Jacobs Alicia A, Cangiano Michelle
Department of Family Medicine, the Larner College of Medicine at the University of Vermont, 235 Rowell, 106 Carrigan Drive, Burlington, VT 05405, USA.
Department of Family Medicine, the Larner College of Medicine at the University of Vermont, 235 Rowell, 106 Carrigan Drive, Burlington, VT 05405, USA.
Prim Care. 2018 Dec;45(4):731-742. doi: 10.1016/j.pop.2018.08.002. Epub 2018 Oct 5.
Opioid addiction rates are at a national high, with significant morbidity and mortality. In women, rates have been steadily increasing to be at par with addiction rates in men. Women tend to have quicker addiction and shorter duration to adverse outcomes. Treatment of women has the best outcomes when it is gender-specific, trauma-informed, connected with access to psychiatric services, and integrated into the medical home. Improved outcomes can be achieved with coordinated systems of care based on the harm-reduction model, with integration of medication-assisted therapy in a patient-centered medical home.
阿片类药物成瘾率处于全国高位，伴有显著的发病率和死亡率。在女性中，成瘾率一直在稳步上升，已与男性的成瘾率相当。女性往往成瘾更快，不良后果的持续时间更短。对女性的治疗在采用针对性别、创伤知情、与精神科服务相联系并融入医疗之家的方式时效果最佳。基于减少伤害模式的协调护理系统，以及在以患者为中心的医疗之家中整合药物辅助治疗，能够取得更好的治疗效果。
