Kimberly McBrayer, Fangqian Ouyang, Zachary Adams, Leslie Hulvershorn, Matthew C Aalsma
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引用次数: 0
摘要
目的:本研究描述了一些有烟草使用障碍(TUD)、处方治疗习惯和相关外化障碍的医疗补助青年。方法:分析中西部一个大城市2007-2017年处理的青年医疗补助申请，以诊断TUD、相关药物治疗、外化心理健康和物质使用障碍。结果:索赔涉及6541例患者，就诊42890次。平均年龄16.4岁，女性占40%。6541张图表中的1232张包含了相当于1848次就诊的TUD诊断。ADHD、大麻使用和品行障碍的合并症诊断在男性中更为常见(3.9% vs 1.3%;3.4% vs .8%;2.8% vs .8%;P < 0.05)。研究人员向1232名青少年中的152名提供了808份处方，其中4.7%的处方是尼古丁替代产品。结论:药物治疗在医疗补助索赔数据集中未被充分利用。某些外化因素与男性患TUD的关系大于女性。
Rates of Tobacco Use Disorder, Pharmacologic Treatment, and Associated Mental Health Disorders in a Medicaid Claim Review Among Youth in Indiana, USA.
Purpose: This study delineates a number of Medicaid youth with tobacco use disorder (TUD), prescribing habits for treatment, and associated externalizing disorders.
Methods: Youth Medicaid claims from 2007-2017 processed in a large Midwestern city were analyzed for a diagnosis of TUD, related pharmacotherapy, and externalizing mental health and substance use disorders.
Results: Claims connected 6541 patients with 42 890 visits. Mean age was 16.4 with 40% female. 1232 of the 6541 charts contained a TUD diagnosis equating to 1848 visits. A comorbid diagnosis of ADHD, cannabis use, and conduct disorder were more common in males (3.9% vs 1.3% in females; 3.4% vs .8%; and 2.8% vs .8%; P < .05). 808 scripts were provided to 152 of the 1232 youths, with 4.7% of those scripts a nicotine replacement product.
Conclusions: Pharmacotherapy is underutilized in this Medicaid claims data set. Certain externalizing factors were associated with males with TUD more than females.
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