Aarons G A, Brown S A, Hough R L, Garland A F, Wood P A
Child and Adolescent Services Research Center, 3020 Children's Way MC-5033, San Diego, CA 92123-4282, USA.
J Am Acad Child Adolesc Psychiatry. 2001 Apr;40(4):419-26. doi: 10.1097/00004583-200104000-00010.
To examine the prevalence of substance use disorders (SUDs) among adolescents who received services in one or more of the following public sectors of care: alcohol and drug (AD), juvenile justice (JJ), mental health (MH), public school-based services for youths with serious emotional disturbance (SED), and child welfare (CW), in relation to age, gender, and service sector affiliation.
Participants included 1,036 adolescents aged 13 to 18 years, randomly sampled from all youths who were active in at least one of the above five sectors of care (N = 12,662) in San Diego County California. SUDs were assessed through structured diagnostic interviews conducted from October 1997 through January 1999.
SUDs were found for youths in all sectors of care, with lifetime rates of 82.6% in AD, 62.1% in JJ, 40.8% in MH, 23.6% in SED, and 19.2% in CW. Rates of SUDs were significantly higher among older youths and males. Sector differences held even when accounting for the effects of age and gender.
SUDs are highly prevalent among youths receiving care in the AD service sector as well as other sectors, particularly JJ and MH. These findings have implications for assessment, treatment, and service coordination for youths with SUDs in diverse sectors of public care.
研究在以下一个或多个公共护理部门接受服务的青少年中物质使用障碍（SUDs）的患病率，这些部门包括酒精和毒品（AD）、少年司法（JJ）、心理健康（MH）、为有严重情绪障碍（SED）的青少年提供的公立学校服务以及儿童福利（CW），并探讨其与年龄、性别和服务部门归属的关系。
参与者包括1036名年龄在13至18岁之间的青少年，他们是从加利福尼亚州圣地亚哥县在上述五个护理部门中至少一个部门接受服务的所有青少年（N = 12,662）中随机抽取的。通过1997年10月至1999年1月期间进行的结构化诊断访谈对物质使用障碍进行评估。
在所有护理部门的青少年中均发现了物质使用障碍，AD部门的终生患病率为82.6%，JJ部门为62.1%，MH部门为40.8%，SED部门为23.6%，CW部门为19.2%。年龄较大的青少年和男性的物质使用障碍患病率明显更高。即使考虑到年龄和性别的影响，部门差异仍然存在。
在AD服务部门以及其他部门（特别是JJ和MH）接受护理的青少年中，物质使用障碍非常普遍。这些发现对公共护理各部门中患有物质使用障碍的青少年的评估、治疗和服务协调具有启示意义。
