在药物过量死亡中最常涉及的药物:美国,2017-2023年
概括
芬太尼,海洛因和可卡因在2017年至2023年期间经常参与美国药物过量死亡. 虽然海洛因死亡人数下降,但芬太尼的参与增加并稳定,突出显示了不断变化的过量使用趋势.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 毒理学 毒理学 毒理学
背景情况:
- 药物过量死亡在美国仍然是一个关键的公共卫生问题.
- 了解涉及的特定物质对于有针对性的预防和干预策略至关重要.
研究的目的:
- 确定和分析在2017年至2023年期间在美国最常涉及过量药物死亡的特定药物.
- 检查七年期间吸毒的趋势和模式.
主要方法:
- 使用国家生命统计系统死亡数据 (2017-2023) 与死亡证明文本相关联.
- 使用ICD-10代码 (X40-X44,X60-X64,X85,Y10-Y14) 识别了过量使用药物的死亡.
- 分析死亡证明上的字面文本字段,以确定特定的药物参与和上下文信息.
主要成果:
- 芬太尼,海洛因, oxycodone,可卡因和甲基胺是最常提到的毒品之一.
- 芬太尼一直是主要的药物,也是常见的并发物质.
- 与海洛因相关的死亡率下降,而与芬太尼相关的死亡率增加,然后停滞不前.
- 在2023年,芬太尼,甲基胺和可卡因在非故意的过量服用中占主导地位;与自杀有关的过量服用中,狄芬胺, oxycodone 和 bupropion.
结论:
- 参与美国过量服用死亡的药物风景已经发生了变化,芬太尼的显着增加.
- 芬太尼作为一种同时出现的药物的流行,强调了它在过量危机中的核心作用.
- 持续的监测和量身定制的公共卫生响应是必要的,以解决致命药物过量使用的不断变化的模式.
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