過去1年のオピオイド使用障害の青少年の3人に1人未満が薬物使用治療を受けた (2022-23年)
Manuel Cano1, Nika Hernandez2, Natasha S Mendoza3
1Manuel Cano (mcanomor@asu.edu), Arizona State University, Phoenix, Arizona.
Health affairs (Project Hope)
|September 2, 2025
まとめ
大半のオピオイド使用障害 (OUD) の青年は治療を受けていません. 青少年のOUD治療には しばしば 刑事訴訟の紹介が含まれており 薬の入手や 適したプログラムが欠けていて 医療の欠陥が明らかになっています
科学分野:
- 公衆衛生
- 薬物使用障害
- 青少年 の 健康
背景:
- 最近の米国の政策の転換とオピオイド関連の若者の死亡の増加は,若者のオピオイド使用障害 (OUD) 治療の検討を必要としています.
- 現在の治療パターンを理解することは 青少年オピオイド危機に対処するために不可欠です
研究 の 目的:
- 青少年におけるOUD治療の利用,紹介経路,薬の入手,プログラム利用に関する最近の国家データを分析する.
- 青少年OUDケアにおける格差と機会を特定する
主な方法:
- 薬物使用と健康に関する2022-23年度の全国調査,2022年度の治療エピソードデータセット入学,および2023年度の国家薬物使用と精神保健サービス調査のデータを活用した.
- OUD (MOUD) への薬剤の含有,青少年に合わせたプログラムの可用性を調べました.
主要な成果:
- OUDを患っている若者の30.8%だけが,過去1年間の薬物使用治療を受けた.
- 青少年 (27. 8%) は成人 (17. 0%) よりも刑事訴訟の件数が多かった.
- 大人 (36.4%) と比較すると,青少年の治療入院率はMOUDの頻度 (9.5%) が少なく,青少年に特化したプログラムを提供した施設はわずか (23.3%) であった.
結論:
- 青少年のOUD治療のアクセシビリティと品質には大きなギャップがあります.
- 政策とプログラム開発は,MOUDを含む,青少年におけるOUDスクリーニング,ケア調整,証拠に基づいた治療へのアクセスを改善することに焦点を当てるべきです.
- 治療システムの中で 若者の独特のニーズに対応することは 極めて重要です
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