Anna Beth Parlier-Ahmad, Taylor A Ochalek, Melanie K Bean, Susan E Wolver, Salvatore Carbone, Leila Z Islam, F Gerard Moeller, Caitlin E Martin
{"title":"在接受丁丙诺啡治疗阿片类药物使用障碍的成年人中，与体重相关的生物心理社会因素的性别差异。","authors":"Anna Beth Parlier-Ahmad, Taylor A Ochalek, Melanie K Bean, Susan E Wolver, Salvatore Carbone, Leila Z Islam, F Gerard Moeller, Caitlin E Martin","doi":"10.1177/29767342241303220","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Medication for opioid use disorder (MOUD) is the most efficacious treatment for opioid use disorder (OUD). MOUD uptake and continuation may be impacted by health concerns, including weight gain, and social factors, such as food insecurity, that vary between men and women. This study aimed to describe sex and gender differences in body mass index (BMI) and weight-related demographic, psychosocial, and clinical characteristics among adults receiving buprenorphine for OUD.</p><p><strong>Methods: </strong>This secondary analysis used data from a cross-sectional survey and prospective medical record review study among adults (n = 77 female, n = 66 male) engaged in outpatient treatment receiving buprenorphine for OUD. Survey items assessed weight-related demographic and psychosocial variables. Clinical factors were collected via chart abstraction. Comparisons between male and female participants were made using χ<sup>2</sup>, Mann Whitney <i>U</i>, and <i>t</i>-tests.</p><p><strong>Results: </strong>Most participants were non-Latinx, Black (69.9%), with a mean age of 43.3 ± 12.3 years. Among females, 2.6% had a BMI <18.5 kg/m<sup>2</sup>, 32.5% had a BMI from 18.5 kg/m<sup>2</sup> to <25 kg/m<sup>2</sup>, 35.1% had a BMI from 25 kg/m<sup>2</sup> to <30, and 29.9% had a BMI of 30 kg/m<sup>2</sup> or higher. Among males, 1.5% had a BMI <18.5 kg/m<sup>2</sup>, 43.9% had a BMI from 18.5 kg/m<sup>2</sup> to <25 kg/m<sup>2</sup>, 36.4% had a BMI from 25 kg/m<sup>2</sup> to <30, and 18.2% had a BMI of 30 kg/m<sup>2</sup> or higher. Females had a higher median BMI than males (27.4 kg/m<sup>2</sup> [IQR: 23.3-32.1] vs 25.5 kg/m<sup>2</sup> [IQR: 22.2-29.4], <i>P</i> = .041). Females were more likely than males to be unemployed, receive nutrition-based public assistance, and be prescribed psychotropic medication.</p><p><strong>Conclusions: </strong>Females had a greater BMI than males and experienced more weight-related social and clinical vulnerabilities. Understanding weight-related sex and gender differences in this population is important for informing multidisciplinary treatment approaches that promote MOUD uptake and continuation and center overall health in people with OUD.</p>","PeriodicalId":516535,"journal":{"name":"Substance use & addiction journal","volume":" ","pages":"29767342241303220"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sex and Gender Differences in Weight-Related Biopsychosocial Factors Among Adults Receiving Buprenorphine for Opioid Use Disorder.\",\"authors\":\"Anna Beth Parlier-Ahmad, Taylor A Ochalek, Melanie K Bean, Susan E Wolver, Salvatore Carbone, Leila Z Islam, F Gerard Moeller, Caitlin E Martin\",\"doi\":\"10.1177/29767342241303220\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Medication for opioid use disorder (MOUD) is the most efficacious treatment for opioid use disorder (OUD). MOUD uptake and continuation may be impacted by health concerns, including weight gain, and social factors, such as food insecurity, that vary between men and women. This study aimed to describe sex and gender differences in body mass index (BMI) and weight-related demographic, psychosocial, and clinical characteristics among adults receiving buprenorphine for OUD.</p><p><strong>Methods: </strong>This secondary analysis used data from a cross-sectional survey and prospective medical record review study among adults (n = 77 female, n = 66 male) engaged in outpatient treatment receiving buprenorphine for OUD. Survey items assessed weight-related demographic and psychosocial variables. Clinical factors were collected via chart abstraction. Comparisons between male and female participants were made using χ<sup>2</sup>, Mann Whitney <i>U</i>, and <i>t</i>-tests.