在22个美国大都会统计区内注射毒品的人群中,邮政编码水平的酒精出口密度和非致命的过量服用:多层次建模分析分析
medRxiv : the preprint server for health sciences
|July 16, 2025
概括
酒精输出密度对注射药物使用者 (PWID) 过量服用风险没有显著影响. 需要进一步的研究,以了解为什么PWID中过量使用风险与酒精出口密度无关.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药物使用研究研究 药物使用研究
背景情况:
- 酒精出口密度 (AOD) 与酒精消费和危害有关.
- 与酒精相结合的阿片类药物使用增加了注射毒品 (PWID) 的人群中过量服用的风险.
研究的目的:
- 在一个大型的PWID样本中调查场外AOD和非致命过量风险之间的关联.
- 确定这种关联是否在PWID中因种族/种族而异.
主要方法:
- 将2018年国家艾滋病毒行为监测 (NHBS) 数据与2016年邮政编码级AOD数据联系起来.
- 分析了22个大都会地区9,764个PWID的数据,使用分层的通用线性模型.
主要成果:
- 在AOD和过量服用几率之间没有发现显著的关系 (OR:1.01,95%CI:1.00-1.02).
- 这一无效的发现在检查种族/种族相互作用时仍然存在.
结论:
- 监管AOD可能不足以降低PWID中过量使用风险.
- 未来的研究应该探索这种缺乏关联的潜在原因,例如独立的酒精消费模式或分阶段使用物质的时间.
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