青年在接受药物滥用治疗前经历无家可归时的多受害者现象中的性别差异。
Sex differences in poly-victimization among youth experiencing homelessness prior to substance use treatment.
机构信息
University of Southern California, Suzanne Dworak-Peck School of Social Work, 669 W. 34th Street, Los Angeles, CA, USA.
Loma Linda University, School of Behavioral Health, 11065 Campus St., Loma Linda, CA. USA.
出版信息
Child Abuse Negl. 2022 Jul;129:105670. doi: 10.1016/j.chiabu.2022.105670. Epub 2022 May 12.
BACKGROUND
Poly-victimization is common among youth experiencing homelessness (YEH) and youth in substance use treatment. To date, studies have not examined poly-victimization among these two intersecting populations.
OBJECTIVE
To examine heterogeneity in lifetime victimization experiences among youth reporting homelessness at substance use treatment entry; identify demographic predictors of victimization class membership; and associations between victimization and clinical characteristics at treatment intake.
PARTICIPANTS AND SETTING
1270 adolescents and young adults reporting past 90-day homelessness in a nationwide substance use treatment data set.
METHODS
Latent Class Analysis (LCA) and logistic regression were used to examine heterogeneity in poly-victimization experiences, and associations with demographics and clinical characteristics for males and females.
RESULTS
Four victimization classes emerged for males, and five victimization classes emerged for females. The prevalence of victimization and trauma characteristics were higher for females, except physical victimization, which was higher for males. Age, race/ethnicity, and sexual minority status were related to poly-victimization class membership, but not consistently across classes. Compared to low or single victimization classes, youth in the poly-victimization class had higher odds of post-traumatic stress disorder, major depressive disorder, and exchange sex (among females); Poly-victimization class membership was not associated with duration of recent homelessness or substance use disorder diagnoses, when compared to low/less complex victimization.
CONCLUSION
High rates of lifetime victimization were found for YEH in substance use treatment, with rates generally higher among females. Trauma-informed interventions are needed to address complex victimization experiences and poor mental health among unstably housed youth in treatment.
背景
在经历无家可归的青年（YEH）和接受药物滥用治疗的青年中，普遍存在多重受害现象。迄今为止，尚无研究调查这两个交叉人群中的多重受害现象。
目的
在接受药物滥用治疗时报告无家可归的青年中，研究一生中受害经历的异质性；确定受害类别成员的人口统计学预测因素；以及受害与治疗开始时临床特征之间的关联。
参与者和地点
1270 名在全国药物滥用治疗数据集中报告过去 90 天无家可归的青少年和年轻人。
方法
使用潜在类别分析（LCA）和逻辑回归来检查多重受害经历的异质性，以及与男性和女性人口统计学和临床特征的关联。
结果
对于男性，出现了四个受害类别，对于女性，出现了五个受害类别。女性的受害和创伤特征的发生率更高，除了身体受害，男性的发生率更高。年龄、种族/族裔和性少数群体地位与多重受害类别成员有关，但在不同类别中并不一致。与低或单一受害类别相比，多重受害类别中的青年患有创伤后应激障碍、重度抑郁症和性交换的可能性更高（女性）；与低/较少复杂受害相比，多重受害类别成员与最近无家可归或药物使用障碍诊断的持续时间无关。
结论
在接受药物滥用治疗的 YEH 中，发现一生中存在高比率的受害现象，女性的比率普遍更高。需要采取以创伤为中心的干预措施，以解决不稳定住房青年中的复杂受害经历和心理健康不良问题。
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