Characteristics of Prescription-Opioid-Impaired and Other Substance-Impaired Drivers in Rural Appalachian Kentucky.

Characteristics of Prescription-Opioid-Impaired and Other Substance-Impaired Drivers in Rural Appalachian Kentucky.
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肯塔基州阿巴拉契亚农村地区处方阿片类药物障碍和其他药物障碍驾驶员的特征。

DOI:
10.1080/02791072.2018.1514477
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发表时间:
2018
影响因子:
2.8
通讯作者:
Staton,Michele
Staton,Michele
中科院分区:
医学4区
文献类型:
--
作者:
Webster,JMatthew;Dickson,MeganF;Mannan,Faiyad;Staton,Michele

文献摘要

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以前的研究强调了处方阿片类药物在农村阿巴拉契亚及其相关的风险行为的流行,但是,没有研究检查处方阿片类药物受损驾驶作为这种流行病的后果。本研究的目的是描述处方阿片类药物受损的司机在农村阿巴拉契亚肯塔基州,并研究他们是如何相似和不同的其他物质受损的司机从该地区。来自阿巴拉契亚肯塔基州农村的被定罪的DUI罪犯样本完成了一项保密的研究采访,重点是他们的物质使用,心理健康和犯罪活动。将处方阿片类药物受损的驾驶员(n= 33)与其他药物受损的驾驶员(n= 29)和仅酒精受损的驾驶员(n= 44)进行比较。总体而言,处方阿片类药物受损的驾驶员与其他药物受损的驾驶员相比,非法药物使用和犯罪活动的流行率相似,包括驾驶频率受损,但与仅酒精受损的驾驶员相比,非法药物使用的流行率更高,驾驶受损的频率更高。研究的影响包括全面的药物滥用评估和治疗DUI罪犯的重要性,以及为处方阿片类药物受损和其他药物受损司机量身定制干预措施的必要性。
Previous studies have highlighted the prescription opioid epidemic in rural Appalachia and its associated risk behaviors; however, no studies have examined prescription-opioid-impaired driving as a consequence of this epidemic. The purpose of the present study was to describe prescription-opioid-impaired drivers in rural Appalachian Kentucky and examine how they are similar to and different from other substance-impaired drivers from the region. A sample of convicted DUI offenders from rural Appalachian Kentucky completed a confidential research interview focused on their substance use, mental health, and criminal activity. Prescription-opioid-impaired drivers (n= 33) were compared to other drug-impaired drivers (n= 29) and to alcohol-only-impaired drivers (n= 44). Overall, prescription-opioid-impaired drivers had a similar prevalence of illicit substance use and criminal activity, including impaired driving frequency, to other drug-impaired drivers, but had a higher prevalence of illicit substance use and more frequent impaired driving when compared to alcohol-only-impaired drivers. Study implications include the importance of comprehensive substance abuse assessment and treatment for DUI offenders and the need for tailored interventions for prescription-opioid-impaired and other drug-impaired drivers.