Prevalence of Opioid Use Disorder and Other Substance Use among Adolescents and Young Adults in Medicaid/CHIP, 2015–2019

IF 0.6 4区医学 Q2 Social Sciences

JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE Pub Date : 2020-11-01 DOI:10.1080/1067828X.2021.2015733

Victoria Lynch, Lisa Clemans-Cope, Emma Winiski

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引用次数: 1

Abstract

Abstract Among adolescents (ages 12–17) and young adults (ages 18–25) enrolled in Medicaid or the Children’s Health Insurance Program (CHIP), 0.5% of adolescents had opioid use disorder (OUD), 3.0% had other risky opioid use, 3.4% had another substance use disorder, and 21.6% used other substances without disorder. Compared to adolescents, the prevalence of OUD and other risky opioid use was about 3 and 2 times higher among young adult enrollees, among whom 1.6% had OUD and 5.8% had other risky opioid use. Among young adults, 8.6% had another SUD and 61.8% used other substances without disorder. Prevalence of OUD or other risky opioid use was substantially higher among Medicaid-enrolled youth with other substance use or health risk factors including more than double among those with fair or poor health, more than 3 times higher among those with heavy alcohol use, and more than 1.5 times higher among those with a major depressive episode. Results underscore the need to take a whole person approach to addressing risks for OUD.

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2015-2019年医疗补助/CHIP中青少年和年轻人阿片类药物使用障碍和其他物质使用的患病率

在参加医疗补助或儿童健康保险计划(CHIP)的青少年(12-17岁)和年轻人(18-25岁)中，0.5%的青少年有阿片类药物使用障碍(OUD)， 3.0%有其他危险的阿片类药物使用，3.4%有其他物质使用障碍，21.6%使用其他物质无障碍。与青少年相比，年轻成人受试者中OUD和其他危险阿片类药物使用的患病率分别高出约3倍和2倍，其中1.6%患有OUD, 5.8%患有其他危险阿片类药物使用。在年轻人中，8.6%的人有另一种SUD, 61.8%的人无障碍地使用其他物质。在有其他物质使用或健康风险因素的参加医疗补助计划的青年中，OUD或其他危险阿片类药物使用的流行率要高得多，其中健康状况一般或较差的人高出一倍以上，大量饮酒的人高出3倍以上，重度抑郁发作的人高出1.5倍以上。结果强调了采取全人方法来解决OUD风险的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE SUBSTANCE ABUSE-

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期刊介绍： The Journal of Child & Adolescent Substance Abuse addresses the treatment of substance abuse in all ages of children. With the growing magnitude of the problem of substance abuse among children and youth, this is an essential forum for the dissemination of descriptive or investigative efforts with this population. The journal serves as a vehicle for communication and dissemination of information to the many practitioners and researchers working with these young people. With this singular mission in mind, the Journal of Child & Adolescent Substance Abuse provides subscribers with one source for obtaining current, useful information regarding state-of-the-art approaches to the strategies and issues in the assessment, prevention, and treatment of adolescent substance abuse.