribution of variables associatedwith being a female substance abuser and not accessing treatment compared tobeing a male, while controlling for the influence of all other variables (Table 14).58