巴西的故意药物过量死亡和情绪障碍 - - 一个20年的概述
Daniela Mendes Chiloff1, Vitor S Tardelli2, Marina Costa Moreira Bianco1
1Department of Psychiatry, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil.
Trends in psychiatry and psychotherapy
|February 2, 2025
概括
巴西的药物过量死亡不成比例地影响男性和非白人. 情绪障碍与故意服用过量药物的死亡有着显著的联系,这凸显了综合心理健康战略的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 过量服用药物的死亡是巴西的一个关键公共卫生问题,之前的研究有限.
- 这项研究探讨了过量死亡中情绪障碍,故意性和社会人口统计学因素的未经研究的交叉点.
研究的目的:
- 分析2000年至2020年巴西药物过量死亡记录.
- 调查情绪障碍与药物过量使用的故意性之间的关系.
- 检查与药物过量死亡相关的社会人口统计特征.
主要方法:
- 利用了来自巴西死亡信息系统 (2000-2020) 的数据.
- 包括被编码为意外,故意或未确定的过量死亡 (ICD-10代码X40-Y15).
- 分析了21,410例死亡,重点关注933例涉及情绪障碍的病例 (ICD-10代码F30-F39),使用后勤回归.
主要成果:
- 大多数过量服用者是男性 (61.55%),非白人 (52.45%) 和单身 (59.33%).
- 最大的比例是故意的过量服用 (44.70%).
- 患有情绪障碍的人更有可能是女性 (67.95%),白人 (63.88%),并有故意过量服用 (75.24%).
- 意图过量服用的独立预测因素包括女性性别 (OR 1.30),情绪障碍 (OR 2.0),非白人种族 (OR 0.56) 和高等教育水平.
结论:
- 过量服用死者的社会人口统计资料对于为国家公共卫生政策提供信息至关重要.
- 建议将心理健康障碍查整合到初级保健中.
- 在预防策略中,与心理健康同时解决与毒品有关的问题是必不可少的.
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