Associations Among Military Sexual Trauma, Opioid Use Disorder, and Gender
Associations Among Military Sexual Trauma, Opioid Use Disorder, and Gender
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DOI：
10.1016/j.amepre.2021.08.020
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发表时间：
2022-02-18
影响因子：
5.5
通讯作者：
Lehavot, Keren
中科院分区：
文献类型：
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作者：
Beckman, Kerry L.;Williams, Emily C.;Lehavot, Keren
阿片类药物使用障碍和高危阿片类药物处方增加了过量使用和死亡的风险。在退伍军人中，军事性创伤与各种健康状况的风险增加有关。本研究评估了军人性创伤与阿片类药物使用障碍和高危阿片类药物处方的关系，以及性别的潜在调节。方法：在2009年10月1日至2017年8月1日接受退伍军人卫生管理局门诊治疗的全国样本中，通过调整人口统计学和临床协变量，拟合logistic回归模型，评估军人性创伤与阿片类药物使用障碍和高危阿片类药物处方之间的关系。第二组模型包括性别X军事性创伤互动。分析在2020-2021年进行。结果：有军中性创伤史的患者（n=327,193）阿片类药物使用障碍的诊断几率高出50% (AOR=1.50, 95% CI=1.45, 1.54, p
Introduction: Opioid use disorder and high-risk opioid prescription increase the risks for overdose and death. In Veterans, military sexual trauma is associated with increased risk for assorted health conditions. This study evaluates the association of military sexual trauma with opioid use disorder and high-risk opioid prescription and potential moderation by gender.Methods: In a national sample of Veterans Health Administration outpatients receiving care from October 1, 2009 to August 1, 2017, logistic regression models were fit to evaluate the associations between military sexual trauma and opioid use disorder and high-risk opioid prescription, adjusting for demographic and clinical covariates. A second set of models included a gender X military sexual trauma interaction. Analyses were conducted in 2020-2021.Results: Patients with history of military sexual trauma (n=327,193) had 50% higher odds of opioid use disorder diagnosis (AOR=1.50, 95% CI=1.45, 1.54, p