退伍军人男性滥用酒精和酒精使用障碍的不同时间趋势:人口监测和临床数据的比较
Katherine J Hoggatt1, Neetu Chawla2, Elizabeth M Yano3
1San Francisco VA Medical Center, 4150 Clement St., 111A1, San Francisco, CA 94121, USA; University of California, San Francisco, 505 Parnassus Ave, San Francisco, CA 94143, USA.
Addictive behaviors
|September 21, 2023
概括
酒精使用障碍 (AUD) 诊断在男性VA患者中正在上升,与一般男性退伍军人人口中不健康的酒精使用和AUD流行率的下降形成对比. 这凸显了改善临床识别的必要性,特别是在年轻男性中.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 追踪酒精使用障碍 (AUD) 的时间趋势对于管理其健康负担和医疗需求至关重要.
- 了解AUD诊断率,临床查和人口患病率的趋势对于有效的公共卫生战略至关重要.
研究的目的:
- 为了估计男性退伍军人事务 (VA) 患者中AUD诊断率的时间趋势.
- 为了将这些趋势与通过临床查发现的不健康的酒精使用以及在美国退伍军人人口中AUD流行率进行比较.
主要方法:
- 利用VA电子健康记录数据 (2009-2019) 进行AUD诊断和查率.
- 关于一般人口的药物使用和健康数据 (2010-2019) 的全国调查. AUD流行率.
- 应用回归模型,使用年作为线性术语来分析时间趋势.
主要成果:
- 在大多数年龄组的男性VA患者中,AUD诊断率增加.
- 酒精查率上升,但对不健康的酒精使用呈阳性检测的比例下降,除了老年患者.
- 一般男性美国退伍军人人口中AUD的患病率每年显著下降 (-0.17个百分点),特别是在年轻的成年人 (18-34岁).
结论:
- 越来越多的VA患者的AUD诊断与不健康的酒精使用和AUD患病率的下降人口趋势有所不同.
- 年龄特定的趋势差异强调了需要更好地了解临床AUD识别过程的必要性.
- 需要特别注意的是改善在年轻男性退伍军人中AUD的识别.
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