Troy Quast (
Eric A. Storch is a professor and McIngvale Presidential Endowed Chair of Psychiatry at Baylor College of Medicine, in Houston, Texas.
Health Aff (Millwood). 2018 Jan;37(1):134-139. doi: 10.1377/hlthaff.2017.1023.
A critical aspect of the opioid epidemic is its effect on the ability of opioid-dependent parents to care for their children. In this article we investigate the association between the rate of removals of children from their homes and the opioid prescription rate in Florida counties during 2012-15. We performed a panel data analysis of opioid prescriptions that also controlled for the prescription rates of benzodiazepines and stimulants and for other risk factors for child removal. We found that a one-standard-deviation increase in the opioid prescription rate was associated with a 32 percent increase in the removal rate for parental neglect. When we obtained subset samples by percentage of white residents, the estimated relationships were approximately twice as large in the counties with the highest concentration of whites than in the counties with the lowest. Policy makers should consider the opioid epidemic's effects on child welfare when determining the appropriate public health response.
阿关键方面的阿片类药物流行是其影响阿片类药物依赖的父母照顾自己的孩子。在这篇文章中，我们调查之间的关联率的搬迁儿童从家里和阿片类药物处方率在佛罗里达州各县在 2012-15 年。我们进行了面板数据分析的阿片类药物处方也控制的处方率苯二氮卓类药物和兴奋剂和其他危险因素的儿童搬迁。我们发现一个标准偏差的增加阿片类药物处方率与 32%的增加率为父母忽视搬迁。当我们获得子集样本的百分比的白人居民，估计的关系大约两倍的大，在各县与最高浓度的白人比在各县与最低。政策制定者应考虑阿片类药物流行的影响对儿童福利在确定适当的公共卫生应对措施。
