Quantifying opioid use disorder Cascade of Care outcomes in an American Indian tribal nation in Minnesota.
Quantifying opioid use disorder Cascade of Care outcomes in an American Indian tribal nation in Minnesota.
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DOI：
10.1016/j.drugalcdep.2021.108661
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发表时间：
2021-05-01
影响因子：
4.2
通讯作者：
Greenfield B
中科院分区：
文献类型：
--
作者：
Boyd T;Stipek J;Kraft A;Muskrat J;Hallgren KA;Alexander C;Greenfield B
明尼苏达州的美国印第安人社区受到阿片类药物使用障碍（OUD）流行病的不成比例的影响，部落社区已采取许多措施来解决这一问题。护理级联是一个公共卫生框架，用于衡量人口层面的OUD风险，治疗参与，治疗保留和恢复结果，可以帮助社区监测应对OUD流行的影响，并确定可能存在的与治疗和恢复相关的障碍和促进因素。然而，没有任何研究量化了部落社区内的级联护理阶段，这些阶段在多大程度上可以量化使用现有的数据来源是未知的。我们利用明尼苏达州药物和酒精滥用规范性评估系统（DAANES）的数据来量化明尼苏达州和整个州的美洲印第安部落民族的OUD级联护理阶段。DAANES数据显示，2018年部落社区有269人因阿片类药物相关问题接受了治疗。其中，估计有65 - 99%的患者开始使用药物治疗OUD，估计有13 - 41%的患者保持治疗至少180天。现有的州一级数据可以提供有关美国印第安人社区的级联护理阶段的信息，特别是关于治疗入院，开始治疗OUD和治疗保留。需要额外的数据源来衡量人口水平的OUD风险，恢复以及可能影响治疗和恢复的文化和背景因素。
American Indian communities in Minnesota have been disproportionately impacted by the opioid use disorder (OUD) epidemic, which tribal communities have taken numerous steps to address. The Cascade of Care is a public health framework for measuring population-level OUD risk, treatment engagement, treatment retention, and recovery outcomes, which can help communities monitor the impact of responses to the OUD epidemic and identify where treatment- and recovery-related barriers and facilitators may exist. However, no studies have quantified the Cascade of Care stages within tribal communities and the extent to which these stages can be quantified using existing data sources is unknown. We utilized data from the Minnesota Drug and Alcohol Abuse Normative Evaluation System (DAANES) to quantify OUD Cascade of Care stages for an American Indian tribal nation in Minnesota and for the entire state. DAANES data indicated 269 individuals in the tribal community received treatment for opioid-related problems in 2018. Among them, an estimated 65–99% initiated medications for OUD and an estimated 13–41% were retained in treatment for at least 180 days. Existing state-level data can provide information about Cascade of Care stages for American Indian communities, particularly with regard to treatment admission, initiation of medications for OUD, and treatment retention. Additional data sources are needed to measure population-level OUD risk, recovery, and cultural and contextual factors that may impact treatment and recovery.
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