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首页> 外文期刊>Clinical infectious diseases >Prevalent Misconceptions About Opioid Use Disorders in the United States Produce Failed Policy and Public Health Responses
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Prevalent Misconceptions About Opioid Use Disorders in the United States Produce Failed Policy and Public Health Responses

机译：对美国阿片类药物使用障碍的普遍存置误解产生失败的政策和公共卫生响应

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摘要

The current opioid crisis in the United States has emerged from higher demand for and prescribing of opioids as chronic pain medication, leading to massive diversion into illicit markets. A peculiar tragedy is that many health professionals prescribed opioids in a misguided response to legitimate concerns that pain was undertreated. The crisis grew not only from overprescribing, but also from other sources, including insufficient research into nonopioid pain management, ethical lapses in corporate marketing, historical stigmas directed against people who use drugs, and failures to deploy evidence-based therapies for opioid addiction and to comprehend the limitations of supply-side regulatory approaches. Restricting opioid prescribing perversely accelerated narco-trafficking of heroin and fentanyl with consequent increases in opioid overdose mortality As injection replaced oral consumption, outbreaks of hepatitis B and C virus and human immunodeficiency virus infections have resulted. This viewpoint explores the origins of the crisis and directions needed for effective mitigation.
机译：目前美国的阿片类药物危机从慢性疼痛药物的慢性疼痛药物中出现了更高的需求和对阿片类药物的需求和规定，导致巨大转移到非法市场。一个特殊的悲剧是，许多卫生专业人员在误导痛苦的反应中规定了阿片类药物，这对痛苦的痛苦令人担忧。危机不仅从过度认代而涌现，而且来自其他来源，包括对非磷脂疼痛管理的研究不足，企业营销中的道德失误，针对使用药物的人的历史耻辱，以及失败部署基于证据的疗法，以便为阿片类药物成瘾部署基于证据的疗法。理解供应方监管方法的局限性。限制阿片式规定的顽皮地加速了海洛因和芬太尼，随着阿片类药物过量死亡率的增加，因为注射剂量替代口服消耗，乙型肝炎和C病毒的爆发和人类免疫缺陷病毒感染导致了导致。这一观点探讨了有效缓解所需的危机和方向的起源。

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