Center for Addiction and Mental Health Research, Kaiser Permanente Division of Research, Oakland, California.
Center for Addiction and Mental Health Research, Kaiser Permanente Division of Research, Oakland, California.
J Adolesc Health. 2024 Jun;74(6):1260-1263. doi: 10.1016/j.jadohealth.2024.01.009. Epub 2024 Feb 26.
To examine changes in addiction medicine treatment utilization during the COVID-19 pandemic among adolescents (aged 13-17 years) and differences by race/ethnicity.
We compared treatment initiation (overall and telehealth), engagement, and 12-week retention between insured adolescents with substance use problems during pre-COVID-19 (March to December 2019, n = 1,770) and COVID-19 (March to December 2020, n = 1,177) using electronic health record data from Kaiser Permanente Northern California.
Compared to pre-COVID-19, odds of treatment initiation, overall (adjusted odds ratio [95% confidence interval] = 1.42 [1.21-1.67]), and telehealth (5.98 [4.59-7.80]) were higher during COVID-19, but odds of engagement and retention did not significantly change. Depending on the outcome, Asian/Pacific Islander, Black, and Latino/Hispanic (vs. White) adolescents had lower treatment utilization across both periods. Changes in utilization over time did not differ by race/ethnicity.
Addiction medicine treatment initiation increased among insured adolescents during the pandemic, especially via telehealth. Although racial/ethnic disparities in treatment utilization persisted, they did not worsen.
在 COVID-19 大流行期间，调查青少年（13-17 岁）成瘾医学治疗利用的变化，并按种族/民族进行差异分析。
我们比较了在 COVID-19 之前（2019 年 3 月至 12 月，n=1770）和 COVID-19 期间（2020 年 3 月至 12 月，n=1177），有物质使用问题的参保青少年的治疗起始（整体和远程医疗）、参与度和 12 周保留率，使用 Kaiser Permanente Northern California 的电子健康记录数据。
与 COVID-19 之前相比，COVID-19 期间治疗起始的可能性更高，包括整体治疗（调整后的优势比[95%置信区间] = 1.42 [1.21-1.67]）和远程医疗（5.98 [4.59-7.80]），但参与度和保留率没有显著变化。根据不同的结果，亚裔/太平洋岛民、黑人和拉丁裔/西班牙裔（与白人相比）青少年在两个时期的治疗利用率都较低。随着时间的推移，利用情况的变化在种族/民族之间没有差异。
在大流行期间，参保青少年的成瘾医学治疗起始率增加，尤其是通过远程医疗。尽管治疗利用方面的种族/民族差异仍然存在，但并没有恶化。
