Treatment of Substance Use Disorders Among Women of Reproductive Age by Depression and Anxiety Disorder Status, 2008-2014.

Treatment of Substance Use Disorders Among Women of Reproductive Age by Depression and Anxiety Disorder Status, 2008-2014.
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DOI:
10.1089/jwh.2018.7597
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发表时间:
2019-08
期刊:
Journal of women's health (2002)
影响因子:
--
通讯作者:
Tong VT
Tong VT
中科院分区:
其他
文献类型:
--
作者:
Zhou J;Ko JY;Haight SC;Tong VT

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共病物质使用障碍和心理健康问题在育龄妇女中很常见。我们试图通过抑郁和焦虑障碍状态来了解物质使用和物质使用障碍的患病率,以及抑郁和焦虑障碍状态与接受物质使用治疗之间的独立关联。 2008 年至 2014 年国家药物使用与健康调查中抽取了 106,142 名 18-44 岁女性样本。通过卡方检验评估人口统计学、物质使用、物质使用障碍、重度抑郁发作 (MDE) 治疗和焦虑症状态的差异。通过调整患病率来评估 MDE 和焦虑症与药物滥用治疗之间的独立关联。患有 MDE 和/或焦虑症的女性比没有 MDE 或焦虑症的女性有更高的物质使用和物质使用障碍患病率 (p < 0.001)。不到四分之一患有物质使用障碍以及 MDE 和焦虑症的女性接受了心理健康和物质使用治疗。调整后,患有物质使用障碍、MDE 和焦虑障碍、仅 MDE 或仅焦虑障碍的女性比没有 MDE 或焦虑障碍的女性更有可能接受物质使用治疗(分别为 2.4、1.6 和 2.2 倍)(p < 0.001)。患有 MDE 和/或焦虑症的女性比同龄人更容易遭受药物滥用和药物滥用障碍。在育龄妇女经常光顾的环境中整合药物滥用治疗服务和心理健康服务可能会增加接受综合治疗的机会。
Comorbid substance use disorder and mental health conditions are common in women of reproductive age. We sought to understand the prevalence of substance use and substance use disorder by depression and anxiety disorder status and the independent association between depression and anxiety disorder status with receiving substance use treatment. A sample of 106,142 women ages 18–44 years was drawn from the 2008 to 2014 National Survey on Drug Use and Health. Differences in demographics, substance use, substance use disorders, and treatment by major depressive episode (MDE), and anxiety disorder status, were assessed with chi-squared tests. The independent association between MDE and anxiety disorder with substance use treatment was assessed with adjusted prevalence ratios. Women with MDE and/or anxiety disorder had higher prevalence of substance use and substance use disorder than women with no MDE or anxiety disorder (p < 0.001). Less than a quarter of women with substance use disorders and both MDE and anxiety disorder received mental health and substance use treatment. After adjustment, women with substance use disorder and MDE and anxiety disorder, MDE only, or anxiety disorder only were more likely to receive substance use treatment (respectively, 2.4, 1.6, and 2.2 times) than women with no MDE or anxiety disorder (p < 0.001). Women with MDE and/or anxiety disorder are significantly more likely to suffer from substance use and substance use disorders than their counterparts. Integrating substance use treatment services and mental health services in settings frequently visited by reproductive-aged women may increase receipt of combined treatment.
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