在精神病急救服务和亚裔美国人和太平洋岛民人口中使用甲基胺
Max Nakamoto1, Jane Onoye, Miki Kiyokawa
1From the Department of Psychiatry, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI (MN, JO, MK, JT, BL); and The Queen's Medical Center, Honolulu, HI (JO, MK, JT, BL).
Journal of addiction medicine
|June 13, 2024
概括
麻醉剂的使用在精神病医院急诊中翻了一番,增加了医疗保健资源的使用. 这种增长不成比例地影响了某些种族群体,突出了对文化定制干预措施的需要.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 药物使用障碍 药物使用障碍
背景情况:
- 甲基胺流行病对医疗保健系统构成重大挑战.
- 了解对亚裔美国人 (AA) 和太平洋岛民 (PI) 等弱势群体的影响至关重要,但历史上被忽视.
- 精神病紧急服务是受物质使用影响的个体的关键联系点.
研究的目的:
- 评估甲基胺使用对精神病紧急服务结果的影响.
- 为了检查亚裔美国人 (AA) 和太平洋岛民 (PI) 群体中的甲基胺使用模式.
- 确定与在紧急情况下使用甲基胺相关的人口和临床因素.
主要方法:
- 在城市夏威夷的I级创伤中心 (2007-2019) 进行了44,658次访问的回顾性图表审查.
- 纳入标准:需要精神病紧急服务的访问,并完成了尿液药物查.
- 在安非他命阳性和安非他命阴性访问之间,人口特征和急诊室课程的比较.
主要成果:
- 对安非他命阳性检查的比例几乎翻了一番,从2007年的13.3%增加到2019年的25.5%.
- 胺阳性访问更有可能涉及执法人员的到来 (38.3%对27.2%),需要肌肉内精神药物 (17.3%对12.3%),并且有更长的ED停留时间 (中位数为420分钟对372分钟).
- 原住民夏威夷人和西班牙裔/拉丁裔患者的安非他命阳性率最高,而中国人和韩国患者的阳性率最低.
结论:
- 氨基胺阳性的显著增加与精神病急诊服务中医疗资源利用率的增加有关.
- 在更广泛的亚裔美国人和太平洋岛民人口中,安非他命阳性存在实质性的变化.
- 文化敏感的干预措施对于减轻甲基胺流行病对医疗保健系统和风险社区的影响至关重要.
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