Havens Jennifer R, Oser Carrie B, Leukefeld Carl G, Webster J Matthew, Martin Steven S, O'Connell Daniel J, Surratt Hilary L, Inciardi James A
Center on Drug and Alcohol Research, Department of Behavioral Science, University of Kentucky College of Medicine, Lexington, Kentucky 40502, USA.
Am J Drug Alcohol Abuse. 2007;33(2):309-17. doi: 10.1080/00952990601175078.
We compared the prevalence of prescription opiate misuse among 2 cohorts of felony probationers (N = 1525). Multiple logistic regression was utilized to determine the independent correlates of prescription opiate misuse among rural (n = 782) and urban (n = 743) probationers participating in an HIV-intervention study. After adjustment for differences in demographic and drug use characteristics, rural participants were almost five times more likely than their urban counterparts to have misused prescription opiates. The prevalence of prescription opiate misuse was significantly higher among the rural probationers; however, given the paucity of illicit opiates and relatively recent emergence of prescription opiates in rural areas, rural substance abuse treatment may be ill-prepared to treat prescription opiate misuse.
我们比较了两组重罪缓刑人员（N = 1525）中处方阿片类药物滥用的患病率。利用多元逻辑回归来确定参与一项HIV干预研究的农村（n = 782）和城市（n = 743）缓刑人员中处方阿片类药物滥用的独立相关因素。在对人口统计学和药物使用特征的差异进行调整后，农村参与者滥用处方阿片类药物的可能性几乎是城市参与者的五倍。农村缓刑人员中处方阿片类药物滥用的患病率显著更高；然而，鉴于农村地区非法阿片类药物匮乏且处方阿片类药物相对较新出现，农村药物滥用治疗可能没有做好治疗处方阿片类药物滥用的准备。
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