社会安全网计划:女性与药物治疗的关系
Sam D Gardner1, Shota W Hasui2, Sarah Gutkind3
1Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York; School of Social Work, Columbia University, New York, New York.
American journal of preventive medicine
|June 16, 2025
概括
社会安全网计划,包括医疗补助和政府援助,显著增加了妇女获得药物和阿片类药物使用障碍治疗的机会. 结合这些计划可以提供更大的治疗机会,可能克服成本和保险等障碍.
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
- 药物使用障碍 药物使用障碍
背景情况:
- 社会安全网计划可以改善获得物质使用障碍治疗的机会.
- 本研究调查了这些计划与妇女接受治疗之间的联系.
研究的目的:
- 检查社会安全网计划与女性中药物使用障碍 (DUD) 和阿片类药物使用障碍 (MOUD) 治疗之间的关联.
- 为了确定医疗补助和政府援助的结合是否提高了治疗机会.
主要方法:
- 分析2022年全国药物使用和健康调查数据 (n=2,784使用DUD,n=458使用OUD).
- 后勤回归模型根据医疗补助和政府援助评估了过去一年接受治疗的几率,控制了社会人口统计数据.
主要成果:
- 接受医疗补助和政府援助的DUD妇女更有可能接受治疗 (AOR=2.91).
- 接受医疗补助和政府援助的OUD妇女更有可能获得MOUD (AOR=3.41).
- 二次分析证实了这些发现.
结论:
- 医疗补助和政府援助的结合增加了女性接受DUD和MOUD治疗的可能性.
- 这些计划可以减轻治疗障碍,例如成本,保险,儿童保育和就业支持.
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