Johnson Kurt D, Whitbeck Les B, Hoyt Dan R
Director of Research for the Midwest Longitudinal Study of Homeless Adolescents and the Healing Pathways Project. His primary research interests include research with hard to reach populations, the sociology of mental health, and high risk youth behaviors.
J Drug Issues. 2005 Fall;35(4):799-816. doi: 10.1177/002204260503500407.
This paper presents lifetime and 12-month prevalence rates and comorbidity data for substance abuse disorders among homeless and runaway adolescents. Data are from baseline interviews of a longitudinal diagnostic study of 428 (187 males and 241 females) homeless and runaway adolescents aged 16 to 19 years (mean age = 17.4 year, SD = 1.05). The data were collected by full-time interviewers on the streets and in shelters in eight Midwestern cities of various populations. About two thirds (60.5%) of the runaways met lifetime criteria for at least one of three substance disorders (alcohol abuse, alcohol dependence, drug abuse), and nearly one half (48.1%) met 12-month criteria for at least one of the disorders. Nearly all of the adolescents (93%) who met criteria for a substance disorder met criteria for at least one other mental disorder. Those factors most predictive of meeting lifetime criteria Include parenting practices, experience of abuse, and association with deviant peers.
本文呈现了无家可归和离家出走青少年物质滥用障碍的终生患病率、12个月患病率及共病数据。数据来自一项针对428名（187名男性和241名女性）年龄在16至19岁（平均年龄 = 17.4岁，标准差 = 1.05）的无家可归和离家出走青少年的纵向诊断研究的基线访谈。数据由全职访谈员在中西部八个不同人口规模城市的街头和收容所收集。约三分之二（60.5%）的离家出走青少年符合至少三种物质障碍（酒精滥用、酒精依赖、药物滥用）之一的终生标准，近一半（48.1%）符合至少一种障碍的12个月标准。几乎所有符合物质障碍标准的青少年（93%）也符合至少一种其他精神障碍的标准。那些最能预测符合终生标准的因素包括养育方式、受虐待经历以及与行为偏差同伴的交往。
