美国商业保险成年人与大麻相关的医疗保健遭遇
Silvia Perez-Vilar1, Sruthi Adimadhyam2, Jillian Burk3
1US Food and Drug Administration, Silver Spring, MD, USA.
American journal of preventive medicine
|June 14, 2025
概括
与大麻使用相关的医疗保健遭遇在2017年至2022年期间在18-64岁的商业保险成年人中显著增加. 这一趋势发生在所有年龄组中,无论州的大麻合法化状态如何.
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
- 大麻研究 大麻研究
背景情况:
- 最近的研究表明,老年人中与大麻相关的医疗保健遭遇越来越多,特别是在大麻合法化的国家.
- 鉴于大麻获取日益增加,了解年轻成年人群中的这些趋势至关重要.
研究的目的:
- 评估美国18-64岁的商业保险成年人与大麻相关的医疗保健遭遇的时间趋势.
- 检查与护理环境,年龄组和州大麻法律地位相关的这些趋势.
主要方法:
- 一项描述性研究利用了美国食品和药物管理局的Sentinel分布式数据库 (2017-2022) 中的四家国家健康保险公司的行政索赔数据.
- 使用ICD-10-CM诊断码识别了与大麻有关的医疗保健遭遇,用于大麻使用,大麻使用障碍或中毒.
- 分析了整体的年度遭遇率,按护理环境,年龄组和州/地区大麻法律地位进行分析.
主要成果:
- 在1.15亿符合条件的个人中,记录了超过560万次与大麻有关的遭遇.
- 在2017年至2022年期间,每1万人/年的年遭遇率从44.0增加到75.1.
- 门诊和急诊室的访问在很大程度上推动了所有年龄组观察到的上升趋势,根据州大麻法律地位没有发现任何显著差异.
结论:
- 研究结果表明,大麻的风景正在不断变化,其特点是使用量增加,效力增加和感知风险降低.
- 医疗保健遭遇的增加凸显了对大麻使用对公共卫生影响的持续监测和研究的需要.
- 对种族,社会经济地位和临床特征等因素进行进一步调查是有必要的,以充分理解医疗保健遭遇决定因素.
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