人口贩运幸存者中多种物质使用障碍的模式:潜伏类分析
Nathaniel A Dell1, Jason T Carbone2, Theresa Anasti3
1Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Addictive behaviors
|November 20, 2025
概括
在急救部门的人口贩运幸存者经常有物质使用障碍 (SUD). 近四分之一的这些患者面临高风险的兴奋剂使用障碍或多个SUDs,需要量身定制的干预措施.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 社会医学科学 社会医学科学
背景情况:
- 药物使用障碍 (SUDs) 在贩运人口 (HT) 幸存者中普遍存在,这些幸存者向急诊部 (EDs) 报告.
- 多种物质使用障碍 (多种SUD) 与这一群体的不良健康和心理社会结果有关.
- 了解HT幸存者的SUD模式对于有针对性的医疗干预至关重要.
研究的目的:
- 在访问紧急部门的人口贩运幸存者中识别不同的潜伏类SUD.
- 检查与这些SUD类相关的人口共变量.
- 在HT幸存者中为SUD恢复提供量身定制干预措施的发展信息.
主要方法:
- 利用了来自2019-2021年全国紧急情况部门样本 (N=4,212) 的横截面数据.
- 包括12-64岁的患者,具有性或劳动剥削的ICD-10-CM代码.
- 应用了一个偏差调整的三步隐性类分析,使用SUD作为指标.
主要成果:
- 在ED环境中,在HT幸存者中发现了三种潜在的SUD类别.
- 最大的类 (76.01%) 的SUD概率较低,而一个类 (17.27%) 显示高兴奋剂使用障碍和中度阿片类药物使用障碍.
- 一个较小的班级 (6.72%) 呈现出多个SUD的高概率. 班级成员与ED倾向,尼古丁使用障碍和收入相关.
结论:
- 虽然大多数在ED的HT幸存者SUD概率较低,但近25%的人具有高风险的兴奋剂使用障碍或多SUD.
- 在HT幸存者中,多SUD与住院的风险增加有关.
- 调查结果强调了需要量身定制的干预措施,以支持这种脆弱人群的SUD恢复.
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