Characterizing the social support and functioning of a low-threshold medication for opioid use disorder treatment cohort at intake.
Characterizing the social support and functioning of a low-threshold medication for opioid use disorder treatment cohort at intake.
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DOI：
10.1186/s12888-022-03884-5
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发表时间：
2022-04-02
期刊：
影响因子：
4.4
通讯作者：
Barry DT
中科院分区：
文献类型：
--
作者：
Oles W;Alexander M;Kumar N;Howell B;O'Connor PG;Madden LM;Barry DT
尽管与类阿片使用障碍有关的发病率和死亡率不断上升，但治疗需求与能力之间仍然存在巨大差距。利用药物治疗阿片类药物使用障碍（MOUD）的低门槛诊所可以增加治疗的可及性，但研究不足，并且对患者的人口统计学特征如何与他们在这些环境中的社会支持和功能相关知之甚少。我们使用多变量回归来估计在低阈值诊所接受MOUD的患者中人口统计学特征与自我报告的社会支持或功能指标之间的相关性，这些患者使用了几种在摄入时管理的经验证的工具：行为和症状识别量表，简明疼痛量表和DSM-5的生活事件清单。纳入了在2017年4月1日至12月31日期间开始MOUD治疗并完成调查的患者（N=582）。患者主要为男性（62%）、34岁或以上（53%）、非西班牙裔白色人（79%）、分居或未婚（86%）和失业（64%）。超过20%的人在过去的一个月里没有住过房子或公寓。妇女更有可能与家庭以外的人或在社会环境中“相处沿着”，并将其伴侣视为其支持来源。女性、非白人和老年患者发生社会功能破坏事件（身体/性攻击或经历慢性疼痛）的风险较高，而就业和住房则可保护患者免受这些创伤相关事件的影响。然而，就业和住房也降低了与他人谈论药物使用的几率。上述结果是从多变量逻辑回归模型获得的，并且具有显著性p<0.05。支持和功能的人口特征的变化表明，治疗设施可能会受益于采取战略，考虑到基线差异的支持和功能。在线版本包含补充材料，可通过10.1186/s12888-022-03884-5获得。
Despite the growing morbidity and mortality rates associated with opioid use disorder, a large gap still exists between treatment need and capacity. Low-threshold clinics utilizing medication for opioid use disorder (MOUD) treatment can increase treatment access but are understudied, and little is known about how patient demographic characteristics are associated with their social support and functioning in these settings. We used multivariate regression to estimate associations between demographic characteristics and self-reported social support or functioning indicators among patients receiving MOUD in a low-threshold clinic using several validated instruments administered at intake: Behavior and Symptom Identification Scale, Brief Pain Inventory, and Life Events Checklist for DSM-5. Patients initiating MOUD treatment between April 1 and December 31, 2017, with complete surveys were included (N=582). Patients were primarily male (62%), aged 34 or older (53%), non-Hispanic White (79%), separated or not married (86%), and unemployed (64%). Over 20% did not live in a house or apartment in the past month. Women were more likely to “get along” with people outside their family or in social situations and to identify their partner as their source of support. Women, non-White, and older patients were at higher risk of social functioning-disrupting events (physical/sexual assaults or experiencing chronic pain), while employment and housing were protective against exposure to these trauma-related events. However, employment and housing also decreased the odds of talking with others about substance use. The aforementioned results were obtained from multivariate logistic regression models and were significant to p<0.05. Variation in support and functioning by demographic characteristics suggests that treatment facilities may benefit from adopting strategies that take baseline disparities in support and functioning into account. The online version contains supplementary material available at 10.1186/s12888-022-03884-5.
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影响因子：
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