Social isolation, residential stability, and opioid use disorder among older Medicare beneficiaries: Metropolitan and non-metropolitan county comparison.
Social isolation, residential stability, and opioid use disorder among older Medicare beneficiaries: Metropolitan and non-metropolitan county comparison.
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DOI：
10.1016/j.socscimed.2021.114605
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Kim S
中科院分区：
文献类型：
--
作者：
Yang TC;Shoff C;Kim S
研究表明，随着社会老龄化，阿片类药物使用障碍（OUD）的患病率可能会大幅上升，但这一问题在文献中受到的关注最少。为了解决这一差距，本研究利用来自多个数据源的县级数据（1）调查社会隔离是否与老年医疗保险受益人中的OUD患病率相关，（2）调查居住稳定性是否以及如何调节美国县的社会隔离与OUD患病率之间的关联，以及（3）确定都市县与非都市县之间的这些关联是否存在任何差异。结果表明，社会隔离是一个显着的因素，县级OUD患病率，无论大都市的地位。此外，居住稳定性高的县老年人OUD的患病率较低，这种关联在大都市县比在非大都市县更强。尽管如此，高水平的住宅稳定性加强了社会隔离和OUD患病率之间的正相关关系。因此，在制定旨在减少老年人外出就餐的政策和干预措施时，必须考虑到居住地。
Research has shown that the prevalence of opioid use disorder (OUD) may rise substantially as society ages, but this issue receives the least attention in the literature. To address this gap, this study utilizes county-level data from multiple data sources (1) to investigate whether social isolation is associated with OUD prevalence among older Medicare beneficiaries, (2) to examine whether and how residential stability moderates the association between social isolation and OUD prevalence in US counties, and (3) to determine if there are any differences in these associations between metropolitan and non-metropolitan counties. The results show that social isolation is a significant factor for county-level OUD prevalence, regardless of metropolitan status. In addition, counties with high residential stability have low prevalence of OUD among older adults and this association is stronger in metropolitan than in non-metropolitan counties. Nonetheless, high levels of residential stability reinforce the positive relationship between social isolation and OUD prevalence. As a result, when developing policies and interventions aimed at reducing OUD among older adults, place of residence must be taken into account.
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影响因子：
1.5
作者：
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通讯作者：
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影响因子：
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作者：
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影响因子：
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作者：
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影响因子：
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作者：
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通讯作者：
Golder, M
DOI：
10.1097/jgp.0b013e318190b8ef
发表时间：
2009-03
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
--
作者：
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通讯作者：
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