在无家可归的成年人中使用非法物质和接受治疗
Ryan D Assaf1,2, Meghan D Morris1,3, Elana R Straus4
1Benioff Homelessness and Housing Initiative, University of California, San Francisco.
JAMA
|February 19, 2025
概括
一项代表性研究发现无家可归者中吸毒率高,有过量吸毒史,以及未得到满足的治疗需求. 定制治疗对改善这一群体的结果至关重要.
科学领域:
- 公共卫生
- 流行病学
- 药物使用研究
背景情况:
- 缺乏关于无家可归和非法物质使用的代表性研究,
- 了解流行和模式对于有针对性的干预至关重要.
研究的目的:
- 估计加利福尼亚州无家可归人口中非法物质使用率和使用模式.
- 评估该人口群中的治疗利用率,未满足的需求,过量服用史和纳洛持有情况.
主要方法:
- 在加利福尼亚州8个县的成年无家可归者.
- 从2021年10月到2022年11月使用多阶段基于概率的抽样和受访者驱动的抽样.
- 收集了生命和过去6个月的药物使用,治疗,过量服用和纳洛持有数据.
主要成果:
- 估计有65.3%的人在一生中经常使用非法药物,41.6%的人在第一次无家可归之前就开始使用.
- 在过去的6个月中,37.1%的人报告经常使用毒品,包括33.1%的甲基胺和10.4%的阿片类药物.
- 19. 6%的人有过度服用,21. 2%的人有未满足的治疗需求,24. 9%的人有纳洛.
结论:
- 无家可归的成年人中有很大一部分目前使用毒品,有过量吸毒史和未满足的治疗需求.
- 改善适合无家可归者的物质使用障碍治疗的机会至关重要.
- 这些发现强调需要基于证据的公共卫生策略来解决无家可归人口中物质使用的问题.
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