美国甲基胺使用者自杀念头的社会地理差异
Diensn G Xing1, Teresa Horan1, Md Shenuarin Bhuiyan2
1Department of Medicine, Louisiana State University Health Sciences Center at Shreveport, Shreveport, LA 71103, United States.
Psychiatry research
|October 18, 2023
概括
甲基胺使用者的自杀念头大幅增加,在2008年至2019年之间增加了16倍. 这一趋势凸显了一个关键的公共卫生问题,需要针对受影响人群进行有针对性的干预.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 甲基胺使用和自杀念头 (SI) 是显著的,美国越来越多的公共卫生问题.
- 了解这些问题的交叉关系对于开发有效的公共卫生和政策解决方案至关重要.
研究的目的:
- 检查甲基胺使用者中SI的患病率和趋势.
- 分析因同时使用SI和甲基胺而入院的人口和地理差异.
主要方法:
- 使用来自国家住院样本 (NIS) 数据库 (2008-2019) 的数据.
- 确定的住院病例 (HA) 对于初级/二级SI诊断和甲基胺使用的患者,不包括多重物质使用者.
- 采用趋势权重和基于设计的分析来进行国家估计.
主要成果:
- 由于同时使用SI和甲基胺而入院的病例从2008年至2019年增加了16倍,在2015年至2016年期间显著翻一番.
- 在26-40岁 (49.08%) 和41-64岁 (28.49%) 的患者中观察到的患病率最高.
- 非西班牙裔黑人患者的比例增加率最高 (39.1倍),南部/西部地区患病率最高.
结论:
- 甲基胺使用者的SI是一个日益关注的问题,具有明显的人口结构模式.
- 这些同时出现的疾病与寻求和接受医疗保健的减少有关.
- 为了改善护理和干预策略,需要对这两种情况的患者进行进一步的研究.
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