概括
据估计,在1982年至1992年期间,大约有141,000名阿片类药物使用者被帝国蓝十字与蓝盾 (EBCBS) 保险. 这凸显了在阿片类药物使用研究中,有着重要的,往往被忽视的保险人群.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 阿片类药物依赖是一个重大的公共卫生问题.
- 估计特定人群中的阿片类药物使用率,如那些拥有私人保险的人群,对于资源配置和干预计划至关重要.
研究的目的:
- 估计帝国蓝十字与蓝盾 (EBCBS) 订阅者中阿片类药物使用的流行率.
- 评估EBCBS人口中阿片类依赖和获得性免疫缺陷综合征 (艾滋病) 诊断之间的重叠.
主要方法:
- 对1982年1月1日至1992年6月30日期间的650万例住院病人的索赔进行分析.
- 识别具有阿片类依赖的主要诊断的个人 (ICD-9-CM 304.0,304.7).
- 交叉匹配阿片类药物依赖数据与因获得性免疫缺陷综合征 (艾滋病) 住院患者的数据,以估计阿片类药物使用者的捕获.
主要成果:
- 据估计,在1982年至1992年期间,大约有141,000名EBCBS保险人是阿片类药物使用者.
- 据估计,在研究期间,大约有8.5万名阿片类药物使用者仍然被EBCBS保险.
结论:
- 有大量受保险的阿片类药物使用者,在更广泛的流行病学估计中可能代表性不足.
- 目前用于估计阿片类药物使用人口及其特征的方法可能需要修订,以包括私人保险人员.
- 患有艾滋病的阿片类药物使用者代表了保险人群中可检测的子集,这表明有针对性的推广活动的潜力.
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