爱尔兰青少年对成瘾治疗服务的使用：居住地点有影响吗？

Murphy Kevin D, Byrne Stephen, Sahm Laura J, Lambert Sharon, McCarthy Suzanne

Pharmaceutical Care Research Group, School of Pharmacy, University College Cork, Ireland.

Day Treatment Centre, Matt Talbot Services, Rockview Trabeg Lawn, Douglas, Cork, Ireland.

Rural Remote Health. 2014;14(3):2735. Epub 2014 Aug 6.

INTRODUCTION

Substance abuse treatment centres for Irish rural youth have largely been overlooked in the scientific literature. This study examined data from a substance abuse treatment centre that treats both urban and rural attendees to investigate if there are differences in usage patterns between attendee groups.

METHODS

A cross-sectional study was done of 436 service-users attending a treatment centre: patient characteristics, treatment referral details and substance history of the attendees from urban and rural areas were compared. Descriptive analysis of the service-user population was performed and recent substance use was investigated. Inferential tests examined for differences between urban and rural service-users.

RESULTS

The typical service-user was an Irish male aged between 16 and 17 years, who resided with his parents. A greater percentage of rural service-users were employed (33.3% vs 22.2%, p=0.015), while a significantly greater percentage of urban service-users were unemployed (10.3% vs 4.1%, p=0.015). A greater proportion of urban service-users had tried multiple substances in their lifetimes (73.7% vs 52.2%, p=0.001) and continued to use multiple substances regularly (49.3% vs 31.3%, p=0.003) compared with their rural counterparts.

CONCLUSIONS

This is the first Irish study comparing service-users from urban and rural settings. Rural service-users developed more problematic alcohol use, while more urban service-users were referred for benzodiazepine use. Prevention strategies should acknowledge the differences and similarities in urban and rural young people.

引言

爱尔兰农村青年的药物滥用治疗中心在科学文献中很大程度上被忽视了。本研究调查了一家同时接待城市和农村患者的药物滥用治疗中心的数据，以探究不同患者群体在用药模式上是否存在差异。

方法

对436名在该治疗中心接受治疗的服务对象进行了横断面研究：比较了城市和农村地区患者的特征、治疗转诊细节及用药史。对服务对象群体进行了描述性分析，并调查了近期的药物使用情况。采用推断性检验来考察城市和农村服务对象之间的差异。

结果

典型的服务对象是一名16至17岁的爱尔兰男性，与父母同住。农村服务对象中有工作的比例更高（33.3%对22.2%，p = 0.015），而城市服务对象中失业的比例显著更高（10.3%对4.1%，p = 0.015）。与农村服务对象相比，城市服务对象中有更大比例的人在一生中尝试过多种药物（73.7%对52.2%，p = 0.001），且持续定期使用多种药物的比例也更高（49.3%对31.3%，p = 0.003）。