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美国青少年离家出走的流行率及其相关因素。

The prevalence and correlates of running away among adolescents in the United States.

机构信息

Robert Stempel College of Public Health & Social Work, Florida International University, Miami, Florida, USA.

Department of Psychology, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.

出版信息

J Community Psychol. 2023 Jul;51(5):1860-1875. doi: 10.1002/jcop.22971. Epub 2022 Dec 5.

Abstract

Runaway youth may experience a myriad of challenges associated with significant risks to health and well-being. To examine the prevalence and correlates of running away from home among US youth. Annual US nationally representative samples of 8th and 10th graders between 2005 and 2017 from the Monitoring the Future study. Self-reports of nationally representative samples of 8th and 10th graders in the US Annual survey data from 8th and 10th graders spanning 2005-2017, n = 116,520. The primary outcome of this study, running away from home in the past 12 months, was examined using multivariable weighted logistic regression. Predictor measures included: parent and peer relationships, school factors (e.g., grade point average [GPA]), internalizing symptoms, externalizing behavior, and substance use (alcohol, marijuana, and cigarettes). Demographic measures in the model were grade level (8th or 10th), gender (boys or girls), parent education, and race/ethnicity. The annual prevalence of running away decreased significantly from 8.3% in 2005 to 6.1% in 2017. Demographically, running away from home was significantly lower among boys compared with girls. Multivariable logistic regression model results revealed that higher levels of parental involvement, GPA, and self-esteem are all significantly related to lower odds of running away from home. Having peers who drop out of school, going on more date nights, self-derogation, interpersonal aggression, sensation seeking, theft, and property damage, as well as past 12-month alcohol use, past 12-month marijuana use, and past 30-day cigarette use were all associated with higher odds of running away from home. Annual prevalence of running away from home has been decreasing, but still affects a large number of teens. Running away is associated with numerous challenges across social, behavioral, and health domains that can further negatively impact the health and well-being of this already vulnerable population.

摘要

流浪少年可能会遇到与健康和福祉相关的各种挑战,面临重大风险。本研究旨在探究美国青少年离家出走的普遍程度及其相关因素。

研究数据来自监测未来研究(Monitoring the Future study),该研究是一项在美国进行的全国代表性年度调查,调查对象为 8 年级和 10 年级学生。本研究采用多变量加权逻辑回归模型,以过去 12 个月内离家出走的情况为主要结局指标,对 2005 年至 2017 年期间 8 年级和 10 年级学生的全国代表性样本进行分析。模型中的预测指标包括:父母和同伴关系、学校因素(如平均绩点 GPA)、内化症状、外化行为以及物质使用(酒精、大麻和香烟)。模型中的人口统计学指标包括年级(8 年级或 10 年级)、性别(男孩或女孩)、父母教育程度和种族/族裔。

研究结果显示,过去 12 个月离家出走的年度发生率从 2005 年的 8.3%显著下降至 2017 年的 6.1%。从人口统计学角度来看,与女孩相比,男孩离家出走的比例明显更低。多变量逻辑回归模型结果表明,父母参与度、平均绩点和自尊水平较高与离家出走的可能性较低相关。与辍学的同伴交往、更多的约会之夜、自我贬低、人际攻击、寻求刺激、偷窃和财产损失,以及过去 12 个月的酒精使用、过去 12 个月的大麻使用和过去 30 天的香烟使用均与离家出走的可能性较高相关。

虽然过去 12 个月离家出走的发生率一直在下降,但仍有大量青少年受到影响。离家出走与社会、行为和健康等多个领域的诸多挑战相关,可能会进一步对这一已经脆弱的群体的健康和福祉产生负面影响。

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