Racz Sarah Jensen, Saha Shonali, Trent Maria, Adger Hoover, Bradshaw Catherine P, Goldweber Asha, Cauffman Elizabeth
Eunice Kennedy Shriver National Institute of Child Health and Human Development.
Johns Hopkins School of Medicine.
Child Youth Care Forum. 2015 Apr 16;45(2):205-220. doi: 10.1007/s10566-015-9334-x. Epub 2015 Sep 5.
Adolescent juvenile offenders are at high risk for problems associated with drug use, including polysubstance use (i.e., use of a variety of drugs). The combination of juvenile offending and polysubstance use presents a significant public and child health concern.
This study explored polysubstance use among a sample of youth incarcerated for serious offenses. We examined several risk factors for substance use and delinquency (i.e., early and frequent substance use, prior history of arrests, school expulsion, Black ethnicity), as well as the association between aggression and polysubstance use.
Data were collected via questionnaires from 373 serious male juvenile offenders upon intake into a secure locked facility. Youth were on average 16 years old, and minority youth were overrepresented (28.1% Black, 53.1% Latino). Poisson regressions were used to assess the associations between the risk factors, aggression, and polysubstance use.
Consistent with the literature, Black youth reported less polysubstance use and later age of drug use onset than White and Latino youth. Findings suggest that Latino juvenile offenders and those with an early and problematic pattern of substance use are at heightened risk for polysubstance use. Aggression was not significantly related to polysubstance use, over and above the risk factors.
Given that Latino youth experience low rates of treatment for substance use, the development of culturally-sensitive interventions for these youth is needed. Interventions should also be multifaceted to address the multitude of risk factors associated with polysubstance use among juvenile offenders.
青少年罪犯面临与药物使用相关问题的高风险,包括多种物质使用(即使用多种药物)。青少年犯罪与多种物质使用的结合引发了重大的公共和儿童健康问题。
本研究探讨了因严重罪行被监禁的青少年样本中的多种物质使用情况。我们研究了物质使用和犯罪行为的几个风险因素(即早期和频繁的物质使用、先前的逮捕记录、学校开除、黑人种族),以及攻击行为与多种物质使用之间的关联。
通过问卷调查收集了373名严重男性青少年罪犯进入安全锁定设施时的数据。这些青少年平均年龄为16岁,少数族裔青少年占比过高(28.1%为黑人,53.1%为拉丁裔)。采用泊松回归分析来评估风险因素、攻击行为和多种物质使用之间的关联。
与文献一致,黑人青少年报告的多种物质使用情况较少,且药物使用开始年龄比白人和拉丁裔青少年晚。研究结果表明,拉丁裔青少年罪犯以及那些有早期和问题性物质使用模式的人使用多种物质的风险更高。除了风险因素外,攻击行为与多种物质使用没有显著关联。
鉴于拉丁裔青少年接受物质使用治疗的比例较低,需要为这些青少年制定具有文化敏感性的干预措施。干预措施还应具有多方面性,以解决与青少年罪犯多种物质使用相关的众多风险因素。