Kamimura Akiko, Howard Sullivan, Weaver Shannon, Panahi Samin, Ashby Jeanie
University of Utah, Salt Lake City, UT, USA.
Maliheh Free Clinic, Salt Lake City, UT, USA.
J Patient Exp. 2020 Dec;7(6):1701-1707. doi: 10.1177/2374373520937514. Epub 2020 Jul 14.
The purpose of this study was to describe the use of opioids and complementary and alternative medicine (CAM) among uninsured free clinic patients. A self-administered paper survey was collected to describe the use of opioids, complementary, and alternative medicine, and other pain relievers from 877 free clinic patients from January to April 2018. The US born English speakers are more likely to use CAM, nonprescription pain relievers, and prescription opioids, and to be more knowledgeable about opioids compared to non-US born English speakers and Spanish speakers. The main source of opioids for free clinic patients is a health care facility other than a free clinic as well as friends. Although nonprescription pain relievers are commonly used among free clinic patients, CAM is less common to use for pain control. More health education programs are needed to increase the knowledge of opioid risks among free clinic patients as well as other underserved population.
本研究的目的是描述未参保的免费诊所患者使用阿片类药物及补充和替代医学（CAM）的情况。收集了一份自填式纸质调查问卷，以描述2018年1月至4月期间877名免费诊所患者使用阿片类药物、补充和替代医学以及其他止痛药的情况。与非美国出生的英语使用者和说西班牙语者相比，在美国出生的说英语者更有可能使用补充和替代医学、非处方止痛药和处方阿片类药物，并且对阿片类药物的了解更多。免费诊所患者阿片类药物的主要来源是免费诊所以外的医疗机构以及朋友。虽然非处方止痛药在免费诊所患者中普遍使用，但补充和替代医学较少用于疼痛控制。需要开展更多的健康教育项目，以提高免费诊所患者以及其他服务不足人群对阿片类药物风险的认识。
