Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Jackson State University, Jackson, MS 39213, USA.
Department of Public Health, Julia Jones Matthews School of Population and Public Health, Texas Tech University Health Sciences Center, Abilene, TX 79601, USA.
Int J Environ Res Public Health. 2024 Jul 14;21(7):919. doi: 10.3390/ijerph21070919.
Mississippi youth are demographically unique compared to those of the nation. The aim of the study was to examine the drug use among adolescents in Mississippi compared to that in the US, which included determining prevalence and trends in drug use as well as drugs on school property and estimating the differences in drug use prevalence by gender and by race. National and Mississippi Youth Risk Behavior Surveillance System (YRBSS) data from 2001 to 2021 were obtained for analysis. Summary statistics, prevalence ratio, and survey Chi-squared tests of independence statistics were generated for the comparison for all students, and by gender and race separately. Trend analysis was conducted using logistic regression combined with joinpoint regression. The six survey questions being studied were the following: have you ever used marijuana, an inhalant, heroin, methamphetamines, or injected drugs, and were you offered, sold, or given an illegal drug on school property during the last 12 months. Survey packages in R were used to account for the complex sampling design of YRBSS data. On the national level, all six drug-related risk behaviors being studied showed a significant decrease from 2001 to 2021. In Mississippi, however, only "ever used marijuana" showed a decrease trend, while three remain unchanged, and two increased. The 2021 YRBSS data show that Mississippi adolescents exhibited a significantly higher prevalence of drug use, and are more likely to be offered, sold or given an illegal drug on school property. This research showed detailed findings on drug use-related issues in Mississippi, which is alarming. This poses an important challenge for public health in Mississippi and sounds an urgent call for drug use intervention among Mississippi adolescents. More concerted actions at the community, school and government level are needed for reducing youth drug use and controlling the drug traffic on school property.
密西西比州的青少年在人口统计学上与全国其他地区的青少年有所不同。本研究旨在比较密西西比州和美国青少年的吸毒情况，包括确定吸毒的流行率和趋势，以及学校财产上的毒品情况，并估计性别和种族差异对吸毒流行率的影响。本研究从 2001 年至 2021 年获取了全国和密西西比州青少年风险行为监测系统（YRBSS）的数据进行分析。对所有学生以及按性别和种族分别进行了汇总统计、流行率比和独立性检验。使用逻辑回归结合连接点回归进行了趋势分析。研究的六个调查问题如下：你是否曾经使用过大麻、吸入剂、海洛因、冰毒或注射毒品，以及在过去 12 个月内，你是否在学校财产上被提供、出售或给予过非法药物。使用 R 中的调查软件包来解释 YRBSS 数据的复杂抽样设计。在全国范围内，所有六个与吸毒有关的风险行为都从 2001 年到 2021 年显著下降。然而，在密西西比州，只有“曾经使用过大麻”呈下降趋势，而有三个保持不变，两个增加。2021 年 YRBSS 数据显示，密西西比州青少年的吸毒率明显较高，并且更有可能在学校财产上被提供、出售或给予非法药物。这项研究提供了关于密西西比州吸毒相关问题的详细发现，这令人担忧。这对密西西比州的公共卫生构成了重要挑战，并呼吁对密西西比州青少年进行吸毒干预。需要在社区、学校和政府层面采取更协调的行动，以减少青少年吸毒，并控制学校财产上的毒品交易。
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