美国儿科医生对青少年物质使用查的态度和做法
Deepa R Camenga1, Scott E Hadland2, Chloe Somberg3
1Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.
概括
大多数儿科医生会对青少年进行查,以检查他们是否吸毒,但标准化工具的使用情况因地区而异. 缺乏治疗选择和咨询资源是有效查的主要障碍.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 药物使用障碍 药物使用障碍
背景情况:
- 青少年吸毒是严重的公共卫生问题,需要及早识别.
- 初级保健儿科医生在青少年吸毒的查和早期干预方面发挥着至关重要的作用.
研究的目的:
- 评估儿科医生对青少年物质使用查的态度和做法.
- 确定儿科医生在查物质使用时遇到的障碍.
- 检查查实践的区域差异.
主要方法:
- 来自2021年美国儿科学会定期调查的1683名美国儿科医生的全国随机样本参与了调查.
- 调查项目集中在455名提供青少年健康监督的儿科医生的查实践,态度和障碍.
- 多变量后勤回归分析了与标准化查和障碍相关的医生和实践特征.
主要成果:
- 90%的儿科医生报告经常查青少年使用物质.
- 只有41%的人定期使用标准化查仪器,区域差异很大 (在南方,中西部,西部和东北部使用率较低).
- 主要障碍包括缺乏青少年治疗选择 (69%),现场辅导不足 (67%) 和辅导知识不足 (50%).
结论:
- 儿科医生使用标准化物质使用查工具存在实质性的区域差异.
- 需要进行系统性干预,以改善查实践,解决劳动力培训和资源可用性问题.
- 改善青少年使用物质治疗和咨询服务的机会对于克服查障碍至关重要.
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