门诊性物质使用障碍治疗完成的种族差异:从2004年到2024年的趋势和变化
1Northwell, New Hyde Park, NY 11004, USA.
International journal of environmental research and public health
|February 26, 2025
概括
尽管获得治疗机会增加,但物质使用障碍 (SUD) 治疗完成方面的种族差异仍然存在. 虽然一些群体的代表性有所改善,但白人和黑人患者在20年内完成率和参与率下降.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 成 药物 药物 药物 药物
背景情况:
- 药物使用障碍 (SUD) 治疗完成率的种族差异是一个重大的公共卫生问题.
- 改善治疗准入的努力旨在减少这些差异,增强患者的参与度和成功.
研究的目的:
- 在20年期间 (2004-2024) 分析SUD治疗结果的种族差异.
- 评估完成率的变化,完成者中的种族代表性,整体治疗代表性和不同种族群体的治疗时间.
主要方法:
- 利用奇平方分析来比较种族群体在治疗完成和代表性的差异.
- 使用ANOVA检查了不同种族群体的治疗时间变化.
- 分析了从2004年到2024年的数据,将"完成"定义为满足所有治疗目标.
主要成果:
- 随着时间的推移,在种族群体之间观察到完成,不完成和其他结果的显著差异.
- 亚洲和其他/多种族患者在治疗中和完成者中表现得更好,尽管完成率波动.
- 白人和黑人/非洲裔美国患者的代表性和完成率下降,在2004-2009年达到顶峰. 白人患者的治疗持续时间最长.
结论:
- 虽然SUD治疗完成率的种族差异有所减少,总体代表性有所增加,但仍然存在显著的差异.
- 调查结果突出了持续的不平等现象,以及需要解决不断变化的患者群体和治疗方式,如减少危害的框架.
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