Qeadan Fares, Madden Erin Fanning, Barbeau William A, Kroth Philip J, Porucznik Christina A, English Kevin, Komaromy Miriam, Sulzer Sandra H
Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, IL, USA.
Wayne State University, Department of Family Medicine and Public Health Sciences, Detroit, MI, USA.
J Addict Dis. 2023 Jan-Mar;41(1):41-52. doi: 10.1080/10550887.2022.2056401. Epub 2022 Mar 26.
We examine the characteristics associated with the availability of therapeutic acupuncture in substance use disorder (SUD) treatment facilities in the United States (US).
This study utilizes data from the 2018 National Survey of Substance Abuse Treatment Services (N-SSATS). Multivariable logistic regression was performed.
Only 5.5% ( = 814) of all SUD treatment facilities offered acupuncture therapy. Facilities operating an opioid treatment program (OTP) were 1.60 times more likely to offer therapeutic acupuncture than non-OTP facilities. Facilities that offered oral naltrexone pharmacotherapy or buprenorphine with naloxone pharmacotherapy were 1.63 and 1.37 times more likely to offer therapeutic acupuncture, respectively, compared to facilities that did not offer these pharmacotherapies. Federal government facilities were over four times more likely to offer acupuncture than those operated by state governments and had triple the odds of having acupuncture than private nonprofit organizations. Tribal facilities were over five times more likely than state government-operated facilities to offer acupuncture. Facilities located in the Western region of the US were 1.59, 1.39, and 1.30 times more likely than Northeastern, Midwestern, and Southern US regions, respectively, to offer acupuncture therapy.
Although complementary and holistic approaches such as acupuncture are accepted adjunct methods to treat persons with SUD, the findings suggest that their utilization in SUD treatment facilities in the US is minimal. Results, however, highlight that facilities operated by tribal and federal governments, those that are located in the Western region of the US, and non-hospital facilities have the highest odds of incorporating therapeutic acupuncture as treatment for SUD.
Supplemental data for this article is available online at https://doi.org/10.1080/10550887.2022.2056401 .
我们研究了美国物质使用障碍（SUD）治疗机构中与提供治疗性针灸相关的特征。
本研究利用了2018年全国药物滥用治疗服务调查（N - SSATS）的数据。进行了多变量逻辑回归分析。
在所有SUD治疗机构中，只有5.5%（n = 814）提供针灸疗法。运营阿片类药物治疗项目（OTP）的机构提供治疗性针灸的可能性是非OTP机构的1.60倍。与未提供这些药物疗法的机构相比，提供口服纳曲酮药物疗法或丁丙诺啡与纳洛酮药物疗法的机构提供治疗性针灸的可能性分别高出1.63倍和1.37倍。联邦政府机构提供针灸的可能性是州政府运营机构的四倍多，且提供针灸的几率是私人非营利组织的三倍。部落机构提供针灸的可能性比州政府运营的机构高出五倍多。位于美国西部地区的机构提供针灸疗法的可能性分别比美国东北部、中西部和南部地区高出1.59倍、1.39倍和1.30倍。
尽管诸如针灸等补充性和整体性方法被公认为治疗SUD患者的辅助方法，但研究结果表明它们在美国SUD治疗机构中的应用极少。然而，结果突出显示，由部落和联邦政府运营的机构、位于美国西部地区的机构以及非医院机构将治疗性针灸纳入SUD治疗的几率最高。
本文的补充数据可在网上获取，网址为https://doi.org/10.1080/10550887.2022.2056401 。
