Understanding the Rural-Urban Differences in Nonmedical Prescription Opioid Use and Abuse in the United States
Understanding the Rural-Urban Differences in Nonmedical Prescription Opioid Use and Abuse in the United States
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了解美国非医疗处方类阿片使用和滥用的城乡差异
DOI：
10.2105/ajph.2013.301709
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发表时间：
2014-02-01
影响因子：
12.7
通讯作者：
Galea, Sandro
中科院分区：
文献类型：
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作者：
Keyes, Katherine M.;Cerda, Magdalena;Galea, Sandro
非医疗处方阿片类药物滥用仍然是一个日益严重的公共问题，需要采取行动，集中在美国农村人口众多的州，如肯塔基州，西弗吉尼亚州，阿拉斯加州和俄克拉荷马州。我们提出了关于4个因素影响的假设：（1）农村地区阿片类药物处方增加，从而产生非法市场;（2）年轻人向外移民;（3）农村社会和亲属网络联系增加，这可能有助于药物转移和分销;（4）经济压力可能导致更普遍的药物使用脆弱性。系统地考虑在可用性、可获得性和偏好方面产生差异的背景，对于了解毒品使用背景在不同地理区域的差异至关重要。
Nonmedical prescription opioid misuse remains a growing public problem in need of action and is concentrated in areas of US states with large rural populations such as Kentucky, West Virginia, Alaska, and Oklahoma. We developed hypotheses regarding the influence of 4 factors: (1) greater opioid prescription in rural areas, creating availability from which illegal markets can arise; (2) an out-migration of young adults; (3) greater rural social and kinship network connections, which may facilitate drug diversion and distribution; and (4) economic stressors that may create vulnerability to drug use more generally. A systematic consideration of the contexts that create differences in availability, access, and preferences is critical to understanding how drug use context varies across geography.