感知需要可卡因使用治疗的农村和城市差异的社会流行病学调解者
Tyrone F Borders1, Brenda M Booth2, Geoffrey M Curran3
1College of Nursing, University of Kentucky, Lexington, Kentucky.
Rural mental health
|January 20, 2025
概括
社会和健康因素调解了农村和城市非洲裔美国人/黑人之间可卡因治疗需求的差异. 解决这些差异可以有助于缩小获得治疗的差距.
科学领域:
- 社会流行病学 社会流行病学
- 健康差异 在健康上的差异
- 药物使用治疗 药物使用治疗
背景情况:
- 可卡因使用治疗的农村/城市差异通常与社会因素如社会经济地位,社会资本,歧视和医疗保健态度有关.
- 了解这些调解因素对于解决对待治疗需求的差异至关重要,这是治疗利用的关键预测因素.
研究的目的:
- 检查社会流行病学因素是否调解农村/城市居住和非洲裔美国人/黑人个人之间可卡因使用治疗的感知需求之间的关系.
- 找出特定的调解者,这些调解者有助于在感知治疗需求的差异.
主要方法:
- 一项涉及200个农村和200个城市的非裔美国人/黑人活跃可卡因使用者不接受治疗的研究.
- 利用多重调解模型与路径分析来评估各种社会和临床因素的影响.
主要成果:
- 多个调解者对感知治疗需求的总体间接影响是显著的.
- 关键显著的调解因素包括成严重程度指数 (ASI) 的就业和法律得分,治疗效果的感知以及患者健康问卷-9 (PHQ-9) 抑郁症得分.
结论:
- 社会流行病学因素在感知可卡因治疗需求方面显著调解了农村/城市差异.
- 干预措施应解决潜在的社会和健康差异,以减少这些差异,并改善可卡因使用者的治疗机会.
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