Health Care Utilization Due to Substance Abuse Among Homeless and Nonhomeless Children and Young Adults in New York.
Health Care Utilization Due to Substance Abuse Among Homeless and Nonhomeless Children and Young Adults in New York.
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DOI：
10.1176/appi.ps.202000010
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发表时间：
2021-04-01
期刊：
影响因子：
--
通讯作者：
Smith LM
中科院分区：
文献类型：
--
作者：
Sakai-Bizmark R;Webber EJ;Estevez D;Murillo M;Marr EH;Bedel LEM;Mena LA;Felix JCD;Smith LM
在美国，青少年滥用药物是一个重大的公共卫生挑战。无家可归的年轻人中不成比例的高物质使用已经有了很好的记录，但是，关于这种可预防的健康行为引起的医疗保健利用的详细数据仍然很少。本研究的目的是评估医疗保健利用由于物质滥用无家可归的青年相比，非无家可归的青年。作者使用2013年和2014年纽约全州住院和急诊部（艾德）数据库中确定的主要诊断为药物滥用的所有25岁以下无家可归和非无家可归患者进行了二次数据分析。结果包括艾德就诊率、住院率、住院死亡率、费用、住院时间（LOS）、重症监护室（ICU）利用率和再访或再入院率。多变量回归模型与年固定效应和设施随机效应被用来评估无家可归和每个结果之间的关联。作者确定了68,867例与药物滥用有关的住院和艾德就诊，每1,000名无家可归和非无家可归的青年分别有9.38和4.96例艾德就诊和10.53和1.01例住院。与非无家可归者相比，无家可归者的费用和LOS更高，并且更有可能使用ICU并再次访问或再次入院。（所有ps < .01）无家可归的年轻人比非无家可归的年轻人经历高两倍的艾德就诊率和高10倍的因药物滥用而住院率。需要进行详细的观察，以澄清无家可归的青年在必要时是否得到高质量的药物滥用护理。
Substance abuse among youths is a significant public health challenge in the United States. Disproportionately higher substance use among homeless youths has been well documented, however, detailed data about healthcare utilization arising from this preventable health behavior remains sparse. The objective of this study was to assess healthcare utilization due to substance abuse among homeless youths compared to non-homeless youths. Authors conducted a secondary data analysis using all homeless and non-homeless patients under 25 years of age with a primary diagnosis of substance abuse identified in the 2013 and 2014 New York Statewide Inpatient and Emergency Department (ED) Databases. Outcomes included ED visit rate, hospitalization rate, in-hospital mortality, cost, length of stay (LOS), intensive care unit (ICU) utilization, and revisit or readmission rate. Multivariable regression models with year fixed effects and facility random effects were used to evaluate the association between homelessness and each outcome. Authors identified 68,867 hospitalizations and ED visits related to substance abuse, yielding 9.38 and 4.96 ED visits and 10.53 and 1.01 hospitalizations per 1,000 homeless and non-homeless youths, respectively. Homeless patients had higher costs and LOS compared to non-homeless and were more likely to utilize the ICU and to revisit or be readmitted, (all ps < .01) Homeless youths experience a two times higher ED visit rate and a 10 times higher hospitalization rate due to substance abuse than non-homeless youths. Detailed observation is needed to clarify whether homeless youths receive quality care for substance abuse when necessary.
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影响因子：
12.7
作者：
Hopper, Kim;Shinn, Marybeth;Wanderling, Joseph
通讯作者：
Wanderling, Joseph
DOI：
10.15585/mmwr.ss6708a1
发表时间：
2018-06-15
期刊：
Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002)
影响因子：
--
作者：
Kann L;McManus T;Harris WA;Shanklin SL;Flint KH;Queen B;Lowry R;Chyen D;Whittle L;Thornton J;Lim C;Bradford D;Yamakawa Y;Leon M;Brener N;Ethier KA
通讯作者：
Ethier KA
影响因子：
2.3
作者：
Guerri, Consuelo;Pascual, Maria
通讯作者：
Pascual, Maria
影响因子：
8
作者：
Hasegawa, Kohei;Tsugawa, Yusuke;Camargo, Carlos A., Jr.
通讯作者：
Camargo, Carlos A., Jr.
DOI：
10.15288/jsa.2003.64.5
发表时间：
2003-01-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Baer, JS;Ginzler, JA;Peterson, PL
通讯作者：
Peterson, PL