大麻使用障碍研究中的种族多样性:系统性审查
Mallet R Reid1, Blake Reynolds1, Jacqueline Cape1
1Department of Family Medicine, Michigan State University, USA.
Drug and alcohol dependence
|December 28, 2025
概括
在大麻使用障碍 (CUD) 临床试验中,有色人种的代表性不足,这限制了治疗的适用性. 研究尚未解决种族歧视等独特挑战,阻碍了对不同人群的有效CUD护理.
科学领域:
- 临床心理学 临床心理学
- 公共卫生 公共卫生
- 药物使用研究研究 药物使用研究
背景情况:
- 有色人种患上大麻使用障碍 (CUD) 的患病率和严重程度更高.
- 种族歧视与少数群体中CUD可能性增加有关.
- 现有的研究往往忽视了有色人种面临的独特挑战.
研究的目的:
- 系统地审查包括有色人种在行为健康随机对照试验 (RCT) 中的CUD.
- 评估CUDRCT中的干预措施是否满足不同种族群体的具体需求和挑战.
主要方法:
- 在PubMed,PsycINFO和ClinicalTrials.gov系统搜索美国成人CUD行为健康RCT.
- 对参与者种族人口统计和干预设计的14个确定RCT (1994-2025) 的分析.
- 纳入标准侧重于针对成人CUD的研究.
主要成果:
- 白人占参与者的64%,其中的比例明显高于他们的CUD患病率.
- 有色人种的代表严重不足:黑人 (~19%),拉丁裔 (5%),亚裔 (0.6%),土著 (0.4%) 和多种族/其他 (0.8%).
- 没有研究报告文化适应或干预解决种族歧视等独特挑战;多样性并没有随着时间的推移而改善.
结论:
- 在CUD RCT中有色人种的显著代表性不足限制了研究的概括性和治疗适用性.
- 缺乏文化适应的干预措施可能会阻碍治疗师能够充分满足不同患者群体的需求.
- 尽管呼吁多元化,但CUD RCT中的种族包容性仍然非常低,这突显了迫切需要改变的需要.
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