Disability status and prescription drug misuse among US adults
Disability status and prescription drug misuse among US adults
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DOI：
10.1016/j.addbeh.2018.05.019
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发表时间：
2018-10-01
影响因子：
4.4
通讯作者：
Nicholson, Harvey L.
中科院分区：
文献类型：
--
作者：
Ford, Jason A.;Hinojosa, Melanie Sberna;Nicholson, Harvey L.
背景美国正处于与药物过量死亡有关的公共卫生危机之中。过量死亡人数急剧增加的主要原因是滥用阿片类和苯二氮卓类等处方药。虽然近年来许多研究关注处方药滥用的相关性，但文献中仍然存在显着的空白。目前的研究解决了这些差距之一，通过检查残疾状况和处方药mission.Method之间的关系：我们检查的数据从2015年全国调查药物使用和健康，流行病学数据的主要来源在美国的药物使用，增加了有关残疾状况的问题，2015年的调查。目前的研究评估了残疾状况与（即日常生活活动和工具性日常生活活动）和处方药滥用（即阿片类药物和苯二氮卓类药物）。多项逻辑回归分析的结果显示，与日常生活活动相关的残疾与阿片类药物滥用相关，而与工具性日常生活活动相关的残疾与苯二氮卓类药物的滥用和两者的滥用有关。此外，健康相关的措施有更大的影响残疾状况和处方药滥用之间的关系比社会参与/隔离measurements.Conclusion：研究结果表明，残疾状况是一个显着的处方药滥用相关。然而，这种关系在很大程度上是由与健康状况不佳和社会参与/孤立相关的措施介导的。
Background The U.S. is in the midst of a public health crisis related to drug overdose deaths. Largely responsible for the dramatic increase in overdose deaths is the misuse of prescription drugs such as opioids and benzodiazepines. While much research attention has focused on correlates of prescription drug misuse in recent years, notable gaps in the literature remain. The current research addresses one of these gaps by examining the relationship between disability status and prescription drug misuse.Method: We examine data from the 2015 National Survey on Drug use and Health, a leading source of epidemiological data on drug use in the United States that added questions related to disability status to the 2015 survey. The current research assessed the relationship between disability status (i.e. activities of daily living and instrumental activities of daily living) and prescription drug misuse (i.e. opioids and benzodiazepines) among adults.Results: Findings from multinomial logistic regression analysis showed that a disability related to activities of daily living was correlated with opioid misuse, while a disability associated with instrumental activities of daily living was associated with benzodiazepine misuse and misuse of both. In addition, health related measures had a greater impact on the relationship between disability status and prescription drug misuse than did the social engagement/isolation measures.Conclusion: Findings indicated that disability status is a significant correlate of prescription drug misuse. However, this relationship was largely mediated by measures associated with poor health and social engagement/isolation.