Polysubstance Use Among US Women of Reproductive Age Who Use Opioids for Nonmedical Reasons
Polysubstance Use Among US Women of Reproductive Age Who Use Opioids for Nonmedical Reasons
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DOI：
10.2105/ajph.2017.303825
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发表时间：
2017-08-01
影响因子：
12.7
通讯作者：
Kozhimannil, Katy
中科院分区：
文献类型：
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作者：
Jarlenski, Marian;Barry, Colleen L.;Kozhimannil, Katy
目标.确定美国育龄妇女使用阿片类药物进行非医疗性滥用的流行率和模式。我们使用了全国药物使用和健康调查（2005-2014年）数据，其中18至44岁的女性受访者在过去30天内报告了非医疗阿片类药物使用（未加权n = 4498）。我们对过去30天内多种物质的使用模式进行了分类，包括香烟、酗酒和其他法律的和非法的物质，并报告了根据年龄、种族/民族和教育程度调整的患病率。在所有非医疗阿片类药物使用的女性中，11%的人报告仅使用阿片类药物。非西班牙裔白色妇女和受教育程度较低的妇女使用多种药物的比例最高。非医学使用阿片类药物的女性中最常使用的其他物质是香烟（562%每天吸烟> 5支），酗酒（49.7%）和大麻（32.4%）。多种物质的使用在非医疗阿片类药物使用的孕妇中同样普遍。多物质使用在报告非医疗阿片类药物使用的美国育龄妇女中非常普遍。公共健康暗示。需要采取干预措施，解决同时使用多种物质的问题。
Objectives. To determine the prevalence and patterns of polysubstance use among US reproductive-aged women who use opioids for nonmedical purposes.Methods. We used the National Survey of Drug Use and Health (2005-2014) data on female respondents aged 18 to 44 years reporting nonmedical opioid use in We past 30 days (unweighted n = 4498). We categorized patterns of polysubstance use in the past 30 days, including cigarettes, binge drinking, and other legal and illicit substances and reported prevalence adjusted For age, race/ethnicity, and educational attainment.Results. OF all women with nonmedical opioid use, 11% reported only opioid use. Polysubstance use was highest in non-Hispanic White women and women with lower educational attainment. The most Frequently used other substances among women using opioids nonmedically were cigarettes (562% smoked > 5 cigarettes per day), binge drinking (49.7%), and marijuana (32.4%). Polysubstance use was similarly prevalent among pregnant women with nonmedical opioid use.Conclusions. Polysubstance use is highly prevalent among US reproductive-aged women reporting nonmedical opioid use. Pubic Hea1th implicatiohs. Interventions are needed that address concurrent use of multiple substances.