慢性病多病症和非裔美国男性中药物使用:退伍军人与非退伍军人的差异
M Daniel Bennett1, Justin T McDaniel2, David L Albright3
1School of Social Work, University of Arkansas, Fayetteville, AR, USA.
Ethnicity & health
|June 18, 2023
概括
军事服务会影响患有慢性疾病的非洲裔美国男性吸毒. 患有多种疾病的退伍军人使用非法毒品的比例较高,而患有一种疾病的非退伍军人则滥用烟草和阿片类药物.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 药物使用障碍 (SUD) 和慢性疾病不成比例地影响非裔美国男性.
- 前任军人是可能影响健康结果的重要人口因素.
- 了解退伍军人身份,慢性疾病和物质使用之间的相互作用对于有针对性的干预至关重要.
研究的目的:
- 调查以前的军事服务如何缓和慢性疾病多病症和美国非洲裔美国男性中药物使用之间的关系.
- 确定与退伍军人身份和多病症相关的特定物质使用模式 (非法药物,阿片类药物,烟草).
主要方法:
- 采用2016-2019年国家药物使用和健康调查数据进行的横截面研究.
- 使用调查加权的多变量逻辑回归模型来分析物质使用结果.
- 关键变量包括退伍军人身份,多病症和它们的相互作用,控制人口统计和社会经济因素.
主要成果:
- 患有两种或多种慢性疾病的非裔美国退伍军人,与患有类似疾病的非退伍军人相比,非法药物使用率更高.
- 患有一种慢性疾病的非退伍军人报告的烟草使用率和阿片类药物滥用率高于患有一种慢性疾病的退伍军人.
- 在非法药物,阿片类药物和烟草使用中,观察到退伍军人身份和慢性疾病计数之间的显著相互作用.
结论:
- 慢性病多病症呈现了非洲裔美国男性中药物使用的复杂背景,根据军事服务历史存在不同的风险.
- 诸如创伤暴露,获得医疗保健和社会环境影响等因素可能解释退伍军人的不同物质使用模式.
- 这些发现凸显了针对SUD和非裔美国退伍军人的慢性疾病的定制公共卫生战略的需要.
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