组织接入点和物质使用障碍黑人女性的治疗利用率:纵向队列研究
Sugy Choi1, Amanda Bunting2, Talia Nadel2
1Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA. sugy.choi@nyulangone.org.
Health & justice
|August 21, 2023
概括
公共援助计划可以增加受试期黑人妇女的吸毒治疗机会. 然而,急诊室的使用可能会减少社区或监狱中的治疗利用率.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 医疗和社会服务构成了物质使用障碍 (SUD) 治疗准入的安全网.
- 种族化和性别差异影响黑人妇女使用SUD治疗.
- 刑事司法的参与进一步使得这群人获得护理的机会更加复杂.
研究的目的:
- 探索不同接入点如何影响黑人女性使用SUD和刑事司法参与的物质使用治疗.
- 检查紧急部门和公共援助计划作为潜在的护理门户的作用.
主要方法:
- 利用了"黑人妇女在流行病研究 (B-WISE) "项目 (2008-2011) 的数据.
- 采用动态面板模型来分析基于服务使用的18个月治疗利用率.
- 根据招聘环境进行分层分析:社区,监狱和缓刑.
主要成果:
- 在社区和监狱设置中招募的妇女中,急诊室的使用减少了随后的治疗利用率.
- 获得公共援助增加了后续使用药物治疗的可能性.
- 调查结果强调了基于刑事司法参与的服务接入点的差异性影响.
结论:
- 与卫生和社会服务的互动预测了黑人女性使用药物治疗的使用情况.
- 根据刑事司法系统的参与情况,调查结果有很大差异.
- 公共援助计划是增加受试期黑人妇女获得治疗的关键干预点.
更多相关视频
相关概念视频
Substance Use Disorders Affecting Sleep
196
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
196
Drug Abuse and Addiction: Pharmacological Phenomena
512
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
512
Drug Dependence
1.0K
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
1.0K
Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K
Self-Help Support Groups
53
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
53
Healthcare Agencies II
724
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
724


