在门诊治疗中,根据法律转诊类型的MOUD接收的差异
John Moore1, Tanya Renn1, Christopher Veeh2
1Florida State University, College of Social Work, 296 Champions Way, Tallahassee, FL 32304, United States.
Journal of substance use and addiction treatment
|January 23, 2026
概括
治疗阿片类药物使用障碍 (MOUD) 的药物获取方式因法律系统的转诊类型而异. 从缓刑,假释或监狱中转移的个人与法庭转移相比,接受MOUD的几率较低.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 犯罪学 犯罪学
背景情况:
- 阿片类药物使用障碍 (OUD) 是一个重要的公共卫生问题,特别是在与法律系统有关的个人中.
- 治疗阿片类药物使用障碍 (MOUD) 的药物是有效的治疗方法,但对于这一群体来说,它们面临着接入障碍.
- 现有的研究表明,在法律上参与的个体的门诊机构中,MOUD的接收率较低,但转诊类型的影响仍未得到充分研究.
研究的目的:
- 调查法律系统转诊类型是否会影响在门诊治疗中接受药物治疗阿片类药物使用障碍 (MOUD) 的成年人的可能性.
- 确定与MOUD访问差异相关的特定法律系统转介途径.
主要方法:
- 分析了2021-2022年治疗情节数据集-招生 (TEDS-A),涉及32213名患有阿片类药物使用障碍的成年人.
- 独立变量:法律系统转案的类型 (法院/转移,缓刑/假释,监狱,其他). 结果变量:将MOUD纳入治疗计划.
- 多变量后勤回归调整了社会人口统计学,物质使用和与治疗相关的共变量,以评估转诊类型和MOUD接收之间的关联.
主要成果:
- 与法庭/分流转让相比,缓刑/假释 (AOR=0.80),监狱 (AOR=0.85) 和其他法律转让 (AOR=0.42) 与获得MOUD的几率明显较低有关.
- 通过"其他"法律系统途径转介的个人收到MOUD的几率最低.
- 与海洛因使用相比,使用非海洛因合成阿片类药物和其他阿片类止痛药也与减少MOUD的可能性有关.
结论:
- 法律系统转介的类型是影响阿片类药物使用障碍患者在社区基础上获得MOUD的关键因素.
- 针对性干预和政策调整是必要的,以解决特定法律制度机构在MOUD提交和链接流程中发现的差距.
- 进一步的研究应该探索阿片类药物使用特征如何与法律系统参与相互作用,以影响MOUD可访问性.
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