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运用行为者-伴侣相互依赖模型,了解纽约市处于社区监管的男性及其女性伴侣近期的非法阿片类药物使用和注射吸毒情况。

Using actor-partner interdependence modeling to understand recent illicit opioid use and injection drug use among men in community supervision and their female partners in New York City.

作者信息

Davis Alissa, Pala Andrea Norcini, Gilbert Louisa, Marotta Phillip L, Goddard-Eckrich Dawn, El-Bassel Nabila

机构信息

Columbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY, 10027, USA.

Columbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY, 10027, USA.

出版信息

Int J Drug Policy. 2020 Sep;83:102843. doi: 10.1016/j.drugpo.2020.102843. Epub 2020 Jul 9.


DOI:10.1016/j.drugpo.2020.102843
PMID:32653669
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7669699/
Abstract

BACKGROUND: The United States' opioid crisis disproportionately affects individuals in the criminal justice system. Intimate partners can be a source of social support that helps reduce substance use, or they can serve as a driver of continued or increased substance use. Better understanding of the association between intimate partner characteristics and illicit opioid use and injection drug use among individuals in community supervision could be vital to developing targeted interventions. METHODS: Using actor-partner interdependence models, we examined individual and partner characteristics associated with recent illicit opioid use and injection drug use among males in community supervision settings in New York City (n = 229) and their female partners (n = 229). RESULTS: Higher levels of depression (aOR 1.98, 95% CI [1.39-2.82], p ≤ 0.01) and anxiety (aOR 1.98, 95% CI [1.42-2.75], p ≤ 0.01) were associated with recent opioid use among males in community supervision. Females with a partner having higher levels of anxiety were more likely to have recently used opioids (aOR 1.52, 95% CI [1.06-2.16], p ≤ 0.05). Males with a female partner with higher levels of anxiety (aOR 2.16, 95% CI [1.31-3.56], p ≤ 0.01) or depression (aOR 1.70, 95% CI [1.01-2.86], p ≤ 0.05) were more likely to recently inject drugs. Women with a male partner who had been in prison were more likely to have recently injected drugs (aOR 3.71, 95% CI [1.14-12.12], p ≤ 0.05), but women who had a male partner who had been arrested in the past three months were less likely to have recently injected (aOR 0.08, 95% CI [0.02-0.46], p ≤ 0.01). CONCLUSIONS: Results suggest that recent individual illicit opioid use and injection drug use is associated not only with individual-level factors, but also with partner factors, highlighting the need for couple-based approaches to address the opioid epidemic.

摘要

背景:美国的阿片类药物危机对刑事司法系统中的个人影响尤为严重。亲密伴侣可能是有助于减少药物使用的社会支持来源,也可能是导致药物持续使用或增加的驱动因素。更好地了解亲密伴侣特征与社区监管人员非法阿片类药物使用及注射吸毒之间的关联,对于制定有针对性的干预措施可能至关重要。 方法:我们使用行为者-伴侣相互依赖模型,研究了纽约市社区监管环境中男性(n = 229)及其女性伴侣(n = 229)近期非法阿片类药物使用和注射吸毒相关的个人及伴侣特征。 结果:社区监管中的男性,抑郁水平较高(调整后比值比[aOR]为1.98,95%置信区间[CI][1.39 - 2.82],p≤0.01)和焦虑水平较高(aOR为1.98,95%CI[1.42 - 2.75],p≤0.01)与近期阿片类药物使用有关。伴侣焦虑水平较高的女性近期使用阿片类药物的可能性更大(aOR为1.52,95%CI[1.06 - 2.16],p≤0.05)。女性伴侣焦虑水平较高(aOR为2.16,95%CI[1.31 - 3.56],p≤0.01)或抑郁水平较高(aOR为1.70,95%CI[1.01 - 2.86],p≤0.05)的男性近期注射毒品的可能性更大。有曾入狱男性伴侣的女性近期注射毒品的可能性更大(aOR为3.71,95%CI[1.14 - 12.12],p≤0.05),但有在过去三个月内被捕男性伴侣的女性近期注射毒品的可能性较小(aOR为0.08,95%CI[0.02 - 0.46],p≤0.01)。 结论:结果表明,近期个人非法阿片类药物使用和注射吸毒不仅与个人层面因素有关,还与伴侣因素有关,这凸显了采用基于夫妻的方法来应对阿片类药物流行的必要性。

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引用本文的文献

[1]
Intersections of Substance Use, Overdose Risk, and Intimate Partner Violence: A Dyadic Approach to Violence Prevention in Criminal Legal Settings.

Res Sq. 2025-5-26

本文引用的文献

[1]
Disparities in Criminal Justice Outcomes After Beginning Treatment for Substance Use Disorders: The Influence of Race/Ethnicity and Place.

J Stud Alcohol Drugs. 2019-3

[2]
Effectiveness of a Couple-Based HIV and Sexually Transmitted Infection Prevention Intervention for Men in Community Supervision Programs and Their Female Sexual Partners: A Randomized Clinical Trial.

JAMA Netw Open. 2019-3-1

[3]
Behavioral health treatment utilization among individuals with co-occurring opioid use disorder and mental illness: Evidence from a national survey.

J Subst Abuse Treat. 2018-12-19

[4]
A Public Health Strategy for the Opioid Crisis.

Public Health Rep. 2018

[5]
Prevalence, Diagnosis, and Treatment Rates of Mood Disorders among Opioid Users under Criminal Justice Supervision.

Subst Use Misuse. 2018-7-29

[6]
Only One In Twenty Justice-Referred Adults In Specialty Treatment For Opioid Use Receive Methadone Or Buprenorphine.

Health Aff (Millwood). 2017-12

[7]
Do romantic partners influence each other's heavy episodic drinking? Support for the partner influence hypothesis in a three-year longitudinal study.

Addict Behav. 2017-6

[8]
Older marijuana users: Life stressors and perceived social support.

Drug Alcohol Depend. 2016-12-1

[9]
The couple that smokes together: Dyadic marijuana use and relationship functioning during conflict.

Psychol Addict Behav. 2016-7-25

[10]
Criminal Justice Contact and Treatment Utilization Among People With Mental Illness and Substance Use Disorders.

Psychiatr Serv. 2016-10-1

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