Hemsing Natalie, Greaves Lorraine, Poole Nancy, Schmidt Rose
British Columbia Centre of Excellence for Women's Health, Vancouver, BC, Canada V6H 3N1.
Pain Res Manag. 2016;2016:1754195. doi: 10.1155/2016/1754195. Epub 2016 Apr 17.
Background. National data from Canada and the United States identify women to be at greater risk than men for the misuse of prescription opioid medications. Various sex- and gender-based factors and patient and physician practices may affect women's use and misuse of prescription opioid drugs. Objectives. To explore the particular risks, issues, and treatment considerations for prescription opioid misuse among women who experience chronic noncancer pain and trauma. Methods. A scoping review for articles published between January 1990 and May 2014 was conducted on sex- and gender-based risks and treatment considerations among women who experience chronic noncancer pain and trauma. Results. A total of 57 articles were identified. The present narrative review summarizes the specific risks for the misuse of prescription opioid medication among women who have experienced violence and trauma, Aboriginal women, adolescents and young women, older women, pregnant women, women of a sexual minority, and transwomen. Discussion. The majority of the literature is descriptive, with few studies that evaluate approaches and interventions to respond to the issue of chronic pain, trauma, and misuse of prescription opioids among women, particularly vulnerable subgroups of women. Conclusions. Trauma-informed and women-centred approaches that address women's vulnerabilities and complex needs require further attention.
背景。来自加拿大和美国的全国性数据表明，女性比男性更易滥用处方阿片类药物。多种基于性别和性别的因素以及患者和医生的行为可能会影响女性对处方阿片类药物的使用和滥用情况。目标。探讨患有慢性非癌性疼痛和创伤的女性在处方阿片类药物滥用方面的特殊风险、问题及治疗考量。方法。针对1990年1月至2014年5月期间发表的关于患有慢性非癌性疼痛和创伤的女性基于性别和性别的风险及治疗考量的文章进行了范围综述。结果。共识别出57篇文章。本叙述性综述总结了经历过暴力和创伤的女性、原住民女性、青少年及年轻女性、老年女性、孕妇、性少数群体女性及变性女性在处方阿片类药物滥用方面的具体风险。讨论。大多数文献都是描述性的，很少有研究评估应对女性尤其是女性弱势群体中慢性疼痛、创伤及处方阿片类药物滥用问题的方法和干预措施。结论。以创伤为导向且以女性为中心的方法，解决女性的脆弱性和复杂需求，这需要进一步关注。
