Smothers Barbara A, Yahr Harold T
Division of Epidemiology and Prevention Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD 20892, USA.
Am J Addict. 2005 May-Jun;14(3):256-67. doi: 10.1080/10550490590949433.
This study estimated the prevalence and explored the management of illicit drug use, illicit drug use associated with alcohol use disorder (AUD), and AUD without reported illicit drug use in a national sample of 2040 admissions to general hospitals in the United States. Surveyed in 1994, admissions were diagnosed with past 12-month DSM-IV AUD according to the Alcohol Use Disorders and Associated Disabilities Interview Schedule. Information about drug use was also included in the interview. Entries in hospital records were used to operationalize management. Prevalence of chronic drug use in hospital admissions was 5%, 14% in 18-44-year-old admissions, and 31% in admissions with an AUD. In admissions with an AUD, 45% reported no drug use. Detection rates were 82% for admissions with comorbid AUD and chronic drug use (where detection of either problem was assessed); detection rates hovered around 50% in admissions with one or the other condition. Low rates of treatment and referral (33% and 42%, respectively) were observed in the comorbid group; rates were 13-17% in admissions with AUD alone or illicit drug use alone. Findings indicate the need for increased attention to drug use and to AUD with and without other drug use among general hospital admissions.
本研究在美国2040例综合医院入院患者的全国样本中，估计了非法药物使用、与酒精使用障碍（AUD）相关的非法药物使用以及未报告非法药物使用的AUD的患病率，并探讨了其管理情况。这些患者于1994年接受调查，根据酒精使用障碍及相关残疾访谈表被诊断为过去12个月内患有DSM-IV AUD。访谈中还包括了有关药物使用的信息。医院记录中的条目被用于实施管理。医院入院患者中慢性药物使用的患病率为5%，18至44岁入院患者中为14%，患有AUD的入院患者中为31%。在患有AUD的入院患者中，45%报告未使用药物。合并AUD和慢性药物使用的入院患者（其中对任何一种问题的检测进行了评估）的检测率为82%；在患有其中一种情况的入院患者中，检测率徘徊在50%左右。在合并组中观察到治疗和转诊率较低（分别为33%和42%）；仅患有AUD或仅使用非法药物的入院患者的治疗和转诊率为13%至17%。研究结果表明，需要更加关注综合医院入院患者中的药物使用情况，以及伴有或不伴有其他药物使用的AUD情况。
