在COVID-19期间,患有慢性疾病的年轻人中使用物质的急诊室访问
Faith Summersett Williams1, Isabella Zaniletti2, Abbey R Masonbrink3
1Department of Pediatrics, Northwestern University, Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital, Chicago, Illinois.
JAMA network open
|October 4, 2024
概括
在COVID-19期间,儿童急诊室因物质使用而增加,特别是在患有慢性病症 (CMC) 的年轻人中. 在卫生危机期间,针对性干预对这个脆弱人群至关重要.
科学领域:
- 儿科急救医学 儿科急救医学
- 公共卫生 公共卫生
- 青少年健康 青少年健康
背景情况:
- 在COVID-19大流行期间,儿童急诊部 (ED) 对物质使用 (SU) 的访问激增.
- 了解患有慢性病的年轻人中SU ED访问的趋势对于有效的干预至关重要.
- 根据种族和民族的SU ED访问的差异需要进一步调查.
研究的目的:
- 分析COVID-19大流行之前和期间儿科SU ED访问的趋势.
- 为了比较SU ED与CMC和没有CMC的美国年轻人之间的访问趋势.
- 检查种族和种族对这些趋势的影响.
主要方法:
- 一项队列研究利用了来自美国47家儿童医院急救室的数据 (2018年3月至2022年3月).
- 包括10-18岁的患者,分析有和没有CMC (慢性疾病和复杂的CMC) 的访问.
- 后勤回归模型被用来评估趋势,对共变量和中心效应进行调整.
主要成果:
- 在COVID-19期间,所有群体的青年SU ED访问都增加了.
- 对于那些有CMC的人来说,访问量增加了23%,对于复杂的CMC人来说增加了26%,对于那些没有CMC的人来说增加了50%.
- 患有CMC的年轻人与没有的年轻人相比,在流行病前和期间 (COVID-19期间的aOR为8.58) 都有更高的SU几率.
- 在种族/种族和CMC之间观察到显著的相互作用 (P < .001).
结论:
- 社会危机需要为所有年轻人提供全面的SU服务,重点关注CMC的年轻人.
- 患有CMC的年轻人由于他们现有的医疗问题而面临SU的健康风险增加.
- 针对性查,预防和干预策略对于公共卫生紧急情况中面临风险的年轻人至关重要.
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