俄亥俄州药物过量死亡的相关因素

Samuel Borgemenke
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引用次数: 0

摘要

背景:药物过量对俄亥俄州的公众健康造成了毁灭性的影响。提高我们对药物过量死亡相关因素之间关系的理解,可以提高俄亥俄州公共政策的质量和医疗保健覆盖范围。方法:利用美国疾病控制与预防中心(CDC)和威斯康星大学人口健康研究所的数据,本研究试图通过统计回归来量化俄亥俄州各县的药物过量率与各种因素之间的关系。结果:2017-2019年期间,绝大多数药物/酒精过量死亡都是非故意的。药物过量死亡与预期寿命密切相关。服药过量率较高的社区预期寿命较低。社会经济状况和医疗保健因素,如精神痛苦和身体不活动,与药物过量死亡人数的增加显著相关。家庭收入与获得医疗保健的机会增加显著相关,这意味着社会经济地位较低的社区可能缺乏足够的机会获得高质量的医疗保健,并遭受更多的过量死亡。结论:数据表明,在俄亥俄州,获得医疗保健和医疗保健提供者对药物过量反应的重要性。目前,获得医疗保健的机会与收入成正比;高收入家庭有更大比例的保险,以及更多的初级保健医生。因此,应优先实施支持医疗保健基础设施的政策,以提高资源不足(低收入和低社会经济地位)社区的治疗能力。
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Factors Related to Drug Overdose Deaths in Ohio
Background: Drug overdoses have had a devastating impact on public health in Ohio. Improving our understand-ing of the relationships between factors that are associated with drug overdose deaths can enhance the quality of public policy and health care reach in Ohio. Methods: Utilizing data from the Centers for Disease Control and Prevention (CDC) and University of Wisconsin Population Health Institute, this research seeks to quantify the associations between the drug overdose rate for counties in Ohio with various factors via statistical regressions. Results: The overwhelming majority of drug/alcohol overdose deaths during the years 2017-2019 were uninten-tional. Drug overdose deaths and life expectancy are strongly associated. Communities with higher overdose rates have lower life expectancies. Socioeconomic status and health care factors, such as mental distress and physical inactivity, are significantly correlated with increased drug overdose deaths. Household income is significantly correlated with increased access to health care, implying that communities of lower socioeconomic status may lack adequate access to quality care and suffer from increased overdose deaths. Conclusion: The data indicate the importance of access to health care and health care providers in response to drug overdoses in Ohio. Health care access is currently proportional to income; higher income households have a greater proportion of insured, as well as a greater number of primary care physicians. Thus, implementing policies that support health care infrastructure should be prioritized to increase the capacity of treatment in under-resourced (low-income and low socioeconomic status) communities.
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