Department of Maternal and Child Health, Gillings School of Global Public Health, University of NC, Chapel Hill, NC, USA.
J Adolesc. 2012 Oct;35(5):1329-40. doi: 10.1016/j.adolescence.2012.05.005. Epub 2012 Jun 15.
Substance use is increasing among youth in South Africa, and may be contributing to transmission of HIV. As parental death often leaves youth with altered emotional and physical resources, substance use may be greater among orphaned adolescents. Utilizing data from a household survey of 15-24 year old South Africans (n = 11,904), multivariable models were fitted to examine the association of factors from five domains with alcohol and drug use, and to compare substance use among orphaned versus non-orphaned youth. Results showed that factors from individual, family, and community domains were most associated with substance use. Compared with non-orphans, paternal and double orphaned males were more likely to have consumed alcohol, and paternally orphaned females had significantly greater odds of having used drugs. Findings confirm that some sub-groups of orphaned youth are at increased risk of substance use and families and communities may be influential in moderating this risky behavior.
南非青年的物质使用呈上升趋势，可能导致艾滋病毒传播。由于父母去世往往使青年失去改变后的情感和物质资源，因此孤儿青少年的物质使用可能更大。利用南非 15-24 岁青少年家庭调查的数据（n=11904），通过多变量模型检验五个领域的因素与酒精和药物使用的关系，并比较孤儿和非孤儿青少年的物质使用情况。结果表明，个人、家庭和社区领域的因素与物质使用最相关。与非孤儿相比，父亲和双重孤儿男性更有可能饮酒，而父亲一方的孤儿女性使用毒品的几率明显更高。研究结果证实，一些孤儿青年群体物质使用的风险增加，家庭和社区可能在调节这种危险行为方面具有影响力。
