Racial/ethnic differences in health status and morbidity among adults who use methamphetamine.
Racial/ethnic differences in health status and morbidity among adults who use methamphetamine.
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DOI：
10.1080/13548506.2012.701754
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Pham AZ
中科院分区：
文献类型：
--
作者：
Herbeck DM;Brecht ML;Pham AZ
随着时间的推移，少数民族人口中的疾病率高于白人，并且随着甲基苯丙胺（MA）的使用继续渗透到美国不同种族的地理区域，少数民族人口可能面临更大的风险，出现与MA相关的不良健康后果，从而进一步导致弱势群体的健康状况较差。本研究考察了使用MA的个体在健康状况和健康状况方面的种族/民族差异。数据来自一项对成人MA使用者（N=512）进行的自然史访谈研究，其中一半接受了MA滥用治疗，另一个对照组未接受药物滥用治疗。卡方和logistic回归分析检查了种族/民族在自我报告的健康状况和发病率方面的差异，调整了年龄、性别和健康行为，包括MA使用严重程度和烟草使用。总体而言，背部/颈部受伤（27%），严重的牙齿问题（26%），枪伤/刀伤（25%）和性传播疾病（24%）是常见的报告。种族/民族差异的条件，包括枪伤/刀伤，听力损失和学习障碍不成比例地影响拉丁美洲人口，哮喘和性病不成比例地影响非洲裔美国人。结果因是否接受MA滥用治疗而异。虽然健康状况不佳和发病率普遍，但每个族裔群体可能面临更高的特定健康问题风险。健康状况和条件，在此MA使用的样本进行检查和讨论，参考一般人口的数据。这些发现可能有助于研究人员和治疗提供者解决少数群体中MA使用日益普遍的健康后果。了解MA使用者健康状况的种族差异可能有助于制定针对特定医疗保健需求的干预措施。
Higher disease rates among ethnic-minority populations compared to Whites have been pervasive and persistent over time, and as methamphetamine (MA) use continues to penetrate ethnically diverse geographic regions across the United States, minority populations may be at increased risk for adverse MA-related health consequences, thus further contributing to poorer health among vulnerable populations. This study examines racial/ethnic differences in health status and health conditions among individuals who used MA. Data are from a natural history interview study of adult MA users (N=512), half of whom received treatment for MA abuse, and a comparison group who had not received substance abuse treatment. Chi square and logistic regression analyses examined differences by race/ethnicity in self-reported health status and morbidity, adjusting for age, gender, and health behaviors including MA use severity and tobacco use. Overall, back/neck injuries (27%), severe dental problems (26%), gunshot/knife injury (25%) and sexually transmitted diseases (24%) were commonly reported. Racial/ethnic differences were observed for conditions including gunshot/knife injuries, hearing loss and learning disabilities disproportionately affecting Latino populations, and asthma and STDs disproportionately affecting African Americans. Results varied by whether treatment for MA abuse was received. Although poor health and morbidity were common overall, each ethnic group may be at higher risk for specific health problems. Health status and conditions in this MA-using sample are examined and discussed with reference to general population data. These findings may assist researchers and treatment providers in addressing health consequences of the increasing prevalence of MA use among minority populations. Understanding ethnic differences in health status among MA users may assist in developing interventions to target specific health care needs.
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影响因子：
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作者：
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通讯作者：
Weisner, CM
影响因子：
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通讯作者：
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