%0 Journal Article %T Cardiomyopathy-Associated Hospital Admissions Among Methamphetamine Users: Geographical and Social Disparities. %A Al-Yafeai Z %A Ali S %A Brown J %A Venkataraj M %A Bhuiyan MS %A Mosa Faisal AS %A Densmore K %A Goeders NE %A Bailey SR %A Conrad SA %A Vanchiere JA %A Orr AW %A Kevil CG %A Nobel Bhuiyan MA %J JACC Adv %V 3 %N 7 %D 2024 Jul %M 39130045 暂无%R 10.1016/j.jacadv.2024.100840 %X UNASSIGNED: Methamphetamine is an emerging drug threat. The disparity in cardiomyopathy-associated hospital admissions among methamphetamine users (CAHMA) over the decade remains unknown.
UNASSIGNED: The purpose of this study was to determine the trends and prevalence of CAHMA by age, sex, race, and geographical region.
UNASSIGNED: We used data from 2008 to 2020 from the National Inpatient Sample database. We identified 12,845,919 cardiomyopathy-associated hospital admissions; among them, 222,727 were diagnosed as methamphetamine users. A generalized linear model with binomial link function was used to compute the prevalence ratio and 95% CI. Those who used other substances along with methamphetamine were excluded from the analysis.
UNASSIGNED: CAHMA increased by 231% (P trend <0.001) from 2008 to 2020. CAHMA increased 345% for men (P trend <0.001) and 122% for women (P trend <0.001), 271% for non-Hispanic White (P trend <0.001), 254% for non-Hispanic Black (p trend <0.001), 565% for Hispanic (P trend <0.001), and 645% for non-Hispanic Asian (P trend <0.001) population. CAHMA also increased significantly in the West region (530%) (P trend <0.001) and South region (200%) (P trend <0.001) of the United States. Men, Hispanic population, age groups 26 to 40 and 41 to 64 years, and Western regions showed a significantly higher uptrend than their counterparts (P trend <0.001).
UNASSIGNED: CAHMA have increased significantly in the United States. Men, Hispanics, non-Hispanic Asian, age groups 41 to 64. and western regions showed a higher proportional increase highlighting gender-based, racial/ethnic, and regional disparities over the study period.