共病物质使用与心理健康障碍：美国青少年先前的治疗/入院情况作为刑事逮捕的预测因素

Comorbid Substance Use and Mental Health Disorders: Prior Treatment/Admission as a Predictor of Criminal Arrest Among American Youths.

作者信息

Nkemjika Stanley, Olatunji Eniola, Olwit Connie, Jegede Oluwole, Brown Colvette, Olupona Tolu, Okosun Ike S

机构信息

Population Health Sciences, School of Public Health, Georgia State University, Atlanta, USA.

Psychiatry and Behavioral Sciences, Interfaith Medical Center, Brooklyn, USA.

出版信息

Cureus. 2022 Jan 24;14(1):e21551. doi: 10.7759/cureus.21551. eCollection 2022 Jan.

DOI:10.7759/cureus.21551

PMID:35223322

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8865602/

Abstract

BACKGROUND

There is a dearth of literature with regards to substance use disorder (SUD) treatment outcomes and criminal arrest relationships.

AIM

We aimed to examine the association between criminal arrest within a month prior to SUD treatment admissions among 12- to 24-year-old Americans and the role of recurrent or prior SUD treatment.

METHODS

The 2017 United States Substance Abuse and Mental Health Services Administration (SAMHSA) Treatment Episode Data Set - Admissions (TEDS-A; N = 333,322) was used for this analysis. Prevalence odds ratios from the multivariate logistic regression analyses were used to determine associations between recurrent or prior SUD treatment and criminal arrest one month before admission, adjusting for selected independent variables.

RESULTS

Prior history of SUD treatment remained associated with past criminal arrest (adjusted OR = 0.972; 95% CI: 0.954-0.991; P = 0.004) after adjusting for gender, marital status, employment status, and source of income. Comorbid SUD-mental disorder was associated with past criminal arrest (adjusted OR = 1.046; 95% CI: 1.010-1.083; P = 0.012) after adjusting for gender, marital status, employment status, education, and source of income.

CONCLUSION

Our study shows that there is a protective association between history of previous substance treatment re-admissions and its relationship with criminal arrest one month before admission.

摘要

背景

关于物质使用障碍（SUD）治疗结果与刑事逮捕之间关系的文献匮乏。

目的

我们旨在研究12至24岁美国人群中，在接受SUD治疗入院前一个月内的刑事逮捕情况，以及复发性或既往SUD治疗的作用。

方法

本分析使用了2017年美国物质滥用和精神健康服务管理局（SAMHSA）治疗事件数据集 - 入院数据（TEDS - A；N = 333,322）。多元逻辑回归分析得出的患病率比值比用于确定复发性或既往SUD治疗与入院前一个月刑事逮捕之间的关联，并对选定的自变量进行调整。

结果

在对性别、婚姻状况、就业状况和收入来源进行调整后，既往SUD治疗史仍与过去的刑事逮捕相关（调整后的OR = 0.972；95% CI：0.954 - 0.991；P = 0.004）。在对性别、婚姻状况、就业状况、教育程度和收入来源进行调整后，SUD与精神障碍共病与过去的刑事逮捕相关（调整后的OR = 1.046；95% CI：1.010 - 1.083；P = 0.012）。