与非西班牙裔白人相比,美国印第安人和阿拉斯加本土人的物质使用治疗利用率的差异 - 2021年
Esther Rowan1, Silvia Martins1
1Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Journal of substance use and addiction treatment
|March 14, 2026
概括
美国印第安人和阿拉斯加原住民 (AIAN) 患有物质使用障碍 (SUD) 的成年人在治疗方面面临差异,包括减少对阿片类药物使用障碍药物的获取. 对文化敏感的护理和早期干预对于改善结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 药物使用障碍 药物使用障碍
背景情况:
- 美国印第安人和阿拉斯加原住民 (AIAN) 的人口表现出更高的物质使用障碍 (SUD) 率.
- 有限的研究存在于AIAN参与和特种SUD治疗的结果.
- 了解这些差异对于健康公平至关重要.
研究的目的:
- 检查临床特征,治疗利用率和AIAN与非西班牙裔白人成年人SUD治疗结果的差异.
- 确定在护理提供和治疗有效性方面存在差异的具体领域.
主要方法:
- 使用2021年治疗情节数据集 - 排放 (TEDS-D) 数据进行横截面研究.
- 与AIAN (N=423,990) 和非西班牙裔白人成年人进行比较.
- 使用后勤和多项后勤回归来分析治疗领域的差异,对共变量进行调整.
主要成果:
- AIAN个体更有可能在早期开始使用物质,被刑事司法指导,并接受解毒.
- 尽管需要,AIAN患者接受了较少的阿片类药物使用障碍药物,并且在出院时使用物质的几率更高.
- 治疗完成率没有差异;AIAN个体不太可能接受同时发生的精神病诊断.
结论:
- 转诊,服务使用和管理方面的差异表明,对AIAN个人来说,不公平和潜在的非文化响应性护理是不公平的.
- 改进AIAN SUD治疗需要优先考虑早期干预,药物治疗和综合,创伤信息,社区医疗模式.
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