使用酒精,吸烟和物质参与查测试来预测监狱释放后与物质有关的住院治疗:一项队列研究
Craig Cumming1, Stuart A Kinner2,3,4,5, Rebecca McKetin6
1Centre for Health Services Research, School of Population and Global Health, University of Western Australia, Crawley, Australia.
Addiction (Abingdon, England)
|October 19, 2023
概括
在监禁人员中使用酒精吸烟和物质参与查测试 (ASSIST) 对中度/高风险物质使用的查预测了释放后更高的住院率. 这个工具可以识别那些需要有针对性的物质使用治疗和减少伤害服务的人.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 犯罪学 犯罪学
背景情况:
- 从监狱释放的个人中,健康状况不佳,特别是与吸毒有关的情况很常见.
- 在释放后识别有风险的个体对于有效的干预和支持至关重要.
- 酒精吸烟和物质参与查测试 (ASSIST) 已得到验证,但其对释放后住院治疗的预测实用性尚未确定.
研究的目的:
- 评估ASSIST对中度/高风险物质使用的查是否预测监狱释放后与物质有关的住院治疗.
- 评估ASSIST在识别面临未来与物质有关的危害最大风险的监禁人员方面的实用性.
主要方法:
- 一项前性队列研究涉及澳大利亚2585名被监禁参与者,追踪时间平均为873天.
- 基线ASSIST查评估了监禁前大麻,甲基胺和海洛因的中度/高风险使用.
- 链接的行政医院数据使用ICD代码识别了与物质有关的住院病例;生存分析估计了调整后的危险比率.
主要成果:
- 在ASSIST中查中度/高风险的个体中,释放后与物质有关的住院率显著更高.
- 适度/高风险与低风险查的调整危险比率 (aHR) 是:大麻 (aHR 2.38),甲基胺 (aHR 2.23),和海洛因 (aHR 5.79).
- 与大麻,阿片类药物和甲基胺相关的住院病例分别发生在6%,7%和10%的参与者中.
结论:
- 在ASSIST上对中等/高风险物质使用进行查的监禁人员面临着明显增加的释放后住院住院的风险.
- 在监禁期间使用ASSIST可以有效地识别那些最需要物质使用治疗和减少伤害服务的人.
- 辅助是一个有价值的工具,用于有针对性的干预计划,用于从监狱返回社区的个人.
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