2013-2018年社会保障残疾保险申请人阿片类药物使用情况

IF 1.1 4区 医学 Q3 REHABILITATION Journal of Disability Policy Studies Pub Date : 2023-01-21 DOI:10.1177/10442073221150613
Nicole Maestas, Tisamarie B. Sherry, Alexander Strand
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引用次数: 1

摘要

阿片类药物使用在社会保障残疾保险(SSDI)受益人中很常见,他们在阿片类药物相关住院和死亡中所占比例过高。然而,在SSDI入组之前,对阿片类药物使用的流行程度知之甚少。了解阿片类药物的使用何时确定,以及它与个人特征和社区处方实践的关系,将为减少SSDI受益人中阿片类药物相关危害的政策方法提供信息。我们通过对SSDI申请数据应用自然语言处理算法来估计SSDI申请人中阿片类药物使用的流行程度。我们发现,SSDI申请人中阿片类药物的使用率从2013年的33%下降到2018年的24%。相比之下,肌肉骨骼损伤(通常与疼痛有关)的申请者比例没有变化。报告阿片类药物使用的申请比例在男女、所有年龄组和教育水平以及所有地区都有所下降。然而,不同地区的下降幅度有很大差异,美国中西部和东南部部分地区的下降幅度最小。SSDI申请率和报告阿片类药物使用的申请更有可能来自阿片类药物处方率较高的社区。我们的估计表明,大多数SSDI受益人在进入SSDI计划之前就开始使用阿片类药物。
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Opioid Use Among Social Security Disability Insurance Applicants, 2013–2018
Opioid use is common among Social Security Disability Insurance (SSDI) beneficiaries who account for a disproportionate share of opioid-related hospitalizations and mortality. However, little is known about the prevalence of opioid use prior to SSDI enrollment. Understanding when opioid use is established and how it correlates with individual characteristics and community prescribing practices would inform policy approaches to reducing opioid-related harms among SSDI beneficiaries. We estimated the prevalence of opioid use among SSDI applicants by applying a natural language processing algorithm to SSDI application data. We find the prevalence of opioid use among SSDI applicants declined from 33% in 2013 to 24% in 2018. In contrast, the share of applicants with musculoskeletal impairments, which are commonly associated with pain, was unchanged. The share of applications reporting opioid use declined across both sexes, all age groups and education levels, and all regions. There was substantial variation, however, in the magnitude of decline by geography, with the smallest declines in parts of the Midwest and Southeastern United States. SSDI application rates and applications reporting opioid use were more likely to come from communities with higher opioid prescribing rates. Our estimates suggest most SSDI beneficiaries began opioid use prior to entering the SSDI program.
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
25
期刊介绍: The Journal of Disability Policy Studies addresses compelling, variable issues in ethics, policy, and law related to individuals with disabilities. A major focus is quantitative and qualitative policy research. Articles have implications in fields such as education, law, sociology, public health, family studies, medicine, social work, and public administration. Occasional special series discuss current problems or areas needing more in-depth research, for example, disability and aging, policy concerning families of children with disabilities, oppression and disability, school violence policies and interventions, and systems change in supporting individuals with disabilities.
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