在患有慢性脊髓损伤的参与者中自我报告的处方阿片类药物的使用
James S Krause1, Nicole D DiPiro1, Clara E Dismuke-Greer2
1College of Health Professions, Medical University of South Carolina, Charleston, South Carolina.
Topics in spinal cord injury rehabilitation
|March 4, 2024
概括
近30%的脊髓损伤患者每周或每天使用处方阿片类药物. 在这项研究中,退伍军人身份和更高的社会经济地位与较低的阿片类药物使用有关.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 脊髓损伤 (SCI) 与处方阿片类药物使用率高有关.
- 关于SCI患者使用阿片类药物的频率和特定类型的数据有限.
- 了解阿片类药物使用模式对于管理疼痛和减轻这一群体的风险至关重要.
研究的目的:
- 调查SCI成年人处方阿片类药物使用的频率.
- 探索阿片类药物使用与人口统计学,受伤相关和社会经济因素之间的关系.
- 在SCI人群中确定处方阿片类药物消费的模式.
主要方法:
- 进行了一项队列研究,涉及918名患有SCI的成年人 (持续时间≥1年).
- 参与者完成了自我报告评估 (SRA),详细说明了处方阿片类药物使用频率.
- 数据收集利用了国家毒品使用和健康调查 (NSDUH) 框架.
主要成果:
- 47%的参与者报告说在过去一年中至少使用了一种处方阿片类药物;可是最常见的 (22.1%).
- 近30%的人每周使用至少一种阿片类药物.
- 退伍军人和拥有学士学位或更高学历的个人在过去一年使用阿片类药物的几率较低. 高等教育和收入 ($25,000-$75,000+) 与较低的每日/每周使用量有关.
结论:
- 尽管已知风险,超过28%的SCI患者每天或每周使用处方阿片类药物.
- 退伍军人身份和社会经济指标似乎对阿片类药物使用有保护作用.
- 这些发现凸显了对经常使用阿片类药物的SCI患者进行替代疼痛管理策略的需要.
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