米国における鬱病,自殺傾向,薬物使用障害の状況
Dennis Lee1,2,3, Stacie B Dusetzina2,4, Stephen W Patrick5,6,7
1Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles.
JAMA health forum
|August 29, 2025
まとめ
薬物使用障害 (SUD) と精神疾患の診断を受けた青少年と若者は,治療の大きなギャップに直面しています. SUDを患っている若者や青年は オピオイド使用障害の薬の不足で 不十分なケアを受けています
科学分野:
- 公衆衛生
- 青春期 医学
- メンタルヘルスの研究
背景:
- 精神衛生と薬物使用障害 (SUD) の統合治療の必要性を強調しています.
- 現存する研究は,若者の精神的健康とSUDの治療のギャップの範囲を研究しています.
研究 の 目的:
- 青少年における精神的健康とSUDの診断と治療に関連する要因を特徴づける.
- アメリカの青少年と若者の精神的健康とSUD治療の格差を特定する.
主な方法:
- 2021-2022年の薬物使用と健康に関する全国調査データを用いた横断的な研究.
- 調査で加重された記述統計とチ2テストは,米国の青少年と若年成人 (12~20歳) のデータを分析した.
- 主要なアウトカム:精神疾患の診断 (うつ病,自殺傾向),SUD,治療率;次要なアウトカム:治療環境,社会経済的要因,保険.
主要な成果:
- 参加者の13%はSUD,24%は精神疾患と診断され,SUDの10%と精神疾患と診断された51%だけが治療を受けた.
- SUDの青少年 (12-17歳) と若年成人 (18-20歳) は,治療を受けることが減少した (精神保健およびSUDのケア).
- オピオイド使用障害を持つ青年は薬剤で十分に治療されなかった.
結論:
- SUD を 患う 青少年 や 若者 は 十分 の 治療 を 受ける こと は めった に ない.
- 特に若年成人への移行期における 治療のギャップは大きい.
- オピオイド使用障害の薬は この集団では 体系的に不足しています
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