种族和种族差异在急诊室患者中自我报告的物质使用治疗障碍中的差异
Neha Jia Ahmad1,2, Hannah Shapiro3, Margaret L Griffin3,4
1Department of Emergency Medicine, Harvard Affiliated Emergency Medicine Residency, Massachusetts General Hospital and Brigham and Women's Hospital, Boston, Massachusetts, USA.
The American journal on addictions
|August 6, 2024
概括
种族和民族少数群体面临着独特的障碍,无法获得物质使用障碍治疗. 解决人们认为吸毒是一个问题,增加治疗选择对于改善不同人群获得护理的机会至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 药物使用障碍 药物使用障碍
背景情况:
- 过量服用率的上升不成比例地影响非白人美国人.
- 了解物质使用障碍 (SUD) 获得治疗的种族和民族差异至关重要.
- 紧急服务部门 (ED) 是识别SUD患者的关键点.
研究的目的:
- 探索自我报告的SUD治疗获取障碍.
- 在ED人口中检查这些种族和种族障碍.
- 调查障碍,种族/种族和毒品使用严重程度之间的关联.
主要方法:
- 一项随机试验的二次分析,该试验涉及六个学术ED的活跃药物使用患者.
- 对治疗障碍的比较 根据种族,种族和药物严重性的库存响应.
- 使用千二测试和调整后勤回归模型 (N=858) 的统计分析.
主要成果:
- 缺乏感知到的药物问题是所有群体中最常见的障碍.
- 非西班牙裔黑人参与者不太可能相信他们可以独立管理毒品使用.
- 与非西班牙裔白人参与者相比,非西班牙裔黑人参与者对个人问题表示更大的不情愿.
- 非西班牙裔黑人参与者比西班牙裔参与者不太可能将治疗的可用性和家庭的反对视为障碍.
结论:
- 查和咨询可以解决低估药物使用严重性的常见障碍.
- 扩大获取多种SUD治疗选择的机会对于满足各种患者需求至关重要.
- 这项研究为SUD治疗的个人和结构障碍提供了新的见解.
相关概念视频
Surveys
14.7K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
14.7K
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Stereotypes, Prejudice, and Discrimination
90.1K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.1K
Substance Use Disorders Affecting Sleep
163
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,...
163
Drug Abuse and Addiction: Pharmacological Phenomena
456
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...
456
Panic Disorder
56
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
56


