Pringle Kelsey, Caupp Sarah, Shi Junxin, Wheeler Krista K, Spiller Henry A, Casavant Marcel J, Xiang Henry
a Center for Injury Research and Policy , The Research Institute at Nationwide Children's Hospital , Columbus , OH , USA.
b Center for Pediatric Trauma Research , The Research Institute at Nationwide Children's Hospital , Columbus , OH , USA.
Clin Toxicol (Phila). 2017 Aug;55(7):652-658. doi: 10.1080/15563650.2017.1309050. Epub 2017 Apr 10.
Pharmaceutical drug poisonings, especially those that are intentional, are a serious problem for adolescents and young adults. Poison control center data is a viable tool to track intentional drug poisonings in near real-time.
To determine intentional drug poisoning rates among adolescents and young adults in Ohio using poison control center data.
We analyzed data from 2002 to 2014 obtained by Ohio's three poison control centers. Inclusion variables were calls made to the centers that had appropriate subject age (10-29 years old), subject sex, involved substance (all drug classes), and medical outcome (no effect, minor effect, moderate effect, major effect, and death). Intentional drug poisoning reports were also separated into subgroups to compare suspected suicide reports to misuse and abuse reports. Finally, resident population estimates were used to generate 2014 intentional drug poisoning rates for each county in Ohio.
The most common age group for intentional drug poisonings was 18-24. Females reported more suspected suicide drug poisonings while males reported more misuse/abuse drug poisonings. The most reported drug class across all ages was analgesics. Of the 88 counties in Ohio, Hamilton, Williams, Washington, and Guernsey counties had the highest rates of intentional drug poisonings.
The high report rate of suspected suicides and analgesic class drugs demonstrates the need for preventative measures for adolescents and young adults in Ohio. Any interventions, along with legislative changes, will need to take place in our local communities.
药物中毒,尤其是那些故意的药物中毒,对青少年和年轻人来说是一个严重的问题。中毒控制中心的数据是近乎实时追踪故意药物中毒情况的可行工具。
利用中毒控制中心的数据确定俄亥俄州青少年和年轻人中的故意药物中毒率。
我们分析了俄亥俄州三个中毒控制中心在2002年至2014年期间获得的数据。纳入变量包括拨打中心的电话,这些电话要有合适的受试者年龄(10 - 29岁)、受试者性别、涉及的物质(所有药物类别)以及医疗结果(无影响、轻微影响、中度影响、重大影响和死亡)。故意药物中毒报告也被分成亚组,以比较疑似自杀报告与误用和滥用报告。最后,使用居民人口估计数来计算俄亥俄州每个县2014年的故意药物中毒率。
故意药物中毒最常见的年龄组是18 - 24岁。女性报告的疑似自杀药物中毒较多,而男性报告的误用/滥用药物中毒较多。所有年龄段报告最多的药物类别是镇痛药。在俄亥俄州的88个县中,汉密尔顿县、威廉姆斯县、华盛顿县和根西县的故意药物中毒率最高。
疑似自杀和镇痛药类药物的高报告率表明俄亥俄州的青少年和年轻人需要采取预防措施。任何干预措施以及立法变革都需要在我们当地社区进行。