Factors associated with readmission to alcohol and opioid detoxification in the Alaska Interior.
Factors associated with readmission to alcohol and opioid detoxification in the Alaska Interior.
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与阿拉斯加内部的酒精和阿片类药物排毒有关的因素。
DOI：
10.1111/ajad.13288
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发表时间：
2022-09
影响因子：
3.7
通讯作者：
Manson, Spero M.
中科院分区：
文献类型：
--
作者：
Bear, Ursula Running;Hanson, Jessica D.;Noonan, Carolyn;Muller, Clemma;Trojan, Jodi;Manson, Spero M.
长期以来，反复入院戒毒治疗机构的“旋转门”一直困扰着酗酒和吸毒患者，但很少有研究探讨与再次入院相关的因素。这项研究在阿拉斯加内陆的一个样本中检查了重新接受酒精和阿片类药物解毒的风险因素。数据提取自2012年至2016年期间在阿拉斯加费尔班克斯的住院戒毒机构住院的电子病历。分析了1014名因酒精戒毒而入院的患者和267名因阿片类药物戒毒而入院的患者的数据。该分析采用了风险因素（物质使用史，不良生活经历和心理社会功能）的描述性统计数据以及再次接受酒精或阿片类药物戒毒的患病率。推理分析使用边际标准化来计算患者特征的再入院风险差异。男性，阿拉斯加原住民/美洲印第安人，单身-从未结婚的患者，以及那些寻求工作的人再次接受酒精解毒的风险较高，而那些有稳定住房的人风险较低。单身-从未结婚并完成戒毒治疗减少了阿片类药物戒毒的再入院率。家庭参与戒毒降低了酒精和阿片类药物患者的再入院风险。进一步研究家庭可作为保护因素的机制可能有效地消除戒毒的“旋转门”。这项研究是第一次在阿拉斯加内陆检查酒精和阿片类药物使用风险和保护因素。研究结果可用于制定针对戒毒再入院率高的亚人群的干预措施。
A “revolving door” of repeated admissions to detoxification treatment facilities has long plagued alcohol and drug use patients, yet few studies examine factors associated with readmission. This study examined risk factors for readmission to alcohol and opioid detoxification in a sample from the Alaska Interior. Data were extracted from electronic medical records for admissions between 2012 and 2016 at an inpatient detoxification facility in Fairbanks, Alaska. Data from 1014 patients admitted for alcohol detoxification and 267 patients admitted for opioid detoxification were analyzed. The analysis employed descriptive statistics for risk factors (substance use history, adverse life experiences, and psychosocial functioning) and prevalence of readmission to either alcohol or opioid detoxification. Inferential analyses used marginal standardization to calculate differences in readmission risk by patient characteristics. Male, Alaska Native/American Indian, single‐never married patients, and those seeking work were at higher risk for readmission to alcohol detoxification, while those with stable housing were at reduced risk. Being single‐never married and completing detoxification treatment reduced readmission to opioid detoxification. Family involvement in detoxification reduced readmission risk for both alcohol and opioid patients. Further research that investigates the mechanism(s) by which family may act as a protective factor may be efficacious in eliminating the “revolving door” of detoxification. This study is the first to examine both alcohol and opioid use risk and protective factors in the Alaska Interior. The results can be used in the development of interventions for subpopulations with high detoxification readmission rates.
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DOI：
10.1037/adb0000729
发表时间：
2021-05
期刊：
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子：
--
作者：
Gameon JA;Skewes MC
通讯作者：
Skewes MC
影响因子：
4.2
作者：
Bear, Ursula Running;Anderson, Heather;Novins, Douglas K.
通讯作者：
Novins, Douglas K.
影响因子：
3.9
作者：
Mark, Tami L.;Vandivort-Warren, Rita;Montejano, Leslie B.
通讯作者：
Montejano, Leslie B.
影响因子：
158.5
作者：
ANDERSON, GF;STEINBERG, EP
通讯作者：
STEINBERG, EP
影响因子：
2.3
作者：
Davison, John W.;Sweeney, Marie L.;Kivlahan, Daniel R.
通讯作者：
Kivlahan, Daniel R.