</p><p><strong>Results: </strong>Most participants were non-Latinx, Black (69.9%), with a mean age of 43.3 ± 12.3 years. Among females, 2.6% had a BMI <18.5 kg/m<sup>2</sup>, 32.5% had a BMI from 18.5 kg/m<sup>2</sup> to <25 kg/m<sup>2</sup>, 35.1% had a BMI from 25 kg/m<sup>2</sup> to <30, and 29.9% had a BMI of 30 kg/m<sup>2</sup> or higher. Among males, 1.5% had a BMI <18.5 kg/m<sup>2</sup>, 43.9% had a BMI from 18.5 kg/m<sup>2</sup> to <25 kg/m<sup>2</sup>, 36.4% had a BMI from 25 kg/m<sup>2</sup> to <30, and 18.2% had a BMI of 30 kg/m<sup>2</sup> or higher. Females had a higher median BMI than males (27.4 kg/m<sup>2</sup> [IQR: 23.3-32.1] vs 25.5 kg/m<sup>2</sup> [IQR: 22.2-29.4], <i>P</i> = .041). Females were more likely than males to be unemployed, receive nutrition-based public assistance, and be prescribed psychotropic medication.</p><p><strong>Conclusions: </strong>Females had a greater BMI than males and experienced more weight-related social and clinical vulnerabilities. Understanding weight-related sex and gender differences in this population is important for informing multidisciplinary treatment approaches that promote MOUD uptake and continuation and center overall health in people with OUD.</p>\",\"PeriodicalId\":516535,\"journal\":{\"name\":\"Substance use & addiction journal\",\"volume\":\" \",\"pages\":\"29767342241303220\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-12-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Substance use & addiction journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/29767342241303220\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Substance use & addiction journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/29767342241303220","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Sex and Gender Differences in Weight-Related Biopsychosocial Factors Among Adults Receiving Buprenorphine for Opioid Use Disorder.
Introduction: Medication for opioid use disorder (MOUD) is the most efficacious treatment for opioid use disorder (OUD). MOUD uptake and continuation may be impacted by health concerns, including weight gain, and social factors, such as food insecurity, that vary between men and women. This study aimed to describe sex and gender differences in body mass index (BMI) and weight-related demographic, psychosocial, and clinical characteristics among adults receiving buprenorphine for OUD.
Methods: This secondary analysis used data from a cross-sectional survey and prospective medical record review study among adults (n = 77 female, n = 66 male) engaged in outpatient treatment receiving buprenorphine for OUD. Survey items assessed weight-related demographic and psychosocial variables. Clinical factors were collected via chart abstraction. Comparisons between male and female participants were made using χ2, Mann Whitney U, and t-tests.
Results: Most participants were non-Latinx, Black (69.9%), with a mean age of 43.3 ± 12.3 years. Among females, 2.6% had a BMI <18.5 kg/m2, 32.5% had a BMI from 18.5 kg/m2 to <25 kg/m2, 35.1% had a BMI from 25 kg/m2 to <30, and 29.9% had a BMI of 30 kg/m2 or higher. Among males, 1.5% had a BMI <18.5 kg/m2, 43.9% had a BMI from 18.5 kg/m2 to <25 kg/m2, 36.4% had a BMI from 25 kg/m2 to <30, and 18.2% had a BMI of 30 kg/m2 or higher. Females had a higher median BMI than males (27.4 kg/m2 [IQR: 23.3-32.1] vs 25.5 kg/m2 [IQR: 22.2-29.4], P = .041). Females were more likely than males to be unemployed, receive nutrition-based public assistance, and be prescribed psychotropic medication.
Conclusions: Females had a greater BMI than males and experienced more weight-related social and clinical vulnerabilities. Understanding weight-related sex and gender differences in this population is important for informing multidisciplinary treatment approaches that promote MOUD uptake and continuation and center overall health in people with OUD.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
