The Impact of Rural Classification Systems on a Comparison of Risky Drug-Related Behaviors in Kentucky and Ohio Counties.

The Impact of Rural Classification Systems on a Comparison of Risky Drug-Related Behaviors in Kentucky and Ohio Counties.
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农村分类系统对肯塔基州和俄亥俄州危险药物相关行为比较的影响。

DOI:
10.1080/10911359.2018.1516591
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发表时间:
2019
影响因子:
1.6
通讯作者:
Feinberg,Judith
Feinberg,Judith
中科院分区:
--
文献类型:
--
作者:
Stover,AmandaN;Winstanley,ErinL;Zhang,Yifan;Feinberg,Judith

文献摘要

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分析肯塔基州和俄亥俄州县注射毒品使用(IDU)行为和过量的差异,并评估使用不同模型将县分类为农村的影响。现有临床数据来自三个区域项目:1)在住宅成瘾治疗计划中的阿片类药物过量预防计划(OPPP)(n=163),2)对4个OPPP的区域评价(n=655),3)移动的注射器服务项目(n= 1,379),分别代表肯塔基州(n=516)和俄亥俄州(n= 1,618)的17个县。二分变量采用Pearson卡方检验,连续变量采用方差分析(ANOVA)。Tukey HSD后测用于确定统计学显著性比较。然而,根据所使用的分类方案,调查结果发生了变化。在县一级适用的农村分类可能是分析研究报告的一个重要考虑因素。
To analyze county-level differences in injection drug use (IDU) behaviors and overdoses in Kentucky and Ohio, and to assess the impact of using different models to classify counties as rural.Existing clinical data were pooled from three regional programs: 1) an opioid overdose prevention program (OOPP) within a residential addiction treatment program (n=163), 2) a regional evaluation of four OOPPs (n=655), and 3) a mobile syringe services program (n=1,379), representing 17 counties each in Kentucky (n=516) and Ohio (n=1,618). Pearson chi-square tests were used for dichotomous variables and an analysis of variance (ANOVA) was used to compare continuous variables. A Tukey HSD posttest was used to identify statistically significant comparisons.Age at first IDU was consistently younger in rural counties. However, findings changed based on the classification scheme used. This was also true for the prevalence of methamphetamine use.The rurality classification applied at the county level may be an important consideration in the analysis of research studies.