性和性别不同患者的酒精使用障碍治疗:一项回顾性队列研究
Michal J McDowell1,2,3,4, Dana S King5, Sy Gitin5
1Department of Psychiatry, Massachusetts General Hospital, Boston.
The Journal of clinical psychiatry
|September 1, 2023
概括
性和性别多样性 (SGD) 个体显示出更高的酒精使用障碍 (AUD) 诊断率. 虽然AUD治疗机会存在差异,但SGD患者使用行为健康服务的频率高于非SGD患者.
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
- 成 药物 药物 药物 药物
背景情况:
- 性别和性别多样性 (SGD) 的人群与异性恋和双性恋人群相比,酒精使用障碍 (AUD) 的发生率更高.
- 现有的研究还没有完全描述SGD人口中AUD的治疗准入和利用差异.
研究的目的:
- 调查和比较SGD和非SGD患者群体之间AUD治疗获取和利用的模式.
- 确定不同患者群体在AUD护理中的潜在差异.
主要方法:
- 一项回顾性队列研究利用了来自马萨诸塞州波士顿联邦合格卫生中心的电子健康记录数据.
- 该研究包括3,607名成年患者 (≥18岁) 在2013年1月至2021年6月期间接受国际疾病分类 (ICD) -9或ICD-10 AUD诊断.
- 通过药物处方 (注射/口服纳尔特雷克松,阿坎普罗沙特,迪苏尔菲拉姆) 和与AUD相关的诊所访问 (药物治疗,心理治疗) 来评估AUD治疗.
主要成果:
- 自称女同性恋/同性恋的患者的AUD诊断患病率明显高 (6.9%),高于异性恋/异性恋患者 (2.6%).
- 性别多元的个体也显示出较高的AUD发病率 (5.5%) 与 cisgender个体 (4.4%) 相比.
- 与非SGD患者相比,SGD患者更频繁地接受口服纳尔德 (16.1% vs 9.8%),并且与非SGD患者相比,更频繁地利用AUD相关的心理治疗访问.
结论:
- SGD患者的AUD诊断的流行率更高,AUD护理的利用率更高,特别是通过行为健康服务.
- 虽然一些治疗方式,如口服纳尔特雷克松,在SGD患者中显示出更高的吸收率,但需要进一步的研究来充分理解和解决AUD治疗差异.
- 调查结果强调了为SGD人群量身定制的医疗保健方法的重要性,以确保公平的AUD治疗结果.
更多相关视频
07:31Murine Drinking Models in the Development of Pharmacotherapies for Alcoholism: Drinking in the Dark and Two-bottle Choice
Published on: January 7, 2019
8.0K
05:40The Motivation for Alcohol Reward: Predictors of Progressive-Ratio Intravenous Alcohol Self-Administration in Humans
Published on: April 28, 2022
3.1K
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
CNS Depressants: Alcohol and Nicotine
241
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
241
Sexually Transmitted Infections
348
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
348
Treatment Strategies for Psychological Disorders
169
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
169
Sex-linked Disorders
102.3K
Like autosomes, sex chromosomes contain a variety of genes necessary for normal body function. When a mutation in one of these genes results in biological deficits, the disorder is considered sex-linked.
102.3K
Disorders of the Male Reproductive System
453
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
453
