南非约翰内斯堡城郊低收入青少年酒精及其他物质使用的社会心理关联：聚焦性别差异
Psychosocial correlates of alcohol and other substance use among low-income adolescents in peri-urban Johannesburg, South Africa: A focus on gender differences.
作者信息
Magidson Jessica F, Dietrich Janan, Otwombe Kennedy N, Sikkema Kathleen J, Katz Ingrid T, Gray Glenda E
机构信息
1 Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
2 Perinatal HIV Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
出版信息
J Health Psychol. 2017 Sep;22(11):1415-1425. doi: 10.1177/1359105316628739. Epub 2016 Mar 1.
Abstract
Alcohol and other drug use is prevalent among peri-urban, South African adolescents. We identified correlates of alcohol and other drug use by gender among adolescents (age = 16-18 years; N = 822) in peri-urban Johannesburg. Interviewer-administered surveys assessed sexual activity, alcohol and other drug use, and relevant psychosocial factors. In separate logistic regression models of alcohol and other drug use stratified by gender, violence exposure and sexual activity were associated with alcohol use for both males and females. For females only, depressive symptoms were associated with drug use. For males only, being older and sexually active were associated with drug use. Substance use interventions for South African adolescents should consider psychological health, sexual health, and tailoring by gender.
摘要
酒精和其他药物的使用在南非城郊青少年中很普遍。我们确定了约翰内斯堡城郊青少年（年龄 = 16 - 18岁；N = 822）中按性别划分的酒精和其他药物使用的相关因素。由访谈员进行的调查评估了性活动、酒精和其他药物的使用以及相关的心理社会因素。在按性别分层的酒精和其他药物使用的单独逻辑回归模型中，暴力暴露和性活动与男性和女性的酒精使用都有关联。仅对于女性而言，抑郁症状与药物使用有关。仅对于男性而言，年龄较大和性活跃与药物使用有关。针对南非青少年的物质使用干预措施应考虑心理健康、性健康以及按性别进行调整。
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