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在注射甲胺的美洲原住民中自我报告的头部创伤:一个横截面研究

Monica R Lininger^1,2, Michael P Anastario^1,3, Aaron Specht⁴

¹Center for Health Equity Research, Northern Arizona University, Flagstaff, AZ, United States.

Frontiers in public health

|August 29, 2025

概括

那些注射甲胺的美国原住民会遭受严重的创伤性脑损伤 (TBI). 药物使用和暴露与TBI风险有关,强调需要有针对性的干预和查.

科学领域:

公共卫生
神经科学
原住民的健康

背景情况:

创伤性脑损伤 (TBI) 是一个主要的公共卫生问题,
在这一群体中,TBI与药物使用,特别是注射甲基胺之间的综合性相互作用还未得到充分研究.
那些注射甲胺的美国原住民面临着TBI和物质使用障碍的高风险.

研究的目的:

调查自我报告的TBI与注射甲基胺的美国原住民的物质使用模式之间的联系.
确定这一群体中TBI的性别特异性风险因素.
探索暴露在注射甲基的美国原住民中TBI风险的作用.

主要方法:

一项涉及60名来自福特佩克部落的土著美国人的横截面研究,
数据收集包括关于TBI病史,健康状况,物质使用以及用X射线光测量水平的问卷.
用物流回归分析来研究TBI和物质使用之间的关联,按性别分层.

主要成果:

自我报告的终身TBI的患病率为42%.
在女性中,累积的镇静剂和可卡因使用与TBI报告的增加相关. 在男性中,高血压是TBI的重要预测因素.
在两种性别中,水平升高与TBI风险增加有关.

结论:

调查结果证实, 在注射甲胺的美国原住民中, 毒品使用与TBI之间存在综合性关系.
性别特定的风险因素需要量身定制的干预策略.
建议在TBI研究中增加美国原住民的代表性,并将TBI查纳入物质使用计划中.

关键词:

美国原住民头部受伤注射药物使用甲基胺创伤性脑损伤

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