US adults with opioid use disorder living with children: Treatment use and barriers to care
US adults with opioid use disorder living with children: Treatment use and barriers to care
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DOI：
10.1016/j.jsat.2018.07.011
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发表时间：
2018-10-01
影响因子：
3.9
通讯作者：
Letourneau, Elizabeth J.
中科院分区：
文献类型：
--
作者：
Feder, Kenneth A.;Mojtabai, Ramin;Letourneau, Elizabeth J.
背景：美国与儿童一起生活的阿片类药物使用障碍成年人有独特的治疗需求，但对这些成年人的治疗使用知之甚少。方法：数据来自2010-2014年版本的全国药物使用和健康调查，这是一项评估美国药物使用情况的年度全国代表性调查。对有儿童（< 18岁）家庭中有海洛因或止痛药使用障碍的成年人（bbb18岁）与无儿童家庭中有海洛因或止痛药使用障碍的成年人（bbb18岁）进行物质使用治疗、治疗环境、支付来源、未满足的治疗需求和护理障碍的比较，使用logistic回归来调整组间人口统计学差异。结果：在820,000名与至少一个孩子生活在一起的阿片类药物使用障碍成年人中，28%的人报告接受了任何过去一年的药物使用治疗，这一比例与没有与孩子生活在一起的成年人（30%）相当。在报告未满足治疗需求的成年人中，那些与儿童一起生活的人更有可能报告无法找到合适的项目（aOR为2.9,95% CI为1.2-7.1）以及耻辱感（aOR为4.1,95% CI为1.5 - 11.2）等障碍使他们无法接受治疗。结论：大多数与孩子一起生活的成人阿片类药物使用障碍患者没有接受任何药物使用治疗。扩大阿片类药物使用障碍治疗项目的努力必须包括对满足家庭特殊需求的项目的投资。
Background: U.S. Adults with an opioid use disorder who live with a child have unique treatment needs, but little is known about the treatment use of these adults.Methods: Data come from the 2010-2014 versions of the National Survey on Drug Use and Health, an annual, nationally representative survey assessing substance use in the United States. Adults (> 18) with a heroin or pain-reliever use disorder living in a household with a child (< 18) were compared to adults not living with children on their use of substance use treatment, treatment settings, payment sources, perceived unmet need for treatment, and barriers to care using logistic regression to adjust for demographic differences between groups.Results: Of the 820,000 adults with an opioid use disorder living with at least one child, 28% reported receiving any past-year substance use treatment, a rate comparable to adults not living with a child (30%). Among adults reporting unmet treatment need, those who lived with a child were more likely to report that access barriers like not being able to find the right kind of program (aOR 2.9, 95% CI 1.2-7.1), as well as stigma (aOR 4.1, 95% CI 1.5 to 11.2), kept them from receiving care.Conclusion: Most adults with opioid use disorder who live with a child are not receiving any substance use treatment. Efforts to expand opioid use disorder treatment programs must include investment in programs that meet the specialized needs of families.