对美国黑人可卡因治疗干预措施的系统审查
Jardin Dogan-Dixon1, Paris B Wheeler1, Krystal Cunningham2
1Department of Educational, School and Counseling Psychology, University of Kentucky College of Education, 270 Dickey Hall, Lexington, KY 40506, U.S.A.
概括
文化定制的干预措施显著改善了美国黑人使用可卡因的减少. 本次审查强调了资助和实施这些有效的,文化特定的治疗方法的需要.
科学领域:
- 公共卫生 公共卫生
- 药物滥用 治疗 药物滥用 治疗
- 健康差异 在健康上的差异
背景情况:
- 在美国药物治疗效率方面存在种族差异,黑人个体经历的结果更差.
- 黑人美国人面临着与可卡因有关的过量死亡的不成比例,这强调了需要有效干预的需要.
- 文化定制的方法,整合身份和经验,在元分析中显示出希望.
研究的目的:
- 系统地审查黑人美国人使用可卡因的文化普遍和定制干预措施.
- 根据定性系统审查方法确定有效的治疗策略.
- 为可卡因使用障碍干预提供最佳实践和资金.
主要方法:
- 根据PRISMA指导方针进行质量系统审查.
- 选了402篇文章,其中330篇由独立编码人员审查.
- 对30种不同的可卡因治疗方法进行分析.
主要成果:
- 根据文化定制的干预措施在减少可卡因使用方面表现出72%的有效率.
- 在文化上普遍的干预措施显示了47%的有效率.
- 观察到有效性的显著差异,有利于文化定制的方法.
结论:
- 根据文化定制的干预措施在减少黑人美国人使用可卡因方面更有效.
- 对治疗提供和资金的影响对研究人员,从业者和决策者来说至关重要.
- 解决药物滥用治疗中的种族差异对于公共卫生至关重要.
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