Department of Occupational Medicine, Epidemiology and Prevention, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USA.
Joint Center for Disaster Health, Trauma and Resilience at Mount Sinai, Stony Brook University, and Northwell Health, Stony Brook, New York, USA.
Subst Use Misuse. 2021;56(8):1241-1245. doi: 10.1080/10826084.2021.1912098. Epub 2021 Apr 19.
Given both the increased prevalence of natural disasters in recent years and the crippling opioid epidemic, identifying at-risk groups for substance abuse post-disaster is imperative to survivor mental health. The objective of this study was to examine the association between exposure to Hurricane Sandy and risk of opioid abusive behavior.
We conducted a retrospective analysis using data from two cross-sectional studies that examined the impact of Hurricane Sandy on mental health from October 2013- August 2016. Patient demographics, hurricane exposure and mental health history were obtained self-report questionnaires. Opioid abuse risk was determined and categorized using adaptations from the Opioid Risk Tool (ORT). Multinomial logistic regression was used to examine the relationship between hurricane exposure and opioid abuse risk.
Data was available on 1,687 Hurricane Sandy survivors, the majority being female (59.3%), white (52.0%) and an average age of 46.1 years (std. 19.2). Approximately 9.0% of survivors were classified as being 'High' risk for opioid abuse. For every increase in total exposure reported, the odds of being classified as high risk was 1.09 greater (95% CI 1.05, 1.14) compared to low risk, after adjusting for covariates. Among personal exposures only (i.e. injury to self or family member), for every increase in reported exposure the adjusted odds of being classified as high risk was 1.25 times greater (95% CI 1.15, 1.37) compared to low risk.
These findings suggest that exposure to a natural disaster, specifically personal exposures, are associated with increased risk for opioid abusive behavior.
近年来，自然灾害的频发和阿片类药物流行的严重程度，使得确定灾害后易发生药物滥用的高危人群对于幸存者的心理健康至关重要。本研究的目的是探讨暴露于桑迪飓风中与阿片类药物滥用行为风险之间的关系。
我们使用了两项从 2013 年 10 月至 2016 年 8 月期间考察桑迪飓风对心理健康影响的横断面研究的数据进行回顾性分析。通过自我报告问卷获得患者人口统计学资料、飓风暴露情况和精神健康史。采用改编自阿片类药物风险工具（ORT）的方法来确定和分类阿片类药物滥用风险。采用多项逻辑回归分析来检验飓风暴露与阿片类药物滥用风险之间的关系。
数据可用于 1687 名桑迪飓风幸存者，其中大多数为女性（59.3%）、白人（52.0%），平均年龄为 46.1 岁（标准差为 19.2）。约有 9.0%的幸存者被归类为阿片类药物滥用的“高”风险。与低风险相比，在调整了协变量后，报告的总暴露量每增加 1 个单位，被归类为高风险的可能性就会增加 0.90 倍（95%置信区间为 1.05，1.14）。仅在个人暴露（即自身或家庭成员受伤）中，与低风险相比，报告的暴露量每增加 1 个单位，被归类为高风险的调整后比值比为 1.25 倍（95%置信区间为 1.15，1.37）。
这些发现表明，暴露于自然灾害，特别是个人暴露，与阿片类药物滥用行为的风险增加有关。
