美国印第安纳州青少年医疗补助申请审查中的烟草使用障碍、药物治疗及相关精神健康障碍发生率
Rates of Tobacco Use Disorder, Pharmacologic Treatment, and Associated Mental Health Disorders in a Medicaid Claim Review Among Youth in Indiana, USA.
作者信息
McBrayer Corey, Ouyang Fangqian, Adams Zachary, Hulvershorn Leslie, Aalsma Matthew C
机构信息
Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Department of Biostatistics, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA.
出版信息
Tob Use Insights. 2022 Aug 27;15:1179173X221119133. doi: 10.1177/1179173X221119133. eCollection 2022.
PURPOSE
This study delineates a number of Medicaid youth with tobacco use disorder (TUD), prescribing habits for treatment, and associated externalizing disorders.
METHODS
Youth Medicaid claims from 2007-2017 processed in a large Midwestern city were analyzed for a diagnosis of TUD, related pharmacotherapy, and externalizing mental health and substance use disorders.
RESULTS
Claims connected 6541 patients with 42 890 visits. Mean age was 16.4 with 40% female. 1232 of the 6541 charts contained a TUD diagnosis equating to 1848 visits. A comorbid diagnosis of ADHD, cannabis use, and conduct disorder were more common in males (3.9% vs 1.3% in females; 3.4% vs .8%; and 2.8% vs .8%; < .05). 808 scripts were provided to 152 of the 1232 youths, with 4.7% of those scripts a nicotine replacement product.
CONCLUSIONS
Pharmacotherapy is underutilized in this Medicaid claims data set. Certain externalizing factors were associated with males with TUD more than females.
目的
本研究描述了一些患有烟草使用障碍（TUD）的医疗补助计划青年、治疗的处方习惯以及相关的外化障碍。
方法
分析了在中西部一个大城市处理的2007 - 2017年青年医疗补助索赔数据，以诊断TUD、相关药物治疗以及外化心理健康和物质使用障碍。
结果
索赔涉及6541名患者的42890次就诊。平均年龄为16.4岁，40%为女性。6541份病历中有1232份包含TUD诊断，相当于1848次就诊。注意缺陷多动障碍（ADHD）、大麻使用和品行障碍的共病诊断在男性中更为常见（男性为3.9%，女性为1.3%；3.4%对0.8%；2.8%对0.8%；P < 0.05）。向1232名青年中的152人提供了808份处方，其中4.7%的处方是尼古丁替代产品。
结论
在这个医疗补助索赔数据集中，药物治疗未得到充分利用。某些外化因素与患有TUD的男性的关联比女性更大。
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