International Journal of Environmental Research and Public Health最新文献_第4页

Integrative Treatment Strategies for Chronic Back Pain: A Literature Review with Clinical Recommendations.

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-02-15 DOI: 10.3390/ijerph22020289

Nina H Russin, Alexis M Koskan, Lesley Manson

{"title":"Integrative Treatment Strategies for Chronic Back Pain: A Literature Review with Clinical Recommendations.","authors":"Nina H Russin, Alexis M Koskan, Lesley Manson","doi":"10.3390/ijerph22020289","DOIUrl":"10.3390/ijerph22020289","url":null,"abstract":"Problem: Chronic back pain (CBP) is a major cause of disability, contributing significantly to healthcare costs and primary care visits. Pharmacotherapy alone is insufficient in managing CBP. Integrated behavioral health interventions that include psychoeducation are critical for a more holistic, sustainable treatment of CBP.Objectives: This review explores CBP treatments that includes psychoeducation as part of patient care.Methods: In the Fall of 2024, the first author searched Google Scholar, PubMed, and Scopus using search terms related to chronic back pain and integrated behavioral interventions to increase patients' self-efficacy to manage CBP. The team included articles in the review that were published more recently and seminal articles in the field of managing CBP.Results: Given the complex biopsychosocial factors influencing CBP, and the individualized nature of each patient's pain experience, patient psychoeducation should include a multimodal approach, which may include cognitive behavioral strategies to address pain, pain neuroscience education, and education related to lifestyle behaviors such as physical activity, sleep, nutrition, and stress management. Patient education and behavioral interventions integrated within primary care can significantly improve patient engagement and self-reported improvements in pain intensity, functionality, and quality of life.Conclusion: Psychoeducation is foundational for integrative programs aimed at managing CBP.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physical Activity as a Mediator in the Relationship Between Body Image Perception and Low Mood in Adolescents.

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-02-15 DOI: 10.3390/ijerph22020288

Geiziane Leite Rodrigues Melo, Larissa Alves Maciel, Rafaela Espírito Santo, Caroline Brand, Cézane Priscila Reuter, Artūras Razbadauskas, Alona Rauckienė-Michaelsson, Cesar Agostinis-Sobrinho

{"title":"Physical Activity as a Mediator in the Relationship Between Body Image Perception and Low Mood in Adolescents.","authors":"Geiziane Leite Rodrigues Melo, Larissa Alves Maciel, Rafaela Espírito Santo, Caroline Brand, Cézane Priscila Reuter, Artūras Razbadauskas, Alona Rauckienė-Michaelsson, Cesar Agostinis-Sobrinho","doi":"10.3390/ijerph22020288","DOIUrl":"10.3390/ijerph22020288","url":null,"abstract":"Body image (BI) plays a critical role in mental health, with negative perceptions often linked to feelings of low mood. Physical activity (PA) has been shown to enhance self-acceptance and reduce negative emotions, suggesting it may help mitigate the impact of BI on low mood. This study examines the relationship between BI and low mood among adolescents, and explores the role of PA as a mediator in this relationship. The study had a cross-sectional design. Data were collected from 154,183 adolescents (average age 13.6 ± 1.6 years) across 43 countries, using the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey. BI was assessed through self-perceived body size, low mood was measured on a scale from \"about every day\" to \"rarely or never\", and PA was evaluated by the number of days per week participants engaged in at least 60 min of activity. The study used multinomial logistic regression and a mediation model to analyze the relationships of BI, PA, and BMI with low mood. The multinomial logistic regression showed that daily PA reduces the risk of low mood, especially with higher PA frequency, such as PA on 6 days (OR = 0.72) and PA on 5 days (OR = 0.86). Age, BMI, BI, and sex also influence low mood, with males showing lower odds (OR = 0.40 to 0.77), normal weight individuals having a reduced risk, and thinner individuals having lower odds of low mood (OR = 0.12 to 0.50), with PA partially mediating the relationship between BI and low mood (p < 0.001), contributing to 9% of the total effect. PA partially mediates the relationship between BI and low mood, with a direct negative impact of BI on low mood. In addition, girls, older adolescents, and those with negative BI and irregular PA have a higher risk of low mood.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Possible Racial Disparities in the Diagnosis of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS).

