Barker B, Alfred G T, Fleming K, Nguyen P, Wood E, Kerr T, DeBeck K
Urban Health Research Initiative, British Columbia Centre for Excellence in HIV/AIDS, Canada; Interdisciplinary Studies Graduate Program, University of British Columbia, Canada.
Indigenous Governance Program, University of Victoria, Canada.
Public Health. 2015 Dec;129(12):1662-8. doi: 10.1016/j.puhe.2015.08.003. Epub 2015 Sep 29.
Past research has identified risk factors associated with incarceration among adult Aboriginal populations; however, less is known about incarceration among street-involved Aboriginal youth. Therefore, we undertook this study to longitudinally investigate recent reports of incarceration among a prospective cohort of street-involved youth in Vancouver, Canada.
Prospective cohort study.
Data were collected from a cohort of street-involved, drug-using youth from September 2005 to May 2013. Multivariate generalized estimating equation analyses were employed to examine the potential relationship between Aboriginal ancestry and recent incarceration.
Among our sample of 1050 youth, 248 (24%) reported being of aboriginal ancestry, and 378 (36%) reported being incarcerated in the previous six months at some point during the study period. In multivariate analysis controlling for a range of potential confounders including drug use patterns and other risk factors, Aboriginal ancestry remained significantly associated with recent incarceration (adjusted odds ratio [AOR] = 1.44; 95% confidence interval [CI]: 1.12-1.86).
Even after adjusting for drug use patterns and other risk factors associated with incarceration, this study found that Aboriginal street-involved youth were still significantly more likely to be incarcerated than their non-Aboriginal peers. Given the established harms associated with incarceration these findings underscore the pressing need for systematic reform including culturally appropriate interventions to prevent Aboriginal youth from becoming involved with the criminal justice system.
过去的研究已确定了与成年原住民群体入狱相关的风险因素;然而,对于涉足街头的原住民青少年的入狱情况了解较少。因此,我们开展了这项研究,以纵向调查加拿大温哥华一个涉足街头青少年的前瞻性队列中近期的入狱报告。
前瞻性队列研究。
数据收集自2005年9月至2013年5月一个涉足街头、使用毒品的青少年队列。采用多变量广义估计方程分析来检验原住民血统与近期入狱之间的潜在关系。
在我们1050名青少年的样本中,248人(24%)报告有原住民血统,378人(36%)报告在研究期间的某个时间点在过去六个月内入狱。在控制了一系列潜在混杂因素(包括吸毒模式和其他风险因素)的多变量分析中,原住民血统仍与近期入狱显著相关(调整后的优势比[AOR]=1.44;95%置信区间[CI]:1.12 - 1.86)。
即使在调整了吸毒模式和其他与入狱相关的风险因素后,本研究发现,涉足街头的原住民青少年入狱的可能性仍显著高于非原住民同龄人。鉴于入狱已确定的危害,这些发现强调了进行系统改革的迫切需要,包括采取适合文化背景的干预措施,以防止原住民青少年卷入刑事司法系统。