Prevalence of adolescent substance use disorders across five sectors of care
Prevalence of adolescent substance use disorders across five sectors of care
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DOI：
10.1097/00004583-200104000-00010
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发表时间：
2001-04-01
影响因子：
13.3
通讯作者：
Wood, PA
中科院分区：
文献类型：
--
作者：
Aarons, GA;Brown, SA;Wood, PA
目的：研究在酒精和毒品(AD)、少年司法(JJ)、精神健康(MH)、为有严重情绪障碍的青少年提供的公立学校服务(SED)和儿童福利(CW)中接受一个或多个公共护理部门服务的青少年中物质使用障碍(SODS)的患病率与年龄、性别和服务部门所属部门的关系。方法：参与者包括1,036名13至18岁的青少年，他们从加利福尼亚州圣地亚哥县所有活跃在上述五个护理部门中至少一个的青少年(N=12,662)中随机抽样。通过从1997年10月至1999年1月进行的结构化诊断性访谈对SODS进行评估。结果：所有护理部门的青少年均存在SOD，AD终身率为82.6%，JJ为62.1%，MH为40.8%，SED为23.6%，CW为19.2%。肥皂水的发生率在年长的年轻人和男性中明显更高。即使考虑到年龄和性别的影响，行业差异仍然存在。结论：在AD服务部门以及其他部门，特别是JJ和MH接受护理的年轻人中，SUDS非常普遍。这些发现对不同公共护理部门中患有SUDS的青少年的评估、治疗和服务协调具有一定的意义。
Objective: To examine the prevalence of substance use disorders (SUDs) among adolescents who received services in one or more of the following public sectors of care: alcohol and drug (AD), juvenile justice (JJ), mental health (MH), public school-based services for youths with serious emotional disturbance (SED), and child welfare (CW), in relation to age, gender, and service sector affiliation. Methods: Participants included 1,036 adolescents aged 13 to 18 years, randomly sampled from all youths who were active in at least one of the above five sectors of care (N= 12,662) in San Diego County California. SUDs were assessed through structured diagnostic interviews conducted from October 1997 through January 1999. Results: SUDs were found for youths in all sectors of care, with lifetime rates of 82.6% in AD, 62.1% in JJ, 40.8% in MH, 23.6% in SED, and 19.2% in CW. Rates of SUDs were significantly higher among older youths and males. Sector differences held even when accounting for the effects of age and gender. Conclusions: SUDs are highly prevalent among youths receiving care in the AD service sector as well as other sectors, particularly JJ and MH. These findings have implications for assessment, treatment, and service coordination for youths with SUDs in diverse sectors of public care.