根据种族和种族,大麻使用障碍和治疗的趋势,2002-2019年
Mireia Triguero Roura1, Aabha Vora1, Evan L Eschliman1
1Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, United States.
Frontiers in psychiatry
|November 21, 2025
概括
大麻使用障碍 (CUD) 治疗中的种族差异仍然存在,尽管CUD患病率较高,但黑人患者的治疗率较低. 量身定制的服务对于公平的护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 药物使用障碍 药物使用障碍
- 健康差异 在健康上的差异
背景情况:
- 在美国,大麻使用障碍 (CUD) 的患病率正在上升.
- 种族化刻板印象和结构性障碍可能会造成不平等的治疗机会.
- 了解CUD治疗吸收的种族差异至关重要.
研究的目的:
- 评估种族化群体中CUD流行趋势的趋势.
- 检查CUD治疗利用和感知需要的种族差异.
- 为了确定CUD治疗趋势中的特定群体差异.
主要方法:
- 分析了全国代表性数据 (2002-2019年全国毒品使用和健康调查).
- 评估12岁以上个人中CUD趋势和治疗吸收率的评估.
- 权重后勤回归模型用于分析种族化群体的治疗需求和利用率,并对共变量进行调整.
主要成果:
- 根据种族群体,CUD的患病率有所不同,美国印第安人和阿拉斯加土著 (AIAN) 的人患病率最高.
- 大麻使用障碍 (CUD) 的患病率在大多数群体中增加,特别是在亚裔美国人和太平洋岛民 (AAPI) 和西班牙裔人口中.
- 尽管所有群体的治疗使用和感知需要都在下降,但与白人相比,患有CUD的黑人患者的治疗几率较低,感知需要更高.
结论:
- 在大麻使用障碍 (CUD) 治疗和感知需要方面,种族差异仍然存在.
- 患有CUD的黑人比白人更不可能接受治疗,尽管患病率相似或更高.
- 迫切需要可访问的,定制的CUD服务,特别是针对种族少数群体.
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