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-02-14 DOI: 10.3390/ijerph22020280

Chloe Lisette Jones, Jarred Younger

{"title":"Possible Racial Disparities in the Diagnosis of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS).","authors":"Chloe Lisette Jones, Jarred Younger","doi":"10.3390/ijerph22020280","DOIUrl":"10.3390/ijerph22020280","url":null,"abstract":"Myalgic encephalomyelitis (ME/CFS) a chronic, disabling illness with no established etiopathology. It has been indicated in some population-based studies that Black and ethnic minority populations are underdiagnosed with ME/CFS. The aims of the present study were to (1) identify the agreement between receiving an ME/CFS diagnosis and meeting diagnostic criteria, (2) identify the demographic characteristics associated with receiving a diagnosis, and (3) explore patient satisfaction with healthcare. Self-reported medical history and symptoms were collected via online survey from respondents with and without fatigue. The agreement between self-reporting an ME/CFS diagnosis and meeting the Center for Disease Control's (CDC) ME/CFS criteria or Institute of Medicine (IOM) criteria was assessed with Cohen's kappa. Patient characteristics predicting a physician diagnosis were analyzed with logistic regression. Associations between diagnosis, demographics, and healthcare satisfaction were assessed with chi-square tests of independence. There were 1110 responses. The agreement between meeting ME/CFS criteria and reporting an ME/CFS diagnosis was fair (CDC: κ = 0.29; SE = 0.02; IOM: κ = 0.28, SE = 0.03). White respondents had 2.94 greater odds of being diagnosed with ME/CFS than non-White respondents. Having an ME/CFS diagnosis was associated with dissatisfaction with healthcare (χ2 (3, N = 1063) = 14.17, p = 0.003). The findings suggest racial disparities in the diagnostic processes for ME/CFS.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11854918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Living with Long COVID in a Southern State: A Comparison of Black and White Residents of North Carolina.

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-02-14 DOI: 10.3390/ijerph22020279

William Pilkington, Brooke E Bauer, Irene A Doherty

{"title":"Living with Long COVID in a Southern State: A Comparison of Black and White Residents of North Carolina.","authors":"William Pilkington, Brooke E Bauer, Irene A Doherty","doi":"10.3390/ijerph22020279","DOIUrl":"10.3390/ijerph22020279","url":null,"abstract":"Long COVID can devastate patients' overall quality of life, extending to economic, psychosocial, and mental health and day-to-day activities. Clinical research suggests that long COVID is more severe among Black and African American populations in the United States. This study examines the lived and lasting effects of long COVID among a diverse sample of North Carolina residents over one year by using three self-administered questionnaires completed online using Qualtrics. A cross-sectional descriptive analysis of the baseline results is presented. Our study recruited 258 adults, of which 51.5% had long COVID (but may have recovered), 32.3% had a COVID-19 infection at least once, and 16.3% had never had COVID-19. The socioeconomic status of Black participants was lower than that of White participants; however, the economic impact of long COVID was not worse. Across both groups, 64.4% were employed, 28.8% had to change tasks or work less, and 19.8% stopped working. Fewer White (32.6%) than Black (54.8%) participants always/often felt supported by family and friends about having long COVID. The majority of White participants (59.1%) reported that they did not recover from long COVID compared to 29.7% of Black participants. The long COVID/COVID-19 experience affected White and Black participants differently, but both populations continue feel the impacts.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Mediating Role of Anger and Anxiety in the Association of Social Support with Mobility Among Middle-Age and Older Adults with Knee Osteoarthritis.

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-02-14 DOI: 10.3390/ijerph22020283

Erin R Harrell, Patricia A Parmelee, Dylan M Smith

{"title":"The Mediating Role of Anger and Anxiety in the Association of Social Support with Mobility Among Middle-Age and Older Adults with Knee Osteoarthritis.","authors":"Erin R Harrell, Patricia A Parmelee, Dylan M Smith","doi":"10.3390/ijerph22020283","DOIUrl":"10.3390/ijerph22020283","url":null,"abstract":"Introduction: Osteoarthritis (OA) is one of the leading causes of chronic disability in older adults, often causing significant impairment of mobility. OA symptoms have been linked to mental functioning, including depression, anxiety, and negative affect.Method: To examine whether anger and anxiety mediate the relationship between social support and mobility among older adults with knee osteoarthritis, data from the Everyday Quality of Life in Older Blacks and Whites with Osteoarthritis (EQUAL) study (N = 336) were analyzed using Hayes' PROCESS model in SPSS to test the direct effect of social support on mobility as well as mediation by anxiety and anger.Results: While univariate models for both anxiety and anger were significant, only anxiety mediated the relationship between social support and mobility.Conclusion: Although limited by their cross-sectional nature, the findings suggest that at least part of the association of social support with mobility may be explained by the role of support in alleviating anxiety.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emerging Trends and Issues in Geo-Spatial Environmental Health: A Critical Perspective.

