一般成年人群中的多种物质使用情况,美国,2022年
Karilynn M Rockhill1, Joshua C Black1, Janetta Iwanicki1
1Karilynn M. Rockhill and Alison Abraham are with the Department of Epidemiology, University of Colorado Anschutz Medical Campus, Aurora, CO. Karilynn M. Rockhill, Joshua C. Black, and Janetta Iwanicki are with Rocky Mountain Poison & Drug Safety, Denver Health & Hospital Authority, Denver, CO.
American journal of public health
|March 20, 2025
概括
多种物质使用影响了20.9%的美国成年人,有四种不同的模式被确定. 针对性预防和治疗对于有物质使用障碍 (SUD) 的人来说至关重要.
科学领域:
- 公共卫生 公共卫生
- 药物使用研究研究 药物使用研究
- 流行病学 流行病学
背景情况:
- 多种物质的使用,定义为两种或两种以上药物的使用,是一个复杂的公共卫生问题.
- 了解当前多种物质使用模式对于开发有效干预措施至关重要.
- 以前的研究还没有完全描述一般成年人群中多种物质消费的多样性.
研究的目的:
- 描述当代多种物质在美国成年人中的使用模式.
- 根据药物类型和组合,识别不同的多物质使用隐性类别.
- 检查与每个已识别的模式相关的流行率和物质使用障碍 (SUD) 率.
主要方法:
- 来自2022年全国代表性调查对15800名美国成年人的数据分析.
- 隐性类别分析用于识别不同的多重物质使用配置文件.
- 包括医疗/非医疗处方药的使用,娱乐性药物的使用,以及与酒精和其他药物的同时使用.
主要成果:
- 多种物质使用的全国流行率为20.9%.
- 确定了四个不同的潜在类别:医疗指导 (11.5%),主要大麻 (4.0%),自我指导 (3.4%) 和不分青红白的共同暴露 (2.1%).
- 药物使用障碍 (SUD) 的发病率在各类人群中差异很大,从6.1%到58.9%.
结论:
- 在成年人群中存在不同的多物质使用情况,其中一些与未经治疗的SUD有关.
- 确定了两种以前未被认可的多种物质使用类别.
- 建议针对个体多重物质使用情况量身定制的个性化预防和治疗策略.
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