西弗吉尼亚州在怀孕期间物质使用障碍和治疗利用的COVID前趋势2016-2019年
Carol Stocks1, Laura R Lander2, Keith J Zullig3
1Health Affairs Institute, West Virginia University, Charleston, West Virginia, USA.
Journal of women's health (2002)
|April 4, 2024
概括
产前护理改善了阿片类药物使用障碍 (OUD) 治疗,但非OUD诊断,特别是兴奋剂,显著增加. 对非OUD的治疗减少,突出了对孕妇护理的关键差距.
科学领域:
- 产科和妇科 产科和妇科
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 产前护理对于识别物质使用障碍 (SUD) 和在怀孕期间提供治疗至关重要.
- 在孕妇中测量SUDs的治疗利用率存在挑战.
研究的目的:
- 分析SUD在分娩时的诊断和怀孕期间治疗利用的COVID-19前趋势.
- 为了检查阿片类药物使用障碍 (OUD) 和非OUD诊断和治疗的变化随着时间的推移.
主要方法:
- 使用西弗吉尼亚州医疗补助索赔数据 (2016-2019) 的回顾性队列研究.
- 对49,398名孕妇的分析,重点关注SUD在分娩时的诊断和治疗利用情况.
- 在怀孕期间对OUD和非OUD诊断和治疗的研究趋势.
主要成果:
- 5.7%的人在分娩时被诊断为SUD.
- 与阿片类药物相关的诊断减少了29.3%,而非阿片类药物SUD诊断增加了55.8%.
- 兴奋剂使用障碍诊断增加了30.9%;OUD治疗增加了13%,但非OUD治疗下降了41.1%.
结论:
- 西弗吉尼亚州的干预措施提高了怀孕期间OUD治疗的获取和使用.
- 增加非OUD诊断,特别是兴奋剂,与治疗率下降形成对比.
- 早期识别和妇产科医生转诊对于在怀孕期间管理SUD至关重要,以防止并发症.
相关概念视频
Substance Use Disorders Affecting Sleep
166
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
166
Drug Dependence
1.0K
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
1.0K
Drug Therapy
43
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
43
Drug Abuse and Addiction: Pharmacological Phenomena
469
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
469
Factors Affecting Drug Response: Overview
2.0K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.0K
Drug Administration and Therapy Phases: Overview
457
Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
457