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-02-14 DOI: 10.3390/ijerph22020286

Daniel A Griffith

{"title":"Emerging Trends and Issues in Geo-Spatial Environmental Health: A Critical Perspective.","authors":"Daniel A Griffith","doi":"10.3390/ijerph22020286","DOIUrl":"10.3390/ijerph22020286","url":null,"abstract":"This opinion piece postulates that quantitative environmental research and public health spatial analysts unknowingly tolerate certain spatial statistical model specification errors, whose remedies constitute some of the urgent emerging trends and issues in this subfield (e.g., forecasting disease spreading). Within this context, this paper addresses misspecifications affiliated with omitted variable bias complications arising from ignoring, and hence abandoning, negative spatial autocorrelation latent in georeferenced disease data, and/or being ill-informed about reigning teledependencies (i.e., long-distance spatial correlations). As imperative academic challenges, it advances elegant and convincing arguments to do otherwise. Its two particular themes are positive-negative spatial autocorrelation mixtures, and hierarchical autocorrelation generated by hegemonic urban systems. Comprehensive interpretations and implementations of these two conjectures constitute future research directions. Important conceptualizations for treatments reported in this paper include confounding variables and Moran eigenvector spatial filtering. This paper's fundamental implication is an advocacy for a prodigious paradigm shift, a marked change in the collective mindsets and applications of spatial epidemiologists when specifying spatial regression equations to describe either environmental health data, or a publicly transparent geographic diffusion of diseases.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Use of Complementary and Alternative Treatments in Adolescent Obesity: A Narrative Review.

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-02-14 DOI: 10.3390/ijerph22020281

Mahesh Shrestha, Ann Harris, Teresa Bailey, Urvi Savant, Dilip R Patel

{"title":"The Use of Complementary and Alternative Treatments in Adolescent Obesity: A Narrative Review.","authors":"Mahesh Shrestha, Ann Harris, Teresa Bailey, Urvi Savant, Dilip R Patel","doi":"10.3390/ijerph22020281","DOIUrl":"10.3390/ijerph22020281","url":null,"abstract":"Adolescent obesity is a growing global health problem all around the world. We reviewed the use of complementary and alternative medicine (CAM) for adolescent obesity, examining improvements in BMI or any metabolic indices of obesity. We performed a PubMed and Scopus search for articles on CAM treatments in adolescents aged 12-17 years, and included all studies with subjects in that age range. Out of 226 PubMed articles and 14 Scopus articles, 28 articles from PubMed and 1 article from Scopus fit our criteria. Most CAM studies that showed some improvement in BMI were acupuncture- or yoga-based. Yoga-based interventions showed a BMI reduction of 1-2 points, which is similar to results achieved in studies based on physical activity and Orlistat, a weak anti-obesity medication; meanwhile, acupuncture-based studies showed a slightly higher BMI reduction of 2-4 points, similar to that achieved with Liraglutide, a GLP-1 agonist that is a good anti-obesity medication. Herbs and supplements showed improvement in metabolic markers of obesity. Stress interventions in mind-body interventions, music skip-rope exercise, and creative drama in physical activity-based interventions also showed improvement in BMI. Although many of the studies reviewed were RCTs, the small sample size of those RCTs is a limiting factor. There may be a role for investigating this topic in larger populations to generate more effective conclusions.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Why Do Primary Care Patients Change Their Physicians: An Overview of the Literature.

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-02-14 DOI: 10.3390/ijerph22020285

Mariana Cardoso Ribeiro, Elisa Martins, Filipe Prazeres

{"title":"Why Do Primary Care Patients Change Their Physicians: An Overview of the Literature.","authors":"Mariana Cardoso Ribeiro, Elisa Martins, Filipe Prazeres","doi":"10.3390/ijerph22020285","DOIUrl":"10.3390/ijerph22020285","url":null,"abstract":"Primary healthcare has an important role in a patient's long-term health. While patients in most countries are free to change their family physician, fragmented care leads to higher healthcare costs, more preventable hospitalizations, and an increased likelihood of deviation from clinical best practice. This review aims to identify the main reasons patients change family doctors, summarize the factors influencing these decisions, and highlight areas in healthcare that can be improved to increase patient satisfaction and design better services. An electronic search of the literature was conducted in March 2023 in PubMed and Embase databases for articles in English, French, Portuguese, or Spanish published from 1980 to March 2023. A thematic synthesis approach was applied to the included studies, involving systematic analysis of their findings to identify and categorize analytical themes. Nineteen relevant studies were identified. The following themes were identified as reasons to change family physicians: doctor-patient relationship; consultation schedule and convenience; referrals and positive references; medication and treatment issues; practice management and cost; personal preferences and physician characteristics; and accessibility and distance. The identified themes can serve as valuable targets for developing interventions aimed at enhancing the quality of care provided to patients.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Connecting Health and Technology: Validation of Instant Messaging for Use as Diabetes Mellitus Control Strategy in Older Brazilian Adults.

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-02-14 DOI: 10.3390/ijerph22020282

Manoela Vieira Gomes da Costa, Renata Puppin Zandonadi, Verônica Cortez Ginani, Silvana Schwerz Funghetto, Luciano Ramos de Lima, Tania Cristina Morais Santa Barbara Rehem, Marina Morato Stival

{"title":"Connecting Health and Technology: Validation of Instant Messaging for Use as Diabetes Mellitus Control Strategy in Older Brazilian Adults.","authors":"Manoela Vieira Gomes da Costa, Renata Puppin Zandonadi, Verônica Cortez Ginani, Silvana Schwerz Funghetto, Luciano Ramos de Lima, Tania Cristina Morais Santa Barbara Rehem, Marina Morato Stival","doi":"10.3390/ijerph22020282","DOIUrl":"10.3390/ijerph22020282","url":null,"abstract":"Background: Digital technologies are increasingly being used to promote effective health interventions in the older adult population. This study aimed to develop and validate instant messages with educational content related to glycemic control, delivered via an instant messaging application, as a type 2 DM control strategy for older adults.Methods: This was a methodological study that developed instant messages containing text and images. The validation process was conducted by a panel of experts composed of nursing, nutrition, and physical education professionals. SPSS version 25.0 was used for the statistical analysis. A CVI was used to measure the experts' agreement regarding the validity of the content of the educational messages. An exact test of binomial distribution with p > 0.05, indicating statistical significance, and a 0.95 proportion of agreement was used to estimate the statistical reliability of the CVI.Results: Sixty-one text messages were prepared with illustrations as support, and were divided into three themes. The educational messages were validated by experts, with an average CVI score above 0.80 for all indicators.Conclusions: The educational messages developed in this study were considered relevant and clear for older adults and could be applied in the digital environment, with the objective of helping older adults manage type 2 DM.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial Disparities in Outpatient Substance Use Disorder Treatment Completion: Trends and Changes from 2004 to 2024.

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-02-14 DOI: 10.3390/ijerph22020278

Monica F Wright

{"title":"Racial Disparities in Outpatient Substance Use Disorder Treatment Completion: Trends and Changes from 2004 to 2024.","authors":"Monica F Wright","doi":"10.3390/ijerph22020278","DOIUrl":"10.3390/ijerph22020278","url":null,"abstract":"Racial disparities have been found in outpatient substance use disorder (SUD) treatment completion rates. Improvements in access to treatment have sought to decrease these disparities and increase treatment engagement and success. To understand outcomes among different racial groups across time, we assessed (1) completion rates, (2) racial representation among patients who have completed treatment, (3) general representation of racial groups within treatment, and (4) treatment length between 2004 and 2024. \"Completion\" is defined as \"meeting all treatment goals\". Chi-squared analyses suggest significant differences among racial groups within the completed (x215=158.0, p=<0.001), not-completed (x215=561.75, p=<0.001), and other (x215=186.19, p=<0.001) groups across time. Asian and Other/Multiracial patients experienced the greatest improvement in both representation within treatment overall and proportional representation within the \"completer\" group over time, despite their overall completion rates fluctuating. White and Black/African American patients decreased in representation, completion rates, and representation in the \"completer\" group over time, with a peak in 2004-2009. In terms of length of stay, White patients remained in treatment the longest across time, F(5, 4198) = 24.605, p < 0.011, and treatment length increased for other racial groups. While disparities in completion rates decreased and racial representation in treatment increased, discrepancies persist. We discuss these findings within the context of evolving patient populations and changes in treatment provision (e.g., harm reduction frameworks).","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0