Estimating the prevalence of illicit opioid use in New York City using multiple data sources.
Estimating the prevalence of illicit opioid use in New York City using multiple data sources.
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DOI：
10.1186/1471-2458-12-443
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发表时间：
2012-06-18
影响因子：
4.5
通讯作者：
Heller D
中科院分区：
文献类型：
--
作者：
McNeely J;Gourevitch MN;Paone D;Shah S;Wright S;Heller D
尽管对其健康和社会后果感到关切，但人们对纽约市非法使用阿片类药物的普遍情况知之甚少。众所周知，滥用海洛因和处方阿片类药物的个人在发病率和死亡率方面承受着不成比例的负担。服务提供者和公共卫生当局面临的挑战是，在对这一人口的规模和特征缺乏基本了解的情况下，提供适当的干预措施。虽然非法药物使用者在以人口为基础的调查中代表性不足，但可以在多个行政数据来源中确定他们。我们分析了跟踪医院住院和急诊室入院情况以及药物治疗和戒毒服务利用情况的大型数据集。这些结果与大型一般人口调查的结果以及跟踪处方、药物过量死亡和惩教保健服务的行政记录相结合，以估计2006年纽约市居民中海洛因和非医疗处方类阿片使用的流行程度。这些数据进一步应用于阿片类药物使用者进入药物治疗和医院医疗保健的描述性分析。这些数据来源确定了2006年纽约市居民中126681例阿片类药物使用病例。在应用调整情景来解释数据源之间的潜在重叠之后，我们估计有超过92,000名阿片类药物个体使用者。相比之下，2006年只有21,600名阿片类药物使用者开始接受药物治疗。阿片类药物使用者占所有住院患者的4%，全年住院人数超过4.4万人。我们的研究结果表明，需要创新的方法来为这一庞大的阿片类药物使用者群体提供足够的服务。鉴于观察到的医院服务使用率很高，将药物服务更大程度地纳入医疗环境可能是扩大这一人口保健干预的范围和范围的有效办法的一个组成部分。
Despite concerns about its health and social consequences, little is known about the prevalence of illicit opioid use in New York City. Individuals who misuse heroin and prescription opioids are known to bear a disproportionate burden of morbidity and mortality. Service providers and public health authorities are challenged to provide appropriate interventions in the absence of basic knowledge about the size and characteristics of this population. While illicit drug users are underrepresented in population-based surveys, they may be identified in multiple administrative data sources. We analyzed large datasets tracking hospital inpatient and emergency room admissions as well as drug treatment and detoxification services utilization. These were applied in combination with findings from a large general population survey and administrative records tracking prescriptions, drug overdose deaths, and correctional health services, to estimate the prevalence of heroin and non-medical prescription opioid use among New York City residents in 2006. These data were further applied to a descriptive analysis of opioid users entering drug treatment and hospital-based medical care. These data sources identified 126,681 cases of opioid use among New York City residents in 2006. After applying adjustment scenarios to account for potential overlap between data sources, we estimated over 92,000 individual opioid users. By contrast, just 21,600 opioid users initiated drug treatment in 2006. Opioid users represented 4 % of all individuals hospitalized, and over 44,000 hospitalizations during the calendar year. Our findings suggest that innovative approaches are needed to provide adequate services to this sizeable population of opioid users. Given the observed high rates of hospital services utilization, greater integration of drug services into medical settings could be one component of an effective approach to expanding both the scope and reach of health interventions for this population.
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影响因子：
6
作者：
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通讯作者：
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