Breland Alison B, Nasim Aashir, Irons Jessica G, Koch J Randy
Institute for Drug and Alcohol Studies, Virginia Commonwealth University, Richmond, VA 23298-0310, USA.
J Behav Health Serv Res. 2013 Jan;40(1):88-96. doi: 10.1007/s11414-012-9315-x.
African-American youth with behavioral health problems may be particularly vulnerable to tobacco use and dependence; however, little is known about overall prevalence and factors associated with tobacco use in this population. The present study compared rates of tobacco use for African-Americans (aged 13-17) receiving behavioral healthcare services to state and national prevalence rates. In addition, we examined whether tobacco use prevalence was related to treatment characteristics and services rendered. Retrospective chart reviews were conducted at an urban, public behavioral healthcare agency for youth admitted in 2009. Tobacco use rates among African-Americans receiving behavioral healthcare services were similar to, and in some cases, higher than statewide and national prevalence rates. While tobacco users were more likely to be enrolled in a substance abuse program than in a mental health program, only 2 of 55 youth reporting tobacco use had received documented tobacco cessation treatment. Future work should focus on implementing tobacco cessation prevention and treatment for these youth.
有行为健康问题的非裔美国青少年可能特别容易染上烟草使用和成瘾问题；然而，对于该人群中烟草使用的总体患病率以及与之相关的因素，我们知之甚少。本研究将接受行为健康护理服务的非裔美国人（年龄在13至17岁之间）的烟草使用率与州和全国患病率进行了比较。此外，我们还研究了烟草使用患病率是否与治疗特征和提供的服务有关。对一家城市公共行为健康护理机构2009年收治的青少年进行了回顾性病历审查。接受行为健康护理服务的非裔美国人中的烟草使用率与全州和全国患病率相似，在某些情况下还高于后者。虽然烟草使用者参加药物滥用项目的可能性比参加心理健康项目的可能性更大，但在报告有烟草使用行为的55名青少年中，只有2人接受过有记录的戒烟治疗。未来的工作应侧重于为这些青少年实施戒烟预防和治疗。
