War Violence and Global Burden of Diseases Related To Substance Use and Disorders

战争暴力和与药物使用和紊乱相关的全球疾病负担

• 批准号: 7687460
• 负责人: Bradley Townsend Kerridge
• 金额: $ 3.31万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-15 至 2013-07-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7687460
• 关键词: Accounting; Acculturation; Addictive Behavior; Address; Affect; Age; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Back; Cardiovascular system; Cessation of life; Charge; Communities; Conflict (Psychology); Country; Democracy; Disease; Drug usage; Economic Factors; Economics; Education; Environment; Epidemiology; Evidence Based Medicine; Failure; Federal Government; Female; Grief reaction; Health; Health Expenditures; Health education; Healthcare; Healthcare Systems; Housing; Human; Human Development; Hunger; Illicit Drugs; Income; Individual; Inequality; Injury; International; Intervention; Knowledge; Lead; Life; Linguistics; Link; Lung diseases; Measures; Mental Health; Mental disorders; Mission; Morbidity - disease rate; National Institute of Drug Abuse; Outcome; Performance; Persons; Policies; Political Factor; Population; Poverty; Premature Mortality; Prevention Services Research; Preventive Intervention; Prisoner; Process; Proxy; Public Health; Recording of previous events; Refugees; Religion and Spirituality; Research; Resources; Risk; Risk Factors; Role; Rural; Science; Severities; Shelter facility; Side; Social Health Services; Social isolation; Stress; Subgroup; Substance Use Disorder; Substance abuse problem; Terrorism; Textiles; Theoretical model; Time; Tobacco use; Trauma; Unemployment; United States National Institutes of Health; Upper arm; Urbanization; Ursidae Family; Variant; Violence; War; World Health Organization; addiction; base; brief intervention; burden of illness; combat; depressed; disability; disability-adjusted life years; disease transmission; disorder risk; displaced person; evidence base; food shortage; international center; meetings; member; mortality; peace; prevent; programs; psychosocial; sex; social; social capital; statistics; stressor; substance abuse prevention

DESCRIPTION (provided by applicant): Project Summary: The long-term objective of this research is to provide a comprehensive framework for quantifying the longer-term impact of war and related violence on global disease burden, expressed as disability adjusted life years (DALYs) due to: (1) substance use disorders; and (2) illicit drug use, alcohol use and tobacco use as risk factors for other diseases and conditions. To accomplish this objective, a comprehensive global analysis of the impact of war and related violence (i.e., terrorism, one-sided violence) occurring during the years 1994-2000 worldwide on DALYs attributable to substance use disorders or substance use in 2002 will be conducted controlling for important economic factors (e.g. health expenditures, income inequality) and disease-specific risk factors. Analyses will be conducted for the total population and for subgroups of the population defined by sex and age. This research is relevant to the mission of the National Institutes of Health (NIH) to pursue fundamental knowledge about addictive behaviors and the application of that knowledge to extend healthy life and reduce the burden of illness and disability. This research also addresses the NIH's Fogarty International Center's mission to prevent catastrophe and ameliorate global health problems by meeting formidable challenges resulting from an increasing global burden of disease due to noncommunicable diseases and conditions. This research also speaks to the mission of the National Institute on Drug Abuse, that is, to lead the nation in bringing science to bear on substance use and addiction and its Division of Epidemiology, Services and Prevention Research whose charge is to promote national and international research that examines interactions between individuals and environments that contribute to the continuum of problems related to drug use. PUBLICH HEALTH RELEVANCE: Current debates regarding evidence-based medicine and evidence-based policy are just as relevant to humanitarian health. Quantification of the effects of war on substance use and substance use disorders could assist post-conflict peace building missions, national governments and non-governmental agencies in suggesting interventions to protect populations from these consequences of conflict and to assess priorities for post-conflict public health and mental health allocations to substance abuse prevention and intervention.

描述（由申请人提供）：项目摘要：本研究的长期目标是提供一个全面的框架，用于量化战争和相关暴力对全球疾病负担的长期影响，以残疾调整生命年（DALYs）表示，原因是：(1)物质使用障碍；(2)作为其他疾病和病症危险因素的非法药物使用、酒精使用和烟草使用。为了实现这一目标，将对1994-2000年世界范围内发生的战争和相关暴力（即恐怖主义、单方面暴力）对可归因于药物使用障碍或2002年药物使用的伤残调整生命年的影响进行全面的全球分析，控制重要的经济因素（例如保健支出、收入不平等）和特定疾病的风险因素。将对总人口和按性别和年龄界定的人口亚组进行分析。这项研究与美国国立卫生研究院（NIH）的使命有关，即追求有关成瘾行为的基本知识，并将这些知识应用于延长健康生活，减少疾病和残疾的负担。这项研究还解决了美国国立卫生研究院福格蒂国际中心的使命，即通过应对由非传染性疾病和疾病引起的全球疾病负担日益增加所带来的艰巨挑战，预防灾难和改善全球健康问题。这项研究也说明了国家药物滥用研究所的使命，即领导国家将科学应用于药物使用和成瘾及其流行病学，服务和预防研究部的职责是促进国内和国际研究，研究个人与环境之间的相互作用，这些相互作用导致了与药物使用有关的问题的连续性。