年轻人的脑损伤与物质使用：整合照护的必要性。

Brain Injury and Substance Use in Young Adults: The Need for Integrating Care.

机构信息

Department of Health Science, College of Health & Wellness, Johnson & Wales University, Providence, RI; Department of Epidemiology, Brown School of Public Health, Providence, RI.

Department of Health Science, College of Health & Wellness, Johnson & Wales University, Providence, RI.

出版信息

R I Med J (2013). 2023 Apr 3;106(3):17-22.

PMID:36989093

Abstract

OBJECTIVES

This study examined sociodemographic disparities in traumatic brain injury (TBI), and the association between TBI and substance misuse among young adults in Rhode Island.

METHODS

Among this sample of N=1,022 from the 2022 Rhode Island Young Adult Survey, multivariable logistic regressions were used to examine both study objectives.

RESULTS

Black, Asian, and Hispanic young adults had 77% (95%CI: 26%, 93%), 79% (95%CI: 32%, 94%), and 58% (95%CI: 31%, 75%) lower odds of brain injury, respectively, compared to White, non-Hispanic young adults. Those having experienced brain injury were more likely to engage in hazardous alcohol use (p = 0.003), hazardous marijuana use (p < 0.001), and illicit drug use (p = 0.003), but not OTC or prescription drug misuse.

CONCLUSIONS

There is a pressing need for integrated, large-scale, multidisciplinary programs with a well-trained workforce to address TBI and substance misuse in various medical settings for behavioral health and emergency care.

摘要

目的

本研究调查了罗得岛州年轻成年人创伤性脑损伤（TBI）中的社会人口学差异，以及 TBI 与物质滥用之间的关联。

方法

在这项针对 N=1022 名来自 2022 年罗得岛州年轻成年人调查的样本中，使用多变量逻辑回归检验了这两个研究目标。

结果

与白人、非西班牙裔年轻成年人相比，黑人、亚洲人和西班牙裔年轻成年人发生脑损伤的几率分别低 77%（95%CI：26%，93%）、79%（95%CI：32%，94%）和 58%（95%CI：31%，75%）。有过脑损伤经历的人更有可能出现危险的酒精使用（p=0.003）、危险的大麻使用（p<0.001）和非法药物使用（p=0.003），但不会出现非处方或处方药物滥用。