在美国全国代表性调查中比较海洛因和芬太尼的使用情况
Jarratt D Pytell1,2,3,4, Paul J Christine5,6, Katherine LeMasters5,7
1Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO, USA. Jarratt.Pytell@cuanschutz.edu.
Addiction science & clinical practice
|February 11, 2025
概括
估计非法制造的芬太尼 (IMF) 和海洛因使用需要不同的调查方法. 与NSDUH调查相比,NMURx调查发现过去一年使用的患病率几乎是NSDUH调查的两倍.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药物使用研究研究 药物使用研究
背景情况:
- 阿片类药物过量危机需要对不断变化的阿片类药物使用模式进行强有力的监测.
- 国家药物使用和健康调查 (NSDUH) 提供了美国2022年非法制造芬太尼 (IMF) 使用的初步估计.
- 像NSDUH这样的家庭调查可能低估了海洛因和IMF的使用;需要使用替代的抽样策略.
研究的目的:
- 为了比较NSDUH和非医疗用途处方药使用调查 (NMURx) 之间的去年海洛因和IMF使用估计.
- 检查两项调查中海洛因或IMF使用的相关性,包括并发性物质使用,治疗和人口统计数据.
主要方法:
- 对2022年NSDUH (n=47,100) 和NMURx (N=59,041) 数据进行横截面分析.
- NSDUH使用基于社区居民的概率抽样;NMURx使用可选择的在线面板.
- 在两项调查中比较了去年使用海洛因/IMF的加权百分比和相关因素.
主要成果:
- 与NSDUH相比,NMURx的非西班牙裔白人受访者和大学毕业生的比例更高,过去一周的就业率更低.
- 过去一年的海洛因,IMF或联合使用估计在NSDUH (0.52%) 与NMURx (1.05%) 相比显着较低.
- 在这两项调查中,兴奋剂和二二胺的使用始终与增加的海洛因或IMF使用有关.
结论:
- 与NSDUH相比,NMURx调查估计海洛因或IMF使用的患病率高出近50%.
- 调查结果强调了为准确估计阿片类药物使用使用补充监测方法的重要性.
- 多种样本采集策略对于捕捉海洛因和非法制造的芬太尼使用模式的全部范围至关重要.
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