Bunting Amanda M, Victor Grant, Pike Erika, Staton Michele
University of Kentucky.
Crim Justice Policy Rev. 2020 Jun;31(5):746-762. doi: 10.1177/0887403419838029. Epub 2019 Mar 31.
In response to the opioid epidemic, there have been several national and state-level policies enacted. Consideration of how criminal justice-involved individuals are affected by such policies has received limited attention, despite disproportionately higher use among this population. Bivariate statistics examined yearly trends and logistic regressiosns examined demographic correlates of nonmedical prescription opioid and heroin use among Kentucky inmates over an eight-year time-span of important national and local policy changes (n=34,542). Results indicate that among incarcerated individuals, prior use of heroin increased 204% from 2008 to 2016, with increases possibly linked to key policy changes associated with OxyContin reformulation and state implementation of a prescription drug monitoring program. The current incarcerated population had more severe use patterns when considering general population research. Consideration of criminal justice-involved populations is crucial to understanding and treating the opioid epidemic.
为应对阿片类药物泛滥问题，已经制定了多项国家级和州级政策。尽管刑事司法相关人群中阿片类药物的使用比例高得不成比例，但对于这些政策如何影响这部分人群的关注却很有限。双变量统计分析了年度趋势，逻辑回归分析了在重要的国家和地方政策变化的八年时间跨度内肯塔基州囚犯中非医疗处方阿片类药物和海洛因使用的人口统计学关联因素（n = 34,542）。结果表明，在被监禁人群中，2008年至2016年期间海洛因的既往使用率增长了204%，这种增长可能与奥施康定重新配方以及该州实施处方药监测计划等关键政策变化有关。从一般人群研究的角度来看，目前的被监禁人群有更严重的使用模式。考虑刑事司法相关人群对于理解和治疗阿片类药物泛滥问题至关重要。
