胺类兴奋剂使用者的死亡率,发病率和死亡预测因素 - 一个纵向,全国性的注册研究研究
A Åhman1,2, A Karlsson1,2, J Berge1,2
1Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Psychiatry, Lund, Sweden.
Addictive behaviors reports
|May 27, 2024
概括
胺类兴奋剂 (ATS) 的使用与高死亡率有关. 多重药物使用,焦虑,病毒性肝炎和肝脏疾病增加了ATS用户死亡的风险.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 流行病学 流行病学
背景情况:
- 胺类兴奋剂 (ATS) 对全球疾病负担作出了重大贡献.
- 对ATS用户的发病率和死亡率进行的大规模研究是有限的.
- 这项研究解决了对ATS用户健康结果的综合数据的需求.
研究的目的:
- 分析诊断为ATS使用障碍的全国患者队列的发病率和死亡率.
- 为了确定与ATS使用障碍的个体中所有原因死亡率的预测因素.
主要方法:
- 使用瑞典国家登记册来获取数据.
- 包括5,018名年龄在18岁以上的瑞典居民,被诊断为使用ATS (2013-2014).
- 采用考克斯回归来评估死亡率预测因素和并发性疾病.
主要成果:
- 原始死亡率为每1000人年24.6,调整后的标准化死亡率为12.4.4.
- 过量服用是最常见的死亡原因 (28.9%).
- 关键的死亡预测因素包括多种药物使用,焦虑,病毒性肝炎和肝脏疾病.
结论:
- 多重药物使用,焦虑症,病毒性肝炎和肝脏疾病是ATS用户死亡的重要风险因素.
- 强调需要加强体质和精神病并发症的查,预防和治疗策略.
- 改善伴随性疾病的管理对于降低这一群体的过早死亡率至关重要.
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