Surveillance of drug use among American Indian adolescents: patterns over 25 years.
Surveillance of drug use among American Indian adolescents: patterns over 25 years.
复制标题
美国印第安青少年吸毒情况的监测：25 年来的模式。
DOI：
10.1016/j.jadohealth.2003.07.019
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Burnside,Martha
中科院分区：
文献类型：
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作者：
Beauvais,Fred;Jumper-Thurman,Pamela;Helm,Heather;Plested,Barbara;Burnside,Martha
研究在美国印第安人保留地上或附近上学的美国印第安人青少年药物使用的趋势，与非印第安人青少年进行比较，并讨论预防的意义。方法可靠有效的学校管理的药物使用调查已持续25年，每年进行一次（1975-2000年），对生活在保留地的印度青年的代表性样本进行了调查，从而产生了关于药物使用趋势的连续记录。根据监测未来项目的数据，与非印度青年进行了比较。对数据进行分析，以获得终生患病率（“曾经尝试过一种药物”）、过去30天内的使用情况以及因使用药物而处于高风险和中度风险的比例。从1975年到2000年，保留地印第安青年与非印第安青年相比，大多数非法药物的使用水平都有所提高。尽管使用率较高，但随着时间的推移，使用率的增加和减少趋势反映了非印度青年的情况。印度青年吸毒者可分为中度和高度吸毒者。中等类别的青年人数随时间而变化，而在高类别的人数保持相对constant. CONCLUSION有一个明确的需要，加紧努力，以减少印度青年之间的药物使用水平。虽然干预措施必须适合印第安人保留地的社会和文化环境，但使用率随着时间的推移而变化，与非印第安人青年相同。此外，干预措施必须针对高风险和中等风险吸毒者的不同特点。
PURPOSETo examine the trends in drug use among American Indian adolescents attending schools on, or near, Indian reservations in the United States, to provide comparisons with non-Indian youth, and to discuss implications for prevention.METHODSReliable and valid school administered drug use surveys have been given every year for 25 years (1975–2000) to representative samples of Indian youth living on reservations, yielding a continuous record of trends in drug use. Comparisons are made with non-Indian youth with data from the Monitoring the Future project. Data were analyzed to obtain measures of lifetime prevalence (“ever tried a drug”), use in the last 30 days, and proportions at high risk and at moderate risk from their drug use. Comparisons utilized difference