在初级保健提供与酒精有关的简短干预和随后与阿片类药物相关的结果之间的关联
Dan V Blalock1, Sophia A Berlin1, Theodore Berkowitz1
1Durham Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, N.C. (Blalock, Berkowitz, Smith, Grubber); Department of Psychiatry and Behavioral Sciences (Blalock) and Division of General Internal Medicine, Department of Medicine (Smith), Duke University School of Medicine, Durham, N.C.; Institute for Medical Research and Durham Veterans Affairs Health Care System, Durham, N.C. (Berlin); Department of Population Health Sciences, Duke University, Durham, N.C. (Smith); UNC Gillings School of Global Public Health, Chapel Hill (Wright); Center for Clinical Management Research, VA Ann Arbor Healthcare System, and Department of Psychiatry, University of Michigan Medical School, Ann Arbor (Bachrach); Cooperative Studies Program Coordinating Center, Veterans Affairs Boston Health Care System (Grubber).
在阳性AUDIT-C查后接受酒精短暂干预与新阿片类药物处方和阿片类药物使用障碍诊断的几率较低有关. 这表明,简短的干预措施可以降低与阿片类药物相关的危害风险.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 药物成科学 药物成科学
背景情况:
- 不健康的酒精使用和阿片类药物滥用的高同时发生导致严重的健康后果.
- 了解缓解这两种物质使用障碍风险的干预措施至关重要.
研究的目的:
- 调查与酒精相关的简短干预是否可以减少随后与阿片类药物相关的负面结果.
- 分析记录的酒精干预措施与新的阿片类药物处方,阿片类药物使用障碍诊断和与阿片类药物相关的住院治疗之间的关联.
主要方法:
- 从2014年至2019年,对492,748名退伍军人事务患者进行了回顾性队列研究.
- 分析酒精使用障碍识别测试-消费 (AUDIT-C) 查结果.
- 后勤回归来评估酒精短暂干预对阿片类药物相关结果的影响,控制共变量.
主要成果:
- 没有接受酒精干预的AUDIT-C选结果为阳性的退伍军人有更高的新阿片类药物处方率 (aOR=1.10) 和新的阿片类药物使用障碍诊断 (aOR=1.19).
- 与阿片类药物相关的住院病例也较高 (aOR=1.19),但不具有统计学意义.
- 治疗阿片类药物使用障碍的药物并没有改变这些关联.
结论:
- 标准的VA酒精短暂干预与新的阿片类药物处方和阿片类药物使用障碍诊断的后续几率降低有关.
- 研究结果表明,酒精短暂干预对与阿片类药物相关的危害级联产生潜在的保护作用.
更多相关视频
05:40The Motivation for Alcohol Reward: Predictors of Progressive-Ratio Intravenous Alcohol Self-Administration in Humans
Published on: April 28, 2022
08:05A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
Published on: January 5, 2018
相关概念视频
Analgesia and Pain Management
CNS Depressants: Alcohol and Nicotine
Opioid Analgesics: Synthetic and Semisynthetic Opioids
Depressants
Alcohol is a common depressant that can induce a sense of relaxation and reduced inhibition at low doses. Contrary to its occasional...
Opioid Analgesics: Morphine and Other Natural Cogeners
Operant Conditioning Intervention
In operant conditioning, behaviors that are...
