对单独使用药物的人来说,需要重新思考降低危害的必要性,以减少过量死亡
Vaishali S Deo1, Manreet K Bhullar2, Thomas P Gilson2
1Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
Substance use & misuse
|November 15, 2023
概括
库亚霍加县的大部分过量死亡发生在个人单独使用药物时. 这凸显了需要新的减少危害策略,以防止这种脆弱人群中的死亡事故.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 毒理学 毒理学 毒理学
背景情况:
- 在俄俄州的库亚霍加县,在阿片类药物流行期间,过量服用死亡率高于全国平均水平.
- 研究表明,个人经常单独使用药物,但对过量服用过量药物而单独使用药物的死者存在有限的数据.
- 了解因过量服用而独自死亡的个体的特征对于有针对性的干预至关重要.
研究的目的:
- 调查仅使用药物过量死亡者的社会人口统计学,毒理学和受伤相关特征.
- 为了检查单独使用时因过量服用而死亡的个体的紧急医疗反应模式.
- 为了确定与过量服用药物时因过量服用而死亡的可能性增加相关的因素.
主要方法:
- 分析库亚霍加县法医办公室对成年人 (2016-2020年) 意外过量死亡的数据.
- 对所有死者的社会人口统计,毒理学和伤害信息的表格化.
- 仅使用药物的死者与不使用药物的死者之间的比较,使用奇方位和费舍尔的精确测试,然后进行多变量逻辑回归.
主要成果:
- 绝大多数 (75%) 过量服用的死者在死亡时仅使用药物.
- 单独使用药物的人更有可能在家中被发现死亡,并且不太可能接受纳洛或有旁观者.
- 在家中使用毒品与孤独死亡的几率更高有关,而结婚,有非法药物使用史或有非使用者的存在与较低的几率有关.
结论:
- 这些发现强调了对专门为单独使用毒品的个人设计的新型危害降低策略的迫切需要.
- 有针对性的干预措施至关重要,以减少异常高的过量死亡人数.
- 对单独使用毒品和过量使用的情况进行进一步的研究可以为更有效的公共卫生反应提供信息.
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