意想不到的后果:在COVID-19封锁期间,城市原住民社区控制卫生服务的酒精查被抑制
James H Conigrave1,2,3,4, Emma K Devine5, K S Kylie Lee1,2,3,6,7,8
1Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, Australia.
Drug and alcohol review
|October 23, 2023
概括
由于COVID-19的封锁,城市原住民卫生服务的危险饮酒查显著减少. 持续查至关重要,特别是因为酒精危害在此类中断期间可能会增加.
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
- 土著健康土著健康
背景情况:
- 定期对危险饮酒进行查对于改善澳大利亚原住民和托雷斯海峡岛民健康至关重要.
- 酒精使用障碍识别测试-消费 (AUDIT-C) 是一个关键的选工具.
研究的目的:
- 调查COVID-19封锁对AUDIT-C查率的影响.
- 分析原住民社区控制卫生服务 (ACCHS) 的查中断情况.
主要方法:
- 追溯分析来自澳大利亚22个ACCHS的查数据.
- 使用了多级波桑回归与AR(1) 自相关性.
主要成果:
- 在2020年封锁期间,AUDIT-C查率被抑制 (IRR为0.42).
- 城市和区域内服务出现显著下降 (IRR为0.25).
- 外部区域,远程和非常远程服务没有显示出统计学上显著的变化.
结论:
- 在城市ACCHS中,COVID-19封锁可能抑制了风险饮酒查.
- 决策者应该确保在未来的公共卫生危机期间的查连续性.
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