Voisin Dexter R, Salazar Laura F, Crosby Richard, Diclemente Ralph J, Yarber William L, Staples-Horne Michelle
School of Social Service Administration, University of Chicago, 969 East 60th Street, Chicago, IL 60637, USA.
Am J Orthopsychiatry. 2007 Oct;77(4):506-13. doi: 10.1037/0002-9432.77.4.506.
This study examines whether witnessing community violence, in the 12 months prior to juvenile detention, is related and health-related outcomes in the 2 months prior to being detained among 550 youth. Participants answered survey questions using audio-computer assisted self-interviewing procedures, which assessed demographic, problem, and drug and sexual risk behaviors. Multiple logistic regression analyses, controlling for significant covariates, indicated that adolescents, in the last 12 months, who reported witnessing community violence, relative to their peer witnessing no violence, were in the last 2 months prior to being detained, twice more likely to have suicidal threats, 2 times more likely to use marijuana and alcohol, 2 times more likely to get high on alcohol or other drugs during sexual intercourse, and 2 times more likely to have sex with a partner who was high on alcohol or other drugs. Finding suggest that detained youth, many of whom may not access traditional health care, should be offered prevention and intervention services during detention, which provides a critical window of opportunity for needed services.
本研究调查了550名青少年在被拘留前12个月内目睹社区暴力的情况,以及在被拘留前2个月内与健康相关的结果。参与者通过音频计算机辅助自我访谈程序回答调查问卷问题,该程序评估了人口统计学、问题以及毒品和性风险行为。在控制了显著协变量的情况下进行的多项逻辑回归分析表明,在过去12个月中报告目睹社区暴力的青少年,相对于未目睹暴力的同龄人,在被拘留前的最后2个月里,有自杀威胁的可能性高出两倍,使用大麻和酒精的可能性高出两倍,在性交过程中因酒精或其他药物而兴奋的可能性高出两倍,与因酒精或其他药物而兴奋的伴侣发生性行为的可能性高出两倍。研究结果表明,被拘留的青少年中许多人可能无法获得传统医疗保健,因此应在拘留期间为他们提供预防和干预服务,这为提供所需服务提供了关键的机会窗口。