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首页> 外文期刊>Journal of Addiction >Self-Rated Physical Health and Unmet Healthcare Needs among Swedish Patients in Opioid Substitution Treatment
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Self-Rated Physical Health and Unmet Healthcare Needs among Swedish Patients in Opioid Substitution Treatment

机译：瑞典患者在阿片类药物替代治疗中自称身体健康和未满足的医疗保健需求

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Background. Individuals with opioid dependence are at increased risk of deteriorating health due to the lifestyle connected to heroin use. Barriers surrounding the healthcare system seem to hinder patients to seek help through conventional healthcare, even after entering opioid substitution treatment (OST), resulting in a high level of unmet healthcare needs. However, this field is still unexplored, with only a few studies focusing on general health within this population. The first step, in order to provide suitable and accessible primary healthcare, is to assess the extent of physical symptoms and unmet healthcare needs within the OST population, which, to this point, has been sparsely studied. Aim. To assess OST patients’ self-rated physical health and healthcare seeking behaviour. Methods. Two-hundred and eighteen patients from four different OST sites answered a questionnaire regarding physical health and healthcare seeking. Results. Patients in OST have a high degree of physical symptoms and a high degree of unmet healthcare needs. Sixty-six percent reported suffering from musculoskeletal pain. Fifty-six percent reported gastrointestinal symptoms. Genital problems and airway symptoms were reported by 47%, respectively, and dental problems were reported by 69% of the respondents. General unmet healthcare needs were reported by 82%. Musculoskeletal pain was positively correlated with having an unstable housing situation (AOR 4.26 [95% CI 1.73-10.48]), negatively correlated with male sex (AOR 0.45 [95% CI 0.22-0.91]), and positively correlated with age (AOR 1.04 [95% CI 1.01-1.07]). No statistically significant correlates of respiratory, gastrointestinal, genital, or dental symptoms were found. Conclusion. Patients in OST carry a heavy burden of physical symptoms and unmet healthcare needs, potentially due to societal barriers. Patients’ frequent visits to the OST clinics offer a unique opportunity to build a base for easily accessible on-site primary healthcare.
机译：背景。具有阿片类药物依赖性的个体由于与海洛因使用的生活方式而言，健康状况恶化的风险增加。围绕医疗保健系统的障碍似乎阻碍了患者通过常规医疗保健寻求帮助，即使进入阿片类药物替代治疗（OST），也导致了高水平的未满足医疗保健需求。然而，这个领域仍然是未开发的，只有一些研究侧重于这群人群中的一般健康。第一步是为了提供合适的和可访问的主要医疗保健，是评估体育症状和未满足的医疗保健需求的程度，以此为此，这一点稀疏地研究。目标。评估OST患者自我评价的身体健康和医疗保健行为。方法。来自四个不同OST网站的二百十八名患者回答了关于身体健康和医疗保健的问卷。结果。 OST患者具有高度的身体症状和高度未满足的医疗保健需求。六十六个百分之据报告患肌肉骨骼疼痛。百分之五十六报告胃肠道症状。据报告了47％的生殖器问题和气道症状，报告了69％的受访者报告了牙科问题。一般未满足医疗保健需求报告82％。肌肉骨骼疼痛与具有不稳定的住房情况呈正相关（AOR 4.26 [95％CI 1.73-10.48]），与雄性相似（AOR 0.45 [95％CI 0.22-0.91]），并与年龄呈正相关（AOR 1.04 [95％CI 1.01-1.07]）。没有发现呼吸道，胃肠道，生殖器或牙科症状的统计学上显着相关。结论。 OST患者带来了沉重的身体症状和未满足的医疗保健需求，可能是由于社会障碍。患者频繁访问OST诊所提供了一个独特的机会，以便在现场轻松访问的主要医疗保健方面建立一个基地。

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