大都市/非大都市移民作为老年医疗保险受益者中阿片类药物使用障碍的风险因素:对2013-2018年数据的纵向分析

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Tse-Chuan Yang¹, Kiwoong Park², Carla Shoff³

¹University at Albany, State University of New York, Albany, NY, USA.

Journal of applied gerontology : the official journal of the Southern Gerontological Society

|October 22, 2024

概括

大都会和非大都会地区之间的迁移增加了老年人阿片类药物使用障碍 (OUD) 的风险. 这一发现支持漂移假说,表明易受影响的个体会迁移到OUD流行率较高的地区.

科学领域:

老年学是一门学科.
公共卫生公共卫生
流行病学流行病学

背景情况:

阿片类药物使用障碍 (OUD) 在老年人 (65岁以上) 中越来越令人担忧.
大都会 (大都会) 和非大都会 (非大都会) 地区之间的迁移对这一人口群体中OUD风险的影响尚不清楚.
两个关键假设,漂移和环境育种假设,为移民对健康状况的影响提供了对比的解释.

研究的目的:

调查大都会和非大都会县之间的迁移和老年人OUD风险之间的关系.
关于迁移和OUD风险的漂移和环境育种假设之间的区别.

主要方法:

利用了来自65岁及以上的医疗保险受益人2013年至2018年间移居的纵向数据 (N = 6,227).
采用固定效应建模来分析移民模式与OUD风险之间的关联.
在大都会和非大都会县之间迁移的个人中比较OUD风险,与那些没有迁移的人相比.

主要成果:

与非移民相比,在大都市和非大都市县之间迁移的老年人表现出较高的OUD风险.
移民和OUD风险之间的关联在从大都会转移到非大都会县的个人中尤为明显.
这些发现为漂移假说提供了更强大的支持.

结论:

不同类型的住宅环境 (大都会与非大都会) 之间的迁移与老年人OUD风险增加有关.
结果表明,对OUD倾向的个体可能会迁移到非大都市地区,符合漂移假说.
公共卫生战略应在OUD预防和干预的背景下考虑老年人的住宅流动性.

关键词:

美国医疗保险 (Medicare) 的医疗保险.地铁与非地铁之间的差异年龄较大的成年人."阿片类药物使用障碍"

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