Increased medical utilization and psychiatric comorbidity following a new diagnosis of methamphetamine use disorder
| العنوان: | Increased medical utilization and psychiatric comorbidity following a new diagnosis of methamphetamine use disorder |
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| المؤلفون: | Wan-Chen Lee, Chian Jue Kuo, Chiao-Chicy Chen, Sheng-Siang Su, Ming-Chyi Huang, Shang-Ying Tsai, Chun-Hung Pan, Hu-Ming Chang |
| المصدر: | The American Journal of Drug and Alcohol Abuse. 48:245-254 |
| بيانات النشر: | Informa UK Limited, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Bipolar Disorder, Medicine (miscellaneous), Comorbidity, Delayed diagnosis, New diagnosis, Methamphetamine, Psychiatric comorbidity, Intervention (counseling), Odds Ratio, medicine, Humans, Claims database, Medical diagnosis, business.industry, Mental Disorders, Hospitalization, Psychiatry and Mental health, Clinical Psychology, Methamphetamine use, Emergency medicine, Female, business, medicine.drug |
| الوصف: | Background Evidence of patterns of medical utilization and distribution of comorbidities among individuals using methamphetamine remains limited. Objective This study aims to investigate changes in medical utilization and comorbidities before and after a diagnosis of methamphetamine use disorder. Methods A total of 3321 cases (79% were male) of methamphetamine use disorder between January 1, 1996, and December 31, 2012, were identified from Psychiatric Inpatient Medical Claims database in Taiwan. Information was collected on demographics, diagnoses, and medical utilizations. The date of newly diagnosed with methamphetamine use disorder was defined as the baseline. Mirror-image study design was used to compare changes in medical utilization and comorbidities between the pre-baseline period (within 1 year before diagnosis) and the post-baseline period (within 1 year after diagnosis). Conditional logistic regression was used to estimate changes in medical utilization and comorbidities. Results Most cases (77%) were first identified in a psychiatric department. There is a significant increase (P Conclusions We found significant increases of medical utilization and psychiatric comorbidities after diagnosed with methamphetamine use disorder. These findings may reflect the problem of delayed diagnosis and treatment. Enhancement of early identification of methamphetamine use disorder in general practice is required for early intervention and decreased subsequent morbidities. |
| تدمد: | 1097-9891 0095-2990 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7bdeafd30680a84f5081ae69d406c161 https://doi.org/10.1080/00952990.2021.1979990 |
| رقم الأكسشن: | edsair.doi.dedup.....7bdeafd30680a84f5081ae69d406c161 |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 10979891 00952990 |
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