Culturally sensitive prevention programs for substance use among adolescents of color: A systematic review and meta-analysis of randomized controlled trials.
Culturally sensitive prevention programs for substance use among adolescents of color: A systematic review and meta-analysis of randomized controlled trials.
复制标题
针对有色人种青少年物质使用的文化敏感预防计划：随机对照试验的系统回顾和荟萃分析。
DOI：
10.1016/j.cpr.2022.102233
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发表时间：
2023
影响因子：
12.8
通讯作者：
Murray-Lichtman,Andrea
中科院分区：
文献类型：
--
作者：
Bo,Ai;Goings,TrenetteClark;Evans,CarolineBR;Sharma,Anjalee;Jennings,Zoe;Durand,Brenna;Bardeen,Angela;Murray-Lichtman,Andrea
这项系统的综述和荟萃分析旨在综合美国有色人种青少年(11至18岁)中对物质使用结果具有文化敏感性的预防计划的有效性，并探索干预效果是否因参与者和干预特征而异。在8个电子数据库和灰色文献中搜索合格的随机对照试验，直到2022年9月。使用Meta回归中的稳健方差估计来综合治疗效果大小估计并进行调节分析。经过筛选，纳入了30项独特的研究。所有药物使用结果的平均治疗效果大小(包括221个效果大小)为：−=0.20，95%CI=−=0.24，−=0.16。综合效应大小在物质类型(酒精、香烟、大麻、非法药物和其他药物，以及未指明的物质使用)、种族/民族(西班牙裔、黑人和美洲原住民)和不同的随访(0-12个月，12个月)中具有统计学意义。很少有研究报告药物使用的后果作为结果，综合效应的大小并不显著。Meta回归结果表明，干预效果可能因物质类型而异。这项荟萃分析发现了支持性证据，表明文化敏感的预防计划在预防或减少黑人、西班牙裔和美洲原住民青少年使用药物方面的有效性。对于亚裔美国人、太平洋岛民和多种族青少年，需要更多的药物使用预防努力和证据。
This systematic review and meta-analysis aims to synthesize the efficacy of culturally sensitive prevention programs for substance use outcomes among U.S. adolescents of color (aged 11 to 18 years old) and explore whether the intervention effects vary by participant and intervention characteristics. Eight electronic databases and grey literature were searched for eligible randomized controlled trials through September 2022. Robust variance estimation in meta-regression was used to synthesize treatment effect size estimates and to conduct moderator analysis. After screening, 30 unique studies were included. The average treatment effect size across all substance use outcomes (including 221 effect sizes) was Hedges’sg= −0.20, 95% CI = [−0.24, −0.16]. The synthesized effect sizes were statistically significant across types of substances (alcohol, cigarette, marijuana, illicit and other drugs, and unspecified substance use), racial/ethnic groups (Hispanic, Black, and Native American), and different follow-ups (0–12 months, >12 months). Very few studies reported substance use consequences as outcomes and the synthesized effect size was non-significant. Meta-regression findings suggest that the intervention effects may vary based on the type of substance. This meta-analysis found supportive evidence of culturally sensitive prevention programs’ efficacy in preventing or reducing substance use among Black, Hispanic, and Native American adolescents. More substance use prevention efforts and evidence is needed for Asian American, Pacific Islander, and multiracial adolescents.