药物使用耻辱和COVID-19疫苗犹之间的关系
Natasha Powell1, Bruce Taylor2, Anna Hotton3
1Pritzker School of Medicine, University of Chicago, Chicago, IL 60637, USA.
Vaccines
|July 29, 2023
概括
对过去有物质使用障碍的人群的公众耻辱与COVID-19疫苗犹有关. 这种关联在阿片类药物,甲基胺和可卡因使用障碍中观察到,但不是酒精使用障碍.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 美国同时面临着公共卫生危机:COVID-19大流行和日益增长的物质使用障碍 (SUDs).
- 有限的研究已经探索了这两个重要的健康问题之间的联系.
- 了解影响疫苗犹的因素对于公共卫生战略至关重要.
研究的目的:
- 为了调查公众对有药物使用障碍史和COVID-19疫苗犹的个体的耻辱之间的关联.
- 探索与特定物质 (阿片类药物,甲基胺,可卡因,酒精) 相关的耻辱是否预测了疫苗犹.
主要方法:
- 一项探索性研究利用了对6515名美国成年人的全国调查.
- 评估的物质使用耻辱,COVID-19疫苗犹,种族偏见和健康新闻来源.
- 采用四种多变量后勤回归模型来分析物质使用耻辱和疫苗犹之间的关系.
主要成果:
- 对于COVID-19疫苗的犹与更高水平的物质使用与过去的阿片类药物使用 (AOR=1.34),甲基胺使用 (AOR=1.40) 和可卡因使用 (AOR=1.28) 的耻辱感有显著的关联.
- 在物质使用对酒精使用的耻辱和COVID-19疫苗犹之间没有发现显著的关联 (AOR=1.06).
- 这些发现表明,耻辱在某些人群中对疫苗的犹起作用.
结论:
- 对于有阿片类药物,甲基胺和可卡因使用障碍史的个人而言,公众的耻辱感是COVID-19疫苗犹的预测因素.
- 将物质使用耻辱性纳入预测模型可能有助于识别容易接受疫苗犹干预的个体.
- 需要进一步的研究来了解潜在的机制,并开发结合的干预措施,解决耻辱和犹.
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