美国青少年参与物质使用预防计划的趋势
Trends in Substance Use Prevention Program Participation Among Adolescents in the U.S.
机构信息
School of Social Work, Boston University, Boston, Massachusetts.
School of Social Work, Boston University, Boston, Massachusetts.
出版信息
J Adolesc Health. 2019 Sep;65(3):426-429. doi: 10.1016/j.jadohealth.2019.04.010. Epub 2019 Jul 2.
PURPOSE
The aim of the article was to examine national trends in adolescent participation in substance use prevention programs (SUPP).
METHODS
We examine 15 years of cross-sectional data (2002-2016) from the National Survey on Drug Use and Health. Main outcomes were participation in past-year school and community-based SUPP (no/yes). Logistic regression was used to examine trends in the prevalence of participation.
RESULTS
Participation in school-based SUPP decreased significantly from 48% among adolescents in 2002-2003 to 40% in 2015-2016, a 16.5% proportional decline. Significant declines for school-based participation were observed in all demographic and drug involvement subgroups examined. Youth participation in community-based SUPP also decreased significantly. However, this downward trend was significant only among younger teens, females, youth in very low (<$20,000) and moderate ($40,000-$74,999) income households and in rural areas.
CONCLUSIONS
Participation in SUPP has decreased since the early 2000s, with noteworthy declines among Latino youth and youth from rural areas and socioeconomically disadvantaged backgrounds.
目的
本文旨在研究青少年参与物质使用预防计划（SUPP）的国家趋势。
方法
我们研究了 15 年的横断面数据（2002-2016 年），来自国家毒品使用和健康调查。主要结局是参与过去一年的学校和社区 SUPP（无/是）。使用逻辑回归检验参与率的趋势。
结果
2002-2003 年至 2015-2016 年，青少年参与学校为基础的 SUPP 的比例从 48%显著下降至 40%，下降了 16.5%。在所有检查的人口统计学和药物参与亚组中，均观察到学校参与率的显著下降。青少年参与社区为基础的 SUPP 也显著下降。然而，这种下降趋势仅在较年轻的青少年、女性、来自非常低（<$20,000）和中等收入（$40,000-$74,999）家庭以及农村地区的青少年中显著。
结论
自 21 世纪初以来，SUPP 的参与率有所下降，其中拉丁裔青少年以及来自农村地区和社会经济劣势背景的青少年下降幅度显著。
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