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利用社会指标为社区毒品和酒精预防政策提供信息。

Using social indicators to inform community drug and alcohol prevention policy.

作者信息

Gorman D M, Labouvie E W

机构信息

School of Rural Public Health, Texas A&M University System Health Science Center, 260 Centeq Building, College Station, Texas 77843-1266, USA.

出版信息

J Public Health Policy. 2000;21(4):428-46.

Abstract

In recent years, the federal government has begun to require state agencies to allocate drug prevention resources according to the needs of local communities. The methods by which this is to be accomplished have not been described, and most published social indicator studies in the field of drug abuse research have used county-level data which are too insensitive to local needs to be of use in resource allocation decisions. The present study describes a needs assessment in drug abuse prevention in the state of New Jersey using municipal-level social indicator data. In addition, it examines the extent to which the resource allocation of one state prevention agency can be predicted by the municipal-level social indicators. Thirty-six social indicators pertaining to 508 municipalities were used in the study, and data were analyzed using principal component analysis and hierarchical regression analysis. Five factors were extracted from the principal component analysis, two of which clearly describe "high risk" municipalities and one of which clearly describes "low risk" municipalities. The regression analysis showed that these factors explained very little of the variance in the state agency's drug prevention spending. The study shows that social indicators can be used to distinguish between different levels of need for drug prevention services at a municipal level, and that these data can be used to inform decisions concerning resource allocation.

摘要

近年来,联邦政府已开始要求各州机构根据当地社区的需求分配药物预防资源。但尚未描述实现这一目标的方法,而且药物滥用研究领域中大多数已发表的社会指标研究都使用县级数据,这些数据对当地需求不够敏感,无法用于资源分配决策。本研究描述了一项使用市级社会指标数据对新泽西州药物滥用预防进行的需求评估。此外,它还考察了市级社会指标能够预测一个州预防机构资源分配的程度。该研究使用了与508个市镇相关的36个社会指标,并采用主成分分析和层次回归分析对数据进行了分析。从主成分分析中提取了五个因素,其中两个因素清晰地描述了“高风险”市镇,一个因素清晰地描述了“低风险”市镇。回归分析表明,这些因素在解释该州机构药物预防支出差异方面作用甚微。该研究表明,社会指标可用于区分市级层面不同程度的药物预防服务需求,并且这些数据可用于为资源分配决策提供参考。

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