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本文引用的文献

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The Lancet Psychiatry Commission on youth mental health.《柳叶刀》青少年心理健康委员会
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2
The Overdose Crisis among U.S. Adolescents.美国青少年的药物过量危机。
N Engl J Med. 2024 Jan 11;390(2):97-100. doi: 10.1056/NEJMp2312084. Epub 2024 Jan 6.
3
Characterizing prescription opioid, heroin, and fentanyl initiation trajectories: A qualitative study.描述处方阿片类药物、海洛因和芬太尼使用起始轨迹:一项定性研究。
Soc Sci Med. 2024 Jan;340:116441. doi: 10.1016/j.socscimed.2023.116441. Epub 2023 Nov 25.
4
Charting the fourth wave: Geographic, temporal, race/ethnicity and demographic trends in polysubstance fentanyl overdose deaths in the United States, 2010-2021.绘制第四波:2010-2021 年美国多药芬太尼过量死亡的地理、时间、种族/族裔和人口趋势。
Addiction. 2023 Dec;118(12):2477-2485. doi: 10.1111/add.16318. Epub 2023 Sep 13.
5
Trends in Opioid Misuse Among Individuals Aged 12 to 21 Years in the US.美国 12 至 21 岁人群阿片类药物滥用趋势。
JAMA Netw Open. 2023 Jun 1;6(6):e2316276. doi: 10.1001/jamanetworkopen.2023.16276.
6
Alcohol and Other Substance Use Before and During the COVID-19 Pandemic Among High School Students - Youth Risk Behavior Survey, United States, 2021.在新冠疫情大流行期间和之前,高中生的酒精和其他物质使用情况 - 美国,2021 年。青年风险行为调查。
MMWR Suppl. 2023 Apr 28;72(1):84-92. doi: 10.15585/mmwr.su7201a10.
7
Drug Overdose Deaths Among Persons Aged 10-19 Years - United States, July 2019-December 2021.2019 年 7 月至 2021 年 12 月,美国 10-19 岁人群药物过量死亡。
MMWR Morb Mortal Wkly Rep. 2022 Dec 16;71(50):1576-1582. doi: 10.15585/mmwr.mm7150a2.
8
Non-medical prescription opioid use among US youth: 2015-2018.2015 - 2018年美国青少年非医疗处方阿片类药物的使用情况
Am J Drug Alcohol Abuse. 2020 Jul 3;46(4):498-505. doi: 10.1080/00952990.2020.1747478. Epub 2020 Jun 1.
9
Misuse of Prescription Opioids and Suicidal Behaviors Among Black Adolescents: Findings from the 2017 and 2019 Youth Risk Behavior Survey.处方阿片类药物滥用与黑人青少年自杀行为:来自 2017 年和 2019 年青少年风险行为调查的结果。
J Racial Ethn Health Disparities. 2023 Aug;10(4):1856-1868. doi: 10.1007/s40615-022-01369-5. Epub 2022 Jul 21.
10
Opioid Use Disorder Treatment in the Fentanyl Era.芬太尼时代的阿片类物质使用障碍治疗
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进展停滞?2015 - 2022年青少年阿片类药物滥用情况

Stalled Improvements? Youth Opioid Misuse 2015-2022.

作者信息

Siegal Nicole, Simon Kosali, Freedman Seth, Aalsma Matthew C, Wing Coady

机构信息

O'Neill School of Public and Environmental Affairs, Indiana University, Bloomington, Indiana.

O'Neill School of Public and Environmental Affairs, Indiana University, Bloomington, Indiana.

出版信息

J Adolesc Health. 2025 Aug;77(2):335-337. doi: 10.1016/j.jadohealth.2025.05.008. Epub 2025 Jul 3.

DOI:10.1016/j.jadohealth.2025.05.008
PMID:40600858
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12397765/
Abstract

PURPOSE

To examine youth opioid misuse trends before, during and after the COVID-19 pandemic era.

METHODS

We use nationally representative data from the 2015-2022 National Survey on Drug Use and Health to study self-reported opioid misuse by age, among youth ages 12-25 years.

RESULTS

The downward trend in youth opioid misuse has flattened since the pandemic, and the gaps between opioid misuse across age groups have closed.

DISCUSSION

One explanation is that by 2020 youth opioid misuse rates had already reached very low rates-the prevalence of misuse was less than 5% in all age groups in the 12-25 years range. Since opioid misuse rates are naturally bound below by zero, the converging and flattening of youth opioid misuse rates suggest little room for further reductions despite increasing mortality rates.

摘要

目的

研究新冠疫情时代之前、期间和之后青少年阿片类药物滥用的趋势。

方法

我们使用2015 - 2022年全国药物使用和健康调查中的全国代表性数据,研究12至25岁青少年按年龄自我报告的阿片类药物滥用情况。

结果

自疫情以来,青少年阿片类药物滥用的下降趋势趋于平缓,各年龄组之间阿片类药物滥用的差距已经缩小。

讨论

一种解释是,到2020年,青少年阿片类药物滥用率已经非常低——在12至25岁的所有年龄组中,滥用率均低于5%。由于阿片类药物滥用率自然下限为零,青少年阿片类药物滥用率的趋同和平缓表明,尽管死亡率上升,但进一步降低的空间很小。