Silberman School of Social Work, City University of New York, 2180 Third Ave., New York, NY 10035, USA.
Psychiatr Serv. 2012 Sep 1;63(9):938-41. doi: 10.1176/appi.ps.201100455.
Whereas most studies of inpatient stay for mental illness examine whether substance use is present, this study identified types or combinations of abused substances that most increased hospitalization risk.
Logistic regression of data from the 2007 National Survey of Drug Use and Health (N=37,654) was used to predict past-year hospitalization of individuals with DSM-IV substance use disorders.
Even after the inclusion of control variables, adults with four types of substance abuse or dependence were more likely to be hospitalized than adults without substance abuse or dependence. High-risk disorders included abuse of or dependence on opioid analgesics (odds ratio [OR]=6.85, p<.001), cocaine (OR=2.65, p<.05), alcohol and cocaine (OR=2.58, p<.05), and alcohol and marijuana (OR=3.10, p<.01).
Researchers examining inpatient stays may find it beneficial to look at abuse of specific substances or combinations of substances, and efforts to prevent inpatient stays could target people with high-risk substance use disorders.
大多数研究精神疾病住院时间的研究都考察了物质使用是否存在，而本研究则确定了最能增加住院风险的滥用物质的类型或组合。
使用 2007 年全国药物使用与健康调查（N=37654）的数据进行逻辑回归，以预测患有 DSM-IV 物质使用障碍的个体在过去一年中的住院情况。
即使纳入了控制变量，患有四种类型的物质滥用或依赖的成年人比没有物质滥用或依赖的成年人更有可能住院。高风险疾病包括阿片类镇痛药滥用或依赖（优势比[OR]=6.85，p<.001）、可卡因（OR=2.65，p<.05）、酒精和可卡因（OR=2.58，p<.05）以及酒精和大麻（OR=3.10，p<.01）。
研究住院治疗的研究人员可能会发现，研究特定物质的滥用或特定物质组合会有所帮助，预防住院治疗的努力可以针对高风险物质使用障碍的人群。
