药物使用障碍患者的死亡率 - - 暴力犯罪行为是否有影响?
Joakim Jakobsson1,2,3, Anna Karlsson4, Anders Håkansson4
1Lund Clinical Research on Externalizing and Developmental Psychopathology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Frontiers in psychiatry
|December 23, 2024
概括
暴力犯罪显著增加了患有物质使用障碍 (SUD) 的年轻人过早死亡的风险. 这种关联甚至在考虑非暴力犯罪后也存在,突出显示犯罪行为是关键的风险指标.
科学领域:
- 公共卫生 公共卫生
- 犯罪学 犯罪学
- 成 药物 药物 药物 药物
背景情况:
- 了解导致过早死亡的因素对于公共卫生干预至关重要.
- 药物使用障碍 (SUDs) 与死亡风险增加有关.
- 暴力犯罪对SUD患者死亡率的影响需要进一步调查.
研究的目的:
- 在被诊断患有SUD的个人中,检查暴力犯罪与过早死亡率 (65岁前死亡) 之间的关联.
- 为了比较SUD被判犯有暴力犯罪的个人与非暴力犯罪之间的死亡率.
- 评估暴力犯罪定罪对过早死亡风险的独立影响.
主要方法:
- 分析了2013-2014年间被诊断患有SUD的瑞典患者队列.
- 个体被分为三个年龄类别.
- 考克斯回归分析被用来确定早期死亡的危险比率.
主要成果:
- 在SUD队列和一般人口之间观察到标准死亡率 (SMR) 的显著差异.
- 在较年轻的年龄组中,被判犯有暴力犯罪的个人与非暴力犯罪的个人相比,显示出更高的SMR.
- 每个暴力犯罪的定罪都显著增加了过早死亡的危险比率 (HR),特别是在较年轻的年龄组 (15-29岁和30-44岁).
结论:
- 犯罪行为,特别是暴力犯罪,充当风险行为的代理,导致SUD年轻人过早死亡.
- 与暴力犯罪定罪相关的过早死亡风险增加,即使控制了非暴力犯罪和其他混因素,仍然存在.
- 需要进一步进行纵向研究,以阐明这种人群中扩大过早死亡的基础路径和过程.
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