在COVID-19大流行期间,大平原地区物质使用诊断的变化
Ahmed Nahian1, Lisa M McFadden2
1College of Osteopathic Medicine, Lake Erie College of Osteopathic Medicine at Seton Hill, Lynch Hall, 20 Seton Hill Dr, Greensburg, PA 15601, USA.
Healthcare (Basel, Switzerland)
|August 29, 2024
概括
药物使用障碍 (SUDs) 的医疗保健访问揭示了人口和地理差异. COVID-19大流行影响了缓解率,刺激剂使用障碍 (StUD) 的几率增加,但酒精使用障碍 (AUD) 和阿片类药物使用障碍 (OUD) 的几率下降.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国药物过量死亡率不断上升,需要了解药物使用障碍 (SUD) 的医疗保健相互作用.
- 随着COVID-19大流行,SUD治疗和缓解出现了独特的挑战和机会.
- 像农村和医疗补助扩张状况这样的地理因素显著影响医疗保健的获取和结果.
研究的目的:
- 检查大平原地区COVID-19大流行之前和期间SUD和缓解的医疗保健访问的变化.
- 确定寻求治疗酒精使用障碍 (AUD),阿片类药物使用障碍 (OUD) 和兴奋剂使用障碍 (StUD) 的患者的人口和地理特征.
- 分析不同SUD的缓解率的趋势,在疫情期间.
主要方法:
- 2019年3月至2021年3月期间,对AUD,OUD或StUD的109,671次患者访问的分析,包括缓解期患者.
- 包括患者的人口统计 (性别,年龄,种族,种族) 和地理因素 (农村,医疗补助扩张状态).
- 利用后勤回归来识别趋势和关联.
主要成果:
- 访问主要由白人和美洲原住民患者,非西班牙裔个人和男性进行.
- 男性更有可能被诊断为AUD,而女性更有可能被诊断为OUD或STUD.
- 大都市患者喜欢AUD诊断;非大都市患者喜欢OUD诊断. 在疫情期间,STUD的缓解几率增加,但AUD和OUD的缓解几率下降.
结论:
- 调查结果突出了SUD医疗保健访问中的显著人口和地理模式,表明了关键的干预点.
- 农村和服务不足地区迫切需要有针对性的医疗保健战略,以解决SUD护理中持续存在的健康差异.
- 疫情对缓解率的影响差异强调了对各种SUDs的适应性治疗方法的需求.
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