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退伍军人身份和慢性疼痛对社区居住成年男性过去30天内镇静剂使用的影响。

The Effect of Veteran Status and Chronic Pain on Past 30-Day Sedative Use Among Community-Dwelling Adult Males.

作者信息

Otufowora Ayodeji, Liu Yiyang, Okusanya Aderonke, Ogidan Afeez, Okusanya Adedoyin, Cottler Linda B

机构信息

From the Department of Pediatrics, Columbia University Medical Center, New York, NY (A Otufowora); Department of Epidemiology, College of Public Health and Health Professions, College of Medicine, University of Florida, Gainesville, FL (YL, LBC); Department of Pharmacy, College of Pharmacy and Health Sciences, Western New England University, Springfield, MA (A Okusanya); Department of Medicine & Surgery, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Sagamu Campus, Ogun State, Nigeria (A Ogidan); Department of Public Health, Milken Institute School of Public Health, The George Washington University, Washington, DC (A Okusanya).

出版信息

J Am Board Fam Med. 2024 Mar 11;37(1):118-128. doi: 10.3122/jabfm.2023.230226R2.

Abstract

INTRODUCTION

Given the high sedative prescription rate, the sedative-associated morbidity, and mortality nationally (especially among veterans), we aimed to test the hypothesis that veteran status in the presence of chronic pain would be associated with greater sedative use when compared with nonveteran status.

METHODS

The study participants were recruited by Community Health Workers (CHWs) through the ongoing community engagement program (HealthStreet) at the University of Florida. CHWs collected information on sociodemographic factors, health status, and past 30-day drug use patterns.

RESULTS

The study sample comprised 4,732 male participants, of which 21% were veterans, 58% were Blacks and 8.4% had used prescription sedatives in the past 30 days. Veterans (vs nonveterans) were twice as likely to have used prescription sedatives in the past 30 days in the presence of chronic pain.

CONCLUSIONS

Veterans with chronic pain are a high-risk population for current prescription sedative use.

摘要

引言

鉴于全国范围内镇静剂的高处方率、与镇静剂相关的发病率和死亡率(尤其是在退伍军人中),我们旨在检验以下假设:与非退伍军人相比,患有慢性疼痛的退伍军人使用镇静剂的情况会更多。

方法

研究参与者由社区卫生工作者(CHWs)通过佛罗里达大学正在进行的社区参与项目(健康街)招募。社区卫生工作者收集了社会人口学因素、健康状况和过去30天药物使用模式的信息。

结果

研究样本包括4732名男性参与者,其中21%为退伍军人,58%为黑人,8.4%在过去30天内使用过处方镇静剂。在患有慢性疼痛的情况下,退伍军人(与非退伍军人相比)在过去30天内使用处方镇静剂的可能性是其两倍。

结论

患有慢性疼痛的退伍军人是当前使用处方镇静剂的高危人群。

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