Jones Christopher M
Center for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration, Rockville, Maryland.
Focus (Am Psychiatr Publ). 2024 Oct;22(4):474-482. doi: 10.1176/appi.focus.20240022. Epub 2024 Oct 15.
The United States is in the midst of an evolving overdose crisis, driven by the proliferation of potent synthetic opioids (e.g., illicitly made fentanyl), the resurgence of stimulants (e.g., methamphetamine), and the introduction of adulterants (e.g., xylazine) into the illicit drug supply. These substance use challenges are happening against the backdrop of rising mental health challenges that are closely linked to substance use and overdose. As overdose deaths have increased, the demographic profile of those dying has shifted and now disproportionately affects certain racial and ethnic minority populations. Social determinants of health (SDOH) are an underexplored component of the prevention response but are particularly salient in addressing substance use and overdose. Many SDOH have been linked to an increased risk for substance use and overdose, either directly or indirectly. The author examines the connection between SDOH and substance use and overdose, with a particular focus on young adults.
美国正处于一场不断演变的药物过量危机之中，这场危机是由强效合成阿片类药物（如非法制造的芬太尼）的泛滥、兴奋剂（如甲基苯丙胺）的再度流行以及非法药物供应中掺入杂质（如赛拉嗪）所驱动的。这些物质使用方面的挑战是在心理健康挑战不断增加的背景下出现的，而心理健康挑战与物质使用和药物过量密切相关。随着药物过量死亡人数的增加，死亡者的人口统计学特征发生了变化，现在对某些种族和少数民族人口的影响尤为严重。健康的社会决定因素（SDOH）是预防应对措施中一个尚未得到充分探索的组成部分，但在解决物质使用和药物过量问题方面尤为突出。许多健康的社会决定因素已直接或间接地与物质使用和药物过量风险增加相关联。作者研究了健康的社会决定因素与物质使用和药物过量之间的联系，特别关注年轻人。
