性和性别不同的患者的阿片类药物使用障碍治疗:一项回顾性队列研究

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Michal J McDowell^1,2,3,4, Amitai S Miller^3,5, Dana S King⁶

¹Massachusetts General Hospital, Boston, Massachusetts.

The Journal of clinical psychiatry

|October 31, 2024

概括

性和性别多样性 (SGD) 个体在阿片类药物使用障碍 (OUD) 治疗中经历了差异,包括较低的布普伦诺芬处方和较少的门诊医疗访问与非SGD个体相比. 需要文化敏感的干预措施来解决这些不平等问题.

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
成药物药物药物药物

背景情况:

阿片类药物使用障碍 (OUD) 影响着各种人群,但在不同的人口群体中,治疗机会和结果可能会有所不同.
了解性和性别多样性 (SGD) 个体在OUD治疗中的差异对于开发公平的医疗保健策略至关重要.

研究的目的:

评估和比较SGD和非SGD人群之间的OUD治疗模式,包括药物处方和临床访问类型.
确定OUD护理中的特定差异领域,以告知有针对性的干预措施.

主要方法:

追溯性队列研究,利用来自联邦合格卫生中心的电子健康记录数据.
分析包括1,133名在2013年1月至2021年6月期间被诊断为OUD的成年患者.
审查的数据包括OUD药物处方和OUD相关的诊所访问.

主要成果:

认为自己是女同性恋/男同性恋的患者的OUD患病率最低. 与性差患者相比,异性恋/异性恋患者更有可能接受布普伦诺芬,甲和纳洛.
异性恋患者比跨性别和性别多样性 (TGD) 患者获得更多的布普伦诺芬处方,而TGD患者更有可能接受口服纳尔特雷.
异性恋患者对药物治疗,个人心理治疗,成群体治疗,病例管理和补充护理的利用率较低,但门诊医疗访问率较高. 跨性别男性使用个人治疗最频繁.

结论:

在OUD治疗中存在显著的差异,特别是在SGD和非SGD患者之间的布普伦诺芬处方模式和门诊医疗访问访问中.
这些发现强调了需要在临床,组织和系统层面采取文化响应的干预措施,以改善对SGD人群的公平OUD护理.

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