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预防悲剧:应对青少年药物过量致死灾难性后果的策略综述

A Review on Preventing Tragedy: Strategies to Combat the Devastating Effects of Adolescent Drug Overdoses.

作者信息

Sharma Gaurav, Chakole Swarupa, Prasad Roshan, Wanjari Mayur B, Sharma Ranjana

机构信息

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 May 17;15(5):e39132. doi: 10.7759/cureus.39132. eCollection 2023 May.

DOI:10.7759/cureus.39132
PMID:37378166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10292105/
Abstract

Adolescent drug overdose deaths are a growing public health crisis, with significant consequences for individuals, families, and communities. This review article provides a comprehensive overview of prevention strategies to combat the devastating effects of adolescent drug overdose. Drawing on a comprehensive literature search of electronic databases, the article evaluates the effectiveness of prevention strategies and identifies risk factors associated with overdose deaths. The review outlines three key prevention strategies, including education and awareness programs, access to treatment and support services, and policy changes and regulations. The article also discusses the limitations and challenges of prevention efforts, including limited access to treatment and support services, the need for more research on effective prevention strategies, and the ongoing challenges posed by the opioid epidemic and the emergence of new synthetic drugs. Overall, this review highlights the urgent need for continued research, innovative prevention strategies, and effective policies to prevent adolescent drug use and overdose deaths and promote healthier communities for all.

摘要

青少年药物过量致死是一个日益严重的公共卫生危机,对个人、家庭和社区都造成了重大影响。这篇综述文章全面概述了预防策略,以应对青少年药物过量带来的毁灭性影响。通过对电子数据库进行全面的文献检索,文章评估了预防策略的有效性,并确定了与过量致死相关的风险因素。该综述概述了三项关键预防策略,包括教育和提高认识计划、获得治疗和支持服务的机会,以及政策变革和法规。文章还讨论了预防工作的局限性和挑战,包括获得治疗和支持服务的机会有限、需要对有效的预防策略进行更多研究,以及阿片类药物流行和新型合成药物出现带来的持续挑战。总体而言,本综述强调迫切需要持续开展研究、创新预防策略和制定有效政策,以预防青少年药物使用和过量致死,并为所有人促进更健康的社区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba1/10292105/65d30c82198b/cureus-0015-00000039132-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba1/10292105/65d30c82198b/cureus-0015-00000039132-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba1/10292105/65d30c82198b/cureus-0015-00000039132-i01.jpg

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本文引用的文献

1
CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.美国疾病预防控制中心 2022 年《疼痛阿片类药物处方临床实践指南》。
MMWR Recomm Rep. 2022 Nov 4;71(3):1-95. doi: 10.15585/mmwr.rr7103a1.
2
School-based substance use disorder prevention in India: A brief appraisal.印度基于学校的物质使用障碍预防:简要评估。
Indian J Psychiatry. 2020 Jul-Aug;62(4):427-430. doi: 10.4103/psychiatry.IndianJPsychiatry_43_19. Epub 2020 Jul 27.
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Substance Misuse and Substance use Disorders: Why do they Matter in Healthcare?
物质滥用与物质使用障碍:它们为何在医疗保健中至关重要?
Trans Am Clin Climatol Assoc. 2017;128:112-130.
4
Benefits of peer support groups in the treatment of addiction.同伴支持小组在成瘾治疗中的益处。
Subst Abuse Rehabil. 2016 Sep 29;7:143-154. doi: 10.2147/SAR.S81535. eCollection 2016.
5
Interventions for Adolescent Substance Abuse: An Overview of Systematic Reviews.青少年药物滥用的干预措施:系统评价概述
J Adolesc Health. 2016 Oct;59(4S):S61-S75. doi: 10.1016/j.jadohealth.2016.06.021.
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Family process and peer influences on substance use by adolescents.青少年物质使用的家庭过程和同伴影响。
Int J Environ Res Public Health. 2013 Aug 27;10(9):3868-85. doi: 10.3390/ijerph10093868.
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The impact of substance use disorders on families and children: from theory to practice.物质使用障碍对家庭和儿童的影响:从理论到实践。
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8
Peer influences on adolescent alcohol and other drug use outcomes.同伴对青少年酒精和其他药物使用结果的影响。
J Nurs Scholarsh. 2012 Mar;44(1):36-44. doi: 10.1111/j.1547-5069.2011.01437.x. Epub 2012 Feb 16.
9
Evidence-based interventions for preventing substance use disorders in adolescents.预防青少年物质使用障碍的循证干预措施。
Child Adolesc Psychiatr Clin N Am. 2010 Jul;19(3):505-26. doi: 10.1016/j.chc.2010.03.005.
10
Chronic stress, drug use, and vulnerability to addiction.慢性应激、药物使用与成瘾易感性
Ann N Y Acad Sci. 2008 Oct;1141:105-30. doi: 10.1196/annals.1441.030.