Trends in Opioid Use Disorder Among Older Adults: Analyzing Medicare Data, 2013-2018.
Trends in Opioid Use Disorder Among Older Adults: Analyzing Medicare Data, 2013-2018.
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DOI：
10.1016/j.amepre.2021.01.010
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发表时间：
2021-06
影响因子：
5.5
通讯作者：
Shaw BA
中科院分区：
文献类型：
--
作者：
Shoff C;Yang TC;Shaw BA
阿片类药物使用障碍(OUD)多年来发展迅速，在美国是一种公共健康危机。虽然OUD被广泛研究，但在老年人中对OUD的了解相对较少。这项研究的目标是随着时间的推移，在几个社会人口统计维度上，更好地了解老年医疗保险受益者对OUD的了解。分析了2013-2018年医疗保险和医疗补助服务中心总受益人总结文件中的数据，以检查≥65岁的按服务收费的医疗保险受益人中OUD患病率的趋势。利用主要的阿片类药物使用障碍标志，从以下社会人口统计方面审查了OUD流行率的趋势：年龄、性别、种族/族裔和双重资格状态(即，由于收入低，同时参加了医疗保险和医疗补助)。用卡方检验比较不同组别的OUD患病率。自2013年以来，美国老年人中的估计OUD比率总体上增加了3倍。估计OUD在“年轻”(即65-69岁)受益人中比其他老年人更普遍，与仅接受联邦医疗保险的受益人相比，双重符合条件的受益人一直分担更重的OUD负担。关于种族/民族，黑人和美国印第安人/阿拉斯加原住民比其他群体更容易受到OUD的影响。2013至2018年间的描述性趋势表明，在研究期间，所有老年人社会人口亚群中估计的OUD流行率大幅上升，突显了公共卫生专业人员和老年病学家面临的紧迫挑战。
Opioid use disorder (OUD) has grown rapidly over the years and is a public health crisis in the U.S. Though OUD is widely studied, relatively little is known about OUD among older adults. The goal of this study is to gain a better understanding of OUD among older Medicare beneficiaries over time and across several sociodemographic dimensions. Data from the 2013–2018 Centers for Medicare & Medicaid Services Master Beneficiary Summary Files were analyzed in 2020 to examine trends in OUD prevalence among Fee-for-Service Medicare beneficiaries aged ≥65 years. Utilizing the overarching opioid use disorder flag, trends in OUD prevalence were examined for the following sociodemographic dimensions: age, sex, race/ethnicity, and dual eligibility status (i.e., enrolled in both Medicare and Medicaid owing to low income). Chi-square tests were used to compare OUD prevalence across groups. Since 2013, estimated rates of OUD among older adults have increased >3-fold overall in the U.S. Estimated OUD is more prevalent among the “young—old” (i.e., ages 65–69 years) beneficiaries than other older adults, and dually eligible beneficiaries have consistently shared a heavier burden of OUD compared with Medicare-only beneficiaries. Regarding race/ethnicity, Blacks and American Indians/Alaskan Natives are more vulnerable to OUD than other groups. The descriptive trends between 2013 and 2018 indicate that estimated OUD prevalence has increased greatly over the study period in all sociodemographic subgroups of older adults, highlighting an urgent challenge for public health professionals and gerontologists.
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影响因子：
6
作者：
Evans, Elizabeth;Li, Libo;Nosyk, Bohdan
通讯作者：
Nosyk, Bohdan
DOI：
10.1126/science.aau1184
发表时间：
2018-09-21
期刊：
Science (New York, N.Y.)
影响因子：
--
作者：
Jalal H;Buchanich JM;Roberts MS;Balmert LC;Zhang K;Burke DS
通讯作者：
Burke DS
影响因子：
3.7
作者：
Li, Kevin J.;Smedberg, Diane L.;DeLisi, Lynn E.
通讯作者：
DeLisi, Lynn E.
影响因子：
5.4
作者：
Feagin, Joe;Bennefield, Zinobia
通讯作者：
Bennefield, Zinobia
影响因子：
7
作者：
Carter, Mary W.;Yang, Bo Kyum;Kabel, Allison
通讯作者：
Kabel, Allison