在西班牙裔客户中,MOUD的使用在ACA后增加,但因遗产和地理位置不同而有所不同
Carolina-Nicole Herrera1, Sugy Choi2, Natrina L Johnson3
1Department of Psychiatry, Boston Medical Center, United States.
Drug and alcohol dependence
|December 10, 2024
概括
治疗阿片类药物使用障碍 (MOUD) 的药物使用在"负担得起的医疗法案" (ACA) 后的西班牙裔个人中增加. 然而,吸收因西班牙裔遗产群体和州医疗补助扩张状态而异,突出显示了持续的差异.
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
- 药物使用障碍 药物使用障碍
背景情况:
- 在西班牙裔人口中,过量服用死亡率不成比例地增加.
- 对阿片类药物使用障碍 (MOUD) 的药物治疗是一种有效的干预措施,但仍未得到充分利用.
- 在"可负担医疗法案" (ACA) 之后,保险和行为健康改革的州级变化可能会影响MOUD的获取.
研究的目的:
- 检查ACA实施后MOUD使用量的增加.
- 为了比较西班牙裔和非西班牙裔白人之间的MOUD使用变化.
- 分析西班牙裔遗产群体之间的MOUD使用差异,以及不同医疗补助扩张状态的州之间的差异.
主要方法:
- 对西班牙裔和白人患者的门诊护理事件的分析 (TEDS-A,2009-2019).
- 根据传统群体对西班牙裔客户的分类 (波多黎各人,墨西哥人,其他西班牙裔).
- 根据医疗补助扩张状况分组各州,并采用后勤回归和差异分析来比较MOUD使用前/后ACA.
主要成果:
- 在西班牙裔客户中,MOUD的使用率在非扩张州最低,在加利福尼亚州最高.
- 在ACA后,只有波多黎各人和其他西班牙裔遗产客户在全国范围内增加了MOUD赔率.
- 西班牙裔和白人客户表现出类似的MOUD使用在全国和其他扩张国家增加.
结论:
- 在西班牙裔客户中,MOUD的使用在ACA之后增加了.
- 在不同西班牙裔遗产群体和各州之间,MOUD利用的显著差异仍然存在.
- 可能需要量身定制的策略来解决这些在MOUD访问中的剩余不平等问题.
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