青少年中大麻使用障碍治疗结果的差异
Helena Miranda1, Jhon Ostanin2, Simon Shugar1
1Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USA.
Pediatric reports
|July 23, 2025
概括
青少年大麻使用障碍 (CUD) 的治疗完成率很低,只有不到40%的治疗程序完成. 无家可归,法律问题和并发疾病等因素对结果产生重大影响,需要有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 青少年精神病学 青少年精神病学
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 检查了美国青少年大麻使用障碍 (CUD) 的治疗结果.
- 利用了来自2018-2021年治疗情节数据集-出院 (TEDS-D) 的数据,用于40054名患有CUD的青少年.
研究的目的:
- 评估CUD青少年的治疗完成率.
- 确定与治疗完成相关的人口,社会和临床因素.
主要方法:
- 使用了描述性统计学,奇平方测试和多变量逻辑回归.
- 分析的重点是影响治疗完成的因素和不完成的原因.
主要成果:
- 只有36.8%的青少年完成了CUD治疗;学和转学是常见的.
- 在男性,黑人非西班牙裔青少年和患有并发性疾病的青少年中观察到较低的完成率.
- 无家可归,法律问题和年龄较小 (<15岁) 降低了完成治疗的可能性;学校转诊和更长的治疗时间 (4-12个月) 改善了治疗结果.
结论:
- 对于有风险的青少年,特别是那些面临无家可归或法律挑战的青少年,有必要制定针对性的CUD治疗计划.
- 高退学率强调了改善护理连续性和综合治疗计划的必要性.
- 加强公共卫生,社区组织和利益相关者之间的协调对于解决健康的社会决定因素的文化响应干预至关重要.
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