Cox Shanna, Johnson Chris H, Meikle Susan, Jamieson Denise J, Posner Samuel F
Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA 30341, USA.
Womens Health Issues. 2007 Mar-Apr;17(2):75-83. doi: 10.1016/j.whi.2007.02.001.
To describe trends in hospitalizations with a diagnosis of substance abuse among reproductive-age women from 1998-2003.
Data were obtained from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample. Hospitalizations with a diagnosis of substance abuse were categorized into subgroups by age, primary expected payer, substance-specific diagnoses, concomitance, and hospital location. Trends in hospitalization rates per 100,000 women aged 15-44 were tested using a weighted least-squares method.
From 1998-2003, there was no change in the overall rate of hospitalization with a diagnosis of substance abuse among women aged 15-44. Alcohol abuse was the most common substance-specific diagnosis. The rate of hospitalization with a diagnosis of cocaine abuse decreased 22%; for a diagnosis of cannabis abuse, the rate increased 35%. The rate of hospitalization with a diagnosis of amphetamine abuse doubled from 1998-2003. Among women aged 15-24, the rate of hospitalization with a diagnosis of substance abuse increased 23%.
Although we did not observe a change in the overall rate of substance-abuse hospitalization among reproductive-age women, there were dramatic changes in the rate of substance-specific diagnoses. These data may be used to quantify emerging trends in substance abuse and promote the use of hospital-based interventions.
描述1998年至2003年育龄妇女中诊断为药物滥用的住院趋势。
数据来自医疗保健成本和利用项目全国住院患者样本。诊断为药物滥用的住院病例按年龄、主要预期支付方、特定药物诊断、合并症和医院位置进行分组。使用加权最小二乘法检验每10万名15至44岁女性的住院率趋势。
1998年至2003年，15至44岁女性中诊断为药物滥用的总体住院率没有变化。酒精滥用是最常见的特定药物诊断。诊断为可卡因滥用的住院率下降了22%；诊断为大麻滥用的住院率上升了35%。诊断为苯丙胺滥用的住院率在1998年至2003年期间翻了一番。在15至24岁的女性中，诊断为药物滥用的住院率上升了23%。
虽然我们没有观察到育龄妇女药物滥用住院的总体率有变化，但特定药物诊断的率有显著变化。这些数据可用于量化药物滥用的新趋势，并促进基于医院的干预措施的使用。
