在患有慢性肌肉骨疼痛的黑人中感知到歧视和有问题的阿片类药物使用
James D Doorley1, Julia E Hooker1, Ellie A Briskin1
1Department of Psychiatry, Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital.
概括
感知到的种族歧视与黑人患有慢性肌肉骨疼痛的人有问题的阿片类药物使用有关. 解决系统性种族主义问题和提供量身定制的应对策略对于预防和治疗至关重要.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 慢性肌肉骨疼痛 (CMP) 影响了许多人,并增加了阿片类药物使用障碍的风险.
- 种族和民族歧视是与吸毒有关的已知的压力因素,特别是在黑人人口中.
- 有限的研究已经探索了黑人CPM患者感知歧视和有问题的阿片类药物使用之间的具体联系.
研究的目的:
- 调查黑人中感知到的种族/民族歧视与有问题的阿片类药物使用之间的联系.
- 为了确定是否感知到歧视独特预测有问题的阿片类药物使用,超出疼痛强度和心理因素.
- 检查这种关系中耐受困境和避免疼痛的作用.
主要方法:
- 一项涉及401名具有自我报告的CMP和当前处方阿片类药物使用的黑人个体的研究.
- 使用等级线性回归分析来评估所感知的歧视的预测能力.
- 变量包括感知到的歧视,疼痛强度,耐受痛苦,避免疼痛,年龄和就业状况.
主要成果:
- 整体模型显著解释了有问题的阿片类药物使用的差异 (R2 = .30).
- 感知到的歧视是有问题的阿片类药物使用的重要预测因素 (β = .39,p < .001).
- 感知到的歧视独特地导致了有问题的阿片类药物使用,即使在控制了其他因素之后.
结论:
- 感知到的种族歧视是与黑人CPM有问题的阿片类药物使用相关的重要因素.
- 系统性干预对抗种族主义是必不可少的.
- 个性化治疗方法来管理所感知的歧视对于预防和减少有问题的阿片类药物使用至关重要.
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