Alcohol-involved overdose deaths in US veterans.
Alcohol-involved overdose deaths in US veterans.
复制标题
DOI：
10.1016/j.drugalcdep.2021.109196
复制
发表时间：
2022-01-01
影响因子：
4.2
通讯作者：
Coughlin LN
中科院分区：
文献类型：
--
作者：
Lin LA;Bonar EE;Zhang L;Girard R;Coughlin LN
与酒精有关的过量死亡正在增加，并且经常与其他物质一起发生，但与其他过量原因相比，研究很少。我们使用了与2012-2018年国家死亡指数数据相关的国家退伍军人健康管理局（VHA）记录，以研究酒精相关过量死亡率的趋势。比较了酒精过量死亡类别（仅酒精、酒精+阿片类药物（可能包括其他物质）和酒精+其他物质（不含阿片类药物））的患者特征和治疗接受情况。从2012年到2018年，有2，421名退伍军人死于酒精过量（仅酒精：868，酒精+阿片类药物：1，269，酒精+其他物质：284）。在此期间，涉及酒精的过量率增加了57%。与仅死于酒精过量的人相比，死于酒精+阿片类药物和酒精+其他物质的退伍军人更有可能是黑人或西班牙裔，并且患有阿片类药物使用障碍，但不太可能生活在农村地区或被诊断患有酒精使用障碍（AUD）。在死于酒精过量的人中，只有32.5%的人在死亡前一年在物质使用障碍诊所接受了治疗，而在精神健康和初级保健中的比例分别为65.1%和85.7%。只有9.5%死于酒精过量的退伍军人在死亡前一年接受了AUD药物治疗，24.8%接受了AUD心理治疗。酒精过量的增加主要与涉及阿片类药物和其他物质的过量有关。大多数患者没有接受任何有效的药物或心理治疗，这表明需要进一步识别风险人群，并在医疗机构中针对这一弱势群体进行治疗。
Alcohol-involved overdose deaths are increasing and often occur with other substances but have been minimally studied compared to other causes of overdose. We used national Veterans Health Administration (VHA) records linked to National Death Index data from 2012–2018 to examine trends in alcohol-related overdose mortality. Patient characteristics and treatment receipt were compared across categories of alcohol overdose deaths (alcohol-only, alcohol+opioids which may include additional substances, and alcohol+other substances without opioids). From 2012–2018, 2,421 Veterans died from an alcohol-involved overdose (alcohol-only: 868, alcohol+opioids: 1,269, alcohol+other substances: 284). The alcohol-involved overdose rate increased 57% during this period. Compared to those who died of an alcohol-only overdose, Veterans who died from alcohol+opioids and alcohol+other substances were more likely Black or Hispanic, and to have an opioid use disorder, but less likely to live in rural areas or to be diagnosed with alcohol use disorder (AUD). Only 32.5% of those who died from alcohol-involved overdose received treatment in a substance use disorder clinic in the year preceding death, compared to 65.1% seen in mental health and 85.7% in primary care. Only 9.5% of Veterans who died from alcohol overdose received medication treatment for AUD and 24.8% received psychotherapy for AUD in the year preceding death. Alcohol overdose is increasing primarily related to overdoses involving opioids and other substances. Most patients did not receive any effective medication or psychotherapy treatments for AUD, suggesting further need to identify those at risk and to target treatment for this vulnerable group in healthcare settings.
登录
查看更多内容
DOI：
10.1097/00000433-198806000-00011
发表时间：
1988-06-01
影响因子：
1
作者：
HANZLICK, R
通讯作者：
HANZLICK, R
DOI：
10.1016/j.sapharm.2018.10.023
发表时间：
2019-08-01
影响因子：
3.9
作者：
Moyo, Patience;Zhao, Xinhua;Gellad, Walid F.
通讯作者：
Gellad, Walid F.
影响因子：
25.8
作者：
Grant, Bridget F.;Saha, Tulshi D.;Ruan, W. June;Goldstein, Rise B.;Chou, S. Patricia;Jung, Jeesun;Zhang, Haitao;Smith, Sharon M.;Pickering, Roger P.;Huang, Boji;Hasin, Deborah S.
通讯作者：
Hasin, Deborah S.
影响因子：
25.8
作者：
Grant BF;Goldstein RB;Saha TD;Chou SP;Jung J;Zhang H;Pickering RP;Ruan WJ;Smith SM;Huang B;Hasin DS
通讯作者：
Hasin DS
影响因子：
5.5
作者：
Lin, Lewei (Allison);Peltzman, Talya;Bohnert, Amy S. B.
通讯作者：
Bohnert, Amy S. B.