物质使用诊断患者父母的社会经济、健康和家庭状况：一项描述性登记研究

IF 3.6 2区医学 Q1 PSYCHIATRY

Drug and alcohol dependence Pub Date : 2025-09-18 DOI:10.1016/j.drugalcdep.2025.112892

Solveig Glestad Christiansen , Torleif Halkjelsvik , Inger Synnøve Moan , Øystein Kravdal

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引用次数: 0

摘要

背景物质使用诊断（PPSUD）患者的父母特征在公共卫生领域受到的关注有限。以前的研究主要基于便利样本，报告了健康、工作和家庭生活方面的挑战。利用登记数据，本研究对其特征进行了广泛的描述性概述。方法根据2008年至2018年的患者记录，我们确定了2018年居住在挪威的111,075例PPSUD。排除有药物使用诊断的父母（PPSUDExcl; n = 98,507）的亚组按年龄和性别与一般人群中没有药物使用诊断的父母匹配（比较；n = 98,507）。我们比较了比例和均值。结果被诊断为药物使用的患者的父母离婚（PPSUDExcl: 28.7%；对比：17.9%；本及后续比较的p值<； 0.001）较多，全职工作较少（57.9%比68.5%），领取伤残抚恤金（23.4%比13.7%）和病假（27.7%比20.8%）较多。在PPSUDExcl患者中，全科医生咨询的比例（82.5%）高于对照组（80.7%），尤其是心理健康（15.4%比10.7%）和肌肉骨骼问题（35.8%比33.0%），但物理治疗的使用率较低（16.6%比18.5%）。PPSUDExcl的住院率（15.1%）高于对照组（12.9%）。结论药物使用患者的父母比其他父母在生活领域面临更多的挑战，包括较弱的劳动力市场依恋，更依赖福利，更多的心理健康咨询和更高的整体医疗保健使用。残疾养恤金和疾病缺勤方面的巨大差异，但总体医疗保健利用情况不大，表明医疗保健服务可能利用不足。

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The socioeconomic, health, and family situation of parents of patients with substance use diagnosis: A descriptive registry study

Background

The characteristics of parents of patients with substance use diagnoses (PPSUD) have received limited attention in public health. Previous studies, mainly based on convenience samples, report challenges in health, work, and family life. Using register data, this study provides a broad descriptive overview of their characteristics.

Methods

Based on patient records from 2008 to 2018, we identified 111,075 PPSUD residing in Norway in 2018. A subgroup excluding parents with substance use diagnoses themselves (PPSUD_Excl; n = 98,507) was matched by age and gender to parents without substance use diagnoses from the general population (Comparison; n = 98,507). We compared proportions and means.

Results

Parents of patients with substance use diagnosis were more often divorced (PPSUD_Excl: 28.7 %; Comparison: 17.9 %; p-values <.001 for this and subsequent comparisons), less likely to work full-time (57.9 % vs. 68.5 %), and more likely to receive disability pension (23.4 % vs. 13.7 %) and have sickness absence (27.7 % vs. 20.8 %). General practitioner consultations were more common among PPSUD_Excl (82.5 %) than Comparison (80.7 %), especially for mental health (15.4 % vs. 10.7 %) and musculoskeletal issues (35.8 % vs. 33.0 %), but physiotherapy use was lower (16.6 % vs. 18.5 %). Hospital admission rates were higher for PPSUD_Excl (15.1 %) than Comparison (12.9 %).

Conclusions

Parents of patients with substance use diagnosis face more challenges than other parents across life domains, including weaker labour market attachment, greater dependence on benefits, more mental health-related consultations, and higher overall healthcare use. Large discrepancies in disability pension and sickness absence, but modest in overall healthcare utilisation, suggest potential underutilisation of healthcare services.

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来源期刊

Drug and alcohol dependence 医学-精神病学

CiteScore

7.40

自引率

7.10%

发文量

409

审稿时长

41 days

期刊介绍： Drug and Alcohol Dependence is an international journal devoted to publishing original research, scholarly reviews, commentaries, and policy analyses in the area of drug, alcohol and tobacco use and dependence. Articles range from studies of the chemistry of substances of abuse, their actions at molecular and cellular sites, in vitro and in vivo investigations of their biochemical, pharmacological and behavioural actions, laboratory-based and clinical research in humans, substance abuse treatment and prevention research, and studies employing methods from epidemiology, sociology, and economics.