Kramer Teresa L, Han Xiaotong, Booth Brenda M
Department of Psychiatry, University of Arkansas for Medical Sciences, 4301 W. Markham, Slot 755, Little Rock, AR 72205, USA.
J Ethn Subst Abuse. 2009;8(4):378-99. doi: 10.1080/15332640903327393.
Early initiation of substance use appears to be an alarming trend among rural minorities. This study focuses on 18- to 21-year-old African American stimulant users in the Arkansas Mississippi Delta. Most participants had no high school diploma and were unemployed; 74.5% had already been arrested. Substance use was initiated early and nearly all of the men and three-quarters of the women already met criteria for lifetime abuse or dependence. Only 18% reported that they had ever received substance abuse treatment. The results suggest that substance use interventions in rural communities will require multi-faceted strategies addressing economic, educational and healthcare disparities.
物质使用的早期开始在农村少数族裔中似乎是一个令人担忧的趋势。本研究聚焦于阿肯色州密西西比三角洲地区18至21岁的非裔美国兴奋剂使用者。大多数参与者没有高中文凭且失业;74.5%的人已经被捕。物质使用开始得很早,几乎所有男性和四分之三的女性已经符合终身滥用或依赖的标准。只有18%的人报告说他们曾接受过物质滥用治疗。结果表明,农村社区的物质使用干预将需要多方面的策略来解决经济、教育和医疗保健方面的差距。