Risks Surrounding Drug Trade Involvement Among Street-Involved Youth

Risks Surrounding Drug Trade Involvement Among Street-Involved Youth
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DOI:
10.1080/00952990802491589
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发表时间:
2008-01-01
影响因子:
2.7
通讯作者:
Wood, Evan
Wood, Evan
中科院分区:
医学3区
文献类型:
--
作者:
Werb, Daniel;Kerr, Thomas;Wood, Evan

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背景:在一些司法管辖区,街头青年已被证明参与街头非法毒品交易,尽管对这种行为的风险因素和后遗症知之甚少。因此,本研究旨在调查与街头青年参与街头毒品交易有关的因素。方法:我们使用逻辑回归来检验加拿大温哥华高危青年研究参与者中与毒品交易相关的因素。我们还审查了参与毒品交易的动机和参与者出售的毒品类型。结果:总体而言,研究期间随访了529名街头青年,其中307人(58.0%)报告在过去6个月内参与了毒品交易。在logistic回归分析中,可卡因使用(调整优势比[AOR] = 1.84, 95% CI: 1.28-2.67)、无家可归(AOR = 1.58, 95% CI: 1.04-2.40)和被警察袭击(AOR = 1.85, 95% CI: 1.14-3.00)与队列参与者的毒品交易独立相关。在报告有毒品交易的参与者中,263人(85.6%)表示他们出售毒品的主要原因是为了支付个人用药费用。结论:在我们的背景下,与毒品交易有牵连的街头青年具有与毒品相关和社会人口脆弱性的特点。这些人似乎也受到药物依赖的驱使,并报告警察暴力的程度有所上升。我们的发现对针对街头毒品交易的药物策略有直接的影响。
Background: Street-involved youth have been shown to be involved in the street-level illicit drug trade in a number of jurisdictions, though little is known about risk factors and sequelae of this behavior. The present study was therefore conducted to investigate factors associated with the street-level drug trade involvement among street-based youth. Methods: We used logistic regression to examine factors associated with drug dealing among participants in the At-Risk Youth Study in Vancouver, Canada. We also examined motivations for drug trade involvement and types of drugs sold by participants. Results: Overall, 529 street-involved youth were followed during the study period, of whom 307 (58.0%) reported having been involved in the drug trade in the last six months. In a logistic regression analysis, crack cocaine use (Adjusted Odds Ratio [AOR] = 1.84, 95% CI: 1.28-2.67), homelessness (AOR = 1.58, 95% CI: 1.04-2.40), and having been assaulted by police (AOR = 1.85, 95% CI: 1.14-3.00) were independently associated with drug dealing among cohort participants. Among participants who reported drug dealing, 263 (85.6%) individuals stated that the main reason that they sold drugs was to pay for their personal drug use. Conclusions: In our setting, street-involved youth implicated in the drug trade are characterized by drug-related and sociodemographic vulnerabilities. These individuals also appear to be motivated by drug dependence and report elevated levels of police violence. Our findings have immediate implications for drug strategies targeting street-level drug dealing.