罗德岛州阿片类药物使用障碍药物的全州趋势,美国,2017-2023年
Leah C Shaw1, Benjamin D Hallowell, Taylor Paiva
1From the Department of Epidemiology, School of Public Health, Brown University, Providence, RI (LCS, EAS, BDLM); Substance Use Epidemiology Program, Rhode Island Department of Health, Providence, RI (BDH, TP, EAS); Rhode Island Executive Office of Health and Human Services, Cranston, RI (CTS); Rhode Island Department of Behavioral Healthcare, Developmental Disabilities & Hospitals, Cranston, RI (MD, SKB, JG); Department of Emergency Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA; Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI (EAS); and Center for Opioid Epidemiology and Policy, Department of Population Health, NYU Grossman School of Medicine, New York University, New York City, NY (MC).
在罗德岛,在COVID-19期间和之后,阿片类药物的使用量有所下降,尤其是在年轻人中. 建议有针对性的青年干预措施来扭转这一趋势.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药物使用障碍 药物使用障碍
背景情况:
- 布普伦诺芬和美沙是FDA批准的治疗阿片类药物使用障碍 (MOUD) 的药物.
- 了解MOUD利用的流行前趋势,但在罗德岛COVID-19大流行期间和之后的转变仍然不清楚.
- 本研究检查了MOUD利用的变化随着时间的推移和人口统计学.
研究的目的:
- 分析罗德岛州从2017年到2023年的布普伦诺芬和美沙发行趋势.
- 评估在COVID-19大流行期间,MOUD的使用在不同的人口群体中如何转移.
- 确定MOUD获取和使用的潜在差异.
主要方法:
- 利用2017年1月至2023年12月的布普伦诺芬和美沙的全州发行数据.
- 按年龄组,性别和种族/民族分层数据.
- 分析了COVID-19前,COVID-19和流行COVID-19期间的利用趋势,并计算了年度百分比变化.
主要成果:
- 在COVID-19之前,MOUD的使用量每年都在增加.
- 在COVID-19大流行期间,布普伦诺芬和美沙的使用量每年分别下降0.40%和0.43%.
- 在流行COVID-19期间,利用率下降得更快 (布普伦诺芬下降了2.59%;美沙下降了1.77%),最显著的下降是在18-34岁的成年人中观察到的.
结论:
- 罗德岛在COVID-19大流行期间和之后发生了MOUD利用的显著下降.
- 这种下降主要是由于年轻成年人 (18-34岁) 减少了MOUD的使用.
- 基于学校或初级医疗保健的干预措施可以加强年轻人的参与物质使用障碍治疗.
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