北卡罗来纳州高需求青少年和年轻成人中与药物使用障碍有关的因素

Q2 Medicine
Phillip M. Hughes, I. Annis, Neal A deJong, Robert B. Christian, Scott A. Davis, Kathleen C. Thomas
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引用次数: 0

摘要

在有复杂医疗需求的青少年和年轻成人(AYAs)中,药物使用障碍(SUD)的发病率很高。人们对这一人群出现药物滥用障碍的风险因素知之甚少。这项回顾性队列研究使用了一家大型学术医院系统(2015-2019 年)的电子健康记录数据,以识别患有智力/发育障碍、精神疾病或复杂医疗状况的青少年(10-17 岁)和年轻成人(18-27 岁)。采用逻辑回归法来确定与该人群中 SUD 相关的人口统计学、临床和邻里层面的风险因素。共有 149 名青少年和 536 名青壮年被诊断患有药物滥用症(分别占 6.7% 和 20.6%)。99])、额外的精神活性药物类别(aOR = 1.27,95% CI = [1.11,1.46])、生活在 "高 "儿童机会指数(COI)(aOR = 2.06,95% CI [1.02,4.14])或 "非常高 "COI(aOR = 3.04,95% CI [1.56,5.95])地区。在年轻人中,显著的风险因素包括男性(aOR = 2.41,95% CI [1.91,3.05])、黑人(aOR = 1.64,95% CI [1.28,2.09])、额外的非精神活性药物(aOR = 1.07,95% CI [1.03,1.11])或精神活性药物类别(aOR = 1.17,95% CI [1.07,1.28])。这些描述性分析仅限于北卡罗来纳州的一家大型学术医院系统,可能并不代表该州所有高需求亚健康人群。有几个人口、临床和邻里风险因素与高需求亚裔的 SUD 相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Associated with Substance Use Disorder among High-Need Adolescents and Young Adults in North Carolina
Prevalence of substance use disorders (SUD) is high among adolescents and young adults (AYAs) with complex medical needs. Little is known about risk factors for SUD in this population. This retrospective cohort study used electronic health record data from a large academic hospital system (2015–2019) to identify adolescents (aged 10–17) and young adults (aged 18–27) with intellectual/developmental disorders, psychiatric conditions, or complex medical conditions. Logistic regression was used to identify demographic, clinical, and neighborhood-level risk factors associated with SUD in this population. A total of 149 adolescents and 536 young adults had a SUD diagnosis (6.7% and 20.6%, respectively). Among adolescents, notable risk factors for SUD included age (adjusted odds ratio [aOR] = 1.42, 95% confidence interval [CI] = [1.31, 1.54]), Hispanic ethnicity (aOR = 2.10, 95% CI = [1.10, 3.99]), additional psychoactive medication classes (aOR = 1.27, 95% CI = [1.11, 1.46]), and living in a “high” child opportunity index (COI) (aOR = 2.06, 95% CI [1.02, 4.14]) or a “very high” COI (aOR = 3.04, 95% CI [1.56,5.95]) area. Among young adults, notable risk factors included being male (aOR = 2.41, 95% CI [1.91, 3.05]), being Black (aOR = 1.64, 95% CI [1.28, 2.09]), and additional non-psychoactive (aOR = 1.07, 95% CI [1.03, 1.11]) or psychoactive medication classes (aOR = 1.17, 95% CI [1.07, 1.28]). These descriptive analyses are limited to one large academic hospital system in North Carolina and may not be representative of all high-need AYAs in the state. Several demographic, clinical, and neighborhood risk factors are associated with SUD in high-need AYAs.
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来源期刊
North Carolina Medical Journal
North Carolina Medical Journal Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
121
期刊介绍: NCMJ, the North Carolina Medical Journal, is meant to be read by everyone with an interest in improving the health of North Carolinians. We seek to make the Journal a sounding board for new ideas, new approaches, and new policies that will deliver high quality health care, support healthy choices, and maintain a healthy environment in our state.
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