Unmet Need in Relation to Mental Healthcare and Past-Month Drug Use among People with Mental Illness in the United States.
Unmet Need in Relation to Mental Healthcare and Past-Month Drug Use among People with Mental Illness in the United States.
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DOI：
10.1080/02791072.2021.1962577
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发表时间：
2022-07
影响因子：
2.8
通讯作者：
Palamar JJ
中科院分区：
文献类型：
--
作者：
Reid BE;Palamar JJ
患有精神疾病的人有同时发生物质使用障碍 (SUD) 的风险。我们评估了过去一年未满足的心理健康治疗需求是否是该人群过去一个月使用大麻、可卡因、甲基苯丙胺和滥用处方阿片类药物的危险因素。被诊断患有精神疾病但未诊断为 SUD 的成年人的数据来自 2015-2018 年全国药物使用和健康调查 (N = 33,104)。据估计，美国有 20.8%（95% CI：20.1-21.5）患有精神疾病的成年人在过去一年中经历过需求未得到满足。那些报告大麻使用（29.7% vs. 19.5%，p < .001）和/或处方阿片类药物滥用（35.7% vs. 20.5%，p < .001）的人比那些没有报告使用情况的人更有可能报告未满足的需求。在多变量模型中，未满足的需求仍然是大麻使用（aOR = 1.37，95% CI：1.24–1.54）和处方阿片类药物滥用（aOR = 1.65，95% CI：1.29–2.13）的危险因素。未满足的需求并不是可卡因或甲基苯丙胺使用的危险因素。成本作为治疗障碍是大麻使用（aOR = 1.37，95% CI：1.19–1.58）和处方阿片类药物滥用（aOR = 1.95，95% CI：1.43–2.64）的危险因素。旨在改善精神保健服务的政策可能会有效减少该人群的药物使用。
Individuals with mental illness are at risk of developing co-occurring substance use disorders (SUDs). We assessed whether unmet need for mental health treatment in the past year was a risk factor for past-month use of marijuana, cocaine, methamphetamine, and misuse of prescription opioids in this population. Data from adults diagnosed with mental illness who were not diagnosed with SUD were examined from the 2015–2018 National Survey on Drug Use and Health (N = 33,104). An estimated 20.8% (95% CI: 20.1–21.5) of adults in the US with mental illness have experienced unmet need in the past year. Those reporting marijuana use (29.7% vs. 19.5%, p < .001) and/or prescription opioid misuse (35.7% vs. 20.5%, p < .001) were more likely to report unmet need than those not reporting use. In multivariable models, unmet need remained a risk factor for marijuana use (aOR = 1.37, 95% CI: 1.24–1.54) and prescription opioid misuse (aOR = 1.65, 95% CI: 1.29–2.13). Unmet need was not a risk factor for cocaine or methamphetamine use. Cost as a barrier to treatment was a risk factor for marijuana use (aOR = 1.37, 95% CI: 1.19–1.58) and prescription opioid misuse (aOR = 1.95, 95% CI: 1.43–2.64). Policies aimed at improving mental healthcare access may be effective in reducing substance use in this population.
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DOI：
10.1007/s11414-016-9530-y
发表时间：
2018-01
期刊：
The journal of behavioral health services & research
影响因子：
--
作者：
Manuel JI;Stebbins MB;Wu E
通讯作者：
Wu E
影响因子：
3.9
作者：
Novak, Priscilla;Feder, Kenneth A.;Chen, Jie
通讯作者：
Chen, Jie
影响因子：
4.4
作者：
Merikangas, KR;Mehta, RL;Kessler, RC
通讯作者：
Kessler, RC
影响因子：
2
作者：
Haney, Jolynn L.
通讯作者：
Haney, Jolynn L.
影响因子：
28.4
作者：
Agarwal, Ankit;Roberts, Andrew;Royce, Trevor J.
通讯作者：
Royce, Trevor J.