社会保障残疾保险申请人中阿片类药物的使用情况

IF 1.1 4区医学 Q3 REHABILITATION

Journal of Disability Policy Studies Pub Date : 2024-02-05 DOI:10.1177/10442073241228838

April Yanyuan Wu, Denise Hoffman, Paul O’Leary

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引用次数: 0

摘要

我们的研究首次提供了社会保障伤残保险（SSDI）申请人使用阿片类药物的统计数据。我们使用一种创新的机器学习方法，在 SSDI 管理数据的开放式文本字段中识别阿片类药物。我们发现，2007 年至 2017 年间，超过 30% 的申请人报告使用过一种或多种阿片类药物，这一比例比普通人群高出约 50%。报告的阿片类药物使用率随时间而变化，2012 年达到峰值，为 32%。报告的阿片类药物使用情况也因年龄、性别、教育程度、接受 SSI 的情况以及各州而异。(a)报告的阿片类药物使用情况与社会医疗保险计划（SSDI）补助金之间，以及(b)报告的阿片类药物使用情况与社会医疗保险计划（SSDI）补助金和死亡之间，存在统计学意义上的显著正相关关系；这些只是相关关系，并不表明其中存在因果关系。

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Opioid Use Among Social Security Disability Insurance Applicants

Our study is the first to provide statistics on opioid use among Social Security Disability Insurance (SSDI) applicants. We use an innovative machine-learning method to identify opioids in open-ended text fields in SSDI administrative data. We find that more than 30% of applicants between 2007 and 2017 reported using one or more opioids, a rate that is about 50% higher than in the general population. Rates of reported opioid use varied over time, peaking at 32% in 2012. Reported opioid use also varied by age, gender, education, receipt of SSI, and across states. There was a positive and statistically significant association between (a) reported opioid use and SSDI awards and (b) reported opioid use SSDI award and death; these are associations and do not demonstrate a causal relationship.

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来源期刊

Journal of Disability Policy Studies REHABILITATION-

CiteScore

3.20

自引率

0.00%

发文量

期刊介绍： The Journal of Disability Policy Studies addresses compelling, variable issues in ethics, policy, and law related to individuals with disabilities. A major focus is quantitative and qualitative policy research. Articles have implications in fields such as education, law, sociology, public health, family studies, medicine, social work, and public administration. Occasional special series discuss current problems or areas needing more in-depth research, for example, disability and aging, policy concerning families of children with disabilities, oppression and disability, school violence policies and interventions, and systems change in supporting individuals with disabilities.