美国老年人参加自助小组（SHG）的情况和治疗效果

Psychiatry research communications Pub Date : 2024-04-01 DOI:10.1016/j.psycom.2024.100170

Tajudeen Olaposi Basiru , Henry Onyeaka , Adeolo Funso Oladunjoye , Charles chukwunonso Nnamchi , Oluwaseun Sonola , De’Andra Ogala , Olaniyi Seyi Adefunke , Tope Oloniyo

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引用次数: 0

摘要

背景药物依赖是一个全球性问题，对美国的老年人群影响很大。本研究旨在确定参加自助小组（SHG）如何影响美国老年人的药物使用治疗结果。方法本横断面研究使用了美国药物滥用和心理健康服务管理局（SAMHSA）提供的 2020 年出院治疗发作数据集（TEDS-D）。研究采用多变量逻辑回归法评估老年人参加自助小组与治疗结果之间的关系。超过三分之二的参与者（67.9%）的主要滥用药物是酒精，而海洛因（17.1%）、可卡因（5.8%）和其他鸦片制剂/合成药物（3.3%）是其他参与者的其他常见主要滥用药物。在多变量逻辑回归分析中，治疗机构出院时参加自助小组与减少使用主要药物-FUPS的频率（p值=0.013）和增加完成治疗的几率（p值<0.001）有显著关联，但与治疗机构出院时的逮捕情况（p值=0.101）无显著关联。入院时参加自助小组与完成治疗的几率降低有关（p-value <0.001）。结论参加自助小组与积极的治疗结果有关，这表明有必要在老年人群中增加获得这种服务的机会。

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Self-help group (SHG) attendance and treatment outcomes among older adults in the US

Background

Substance dependency is a global problem and significantly affects the geriatric population in the United States. This study aims to determine how self-help group (SHG) attendance affects substance use treatment outcomes among older adults in the US.

Methods

This cross-sectional study used the 2020 discharge treatment episodes data set (TEDS-D)fromthe Substance Abuse and Mental Health Services Administration (SAMHSA). Multivariable logistic regression was used to evaluate the relationship between self-help group attendance and treatment outcomes among older adults.

Results

We included 3,424 older adults (19.2% female). The primary substance use was alcohol in more than two-thirds of the participants (67.9%), while heroin (17.1%), cocaine (5.8%), and other opiates/synthetics (3.3%) were the other common primary substance of abuse among other participants. In the multivariate logistic regression analysis, SHG attendance at discharge from treatment facility was significantly associated with reduced frequency of use of primary substance -FUPS (p-value = 0.013) and increased odds of treatment completion (p-value <0.001) but no significant association with arrests at discharge from treatment facility (p-value = 0.101). SHG attendance on admission into treatment facility was associated with reduced odds of treatment completion (p-value <0.001). Having a living arrangement at discharge was found to be associated with reduced FUPS (p-value <0.001) but with lower odds of treatment completion (p-value <0.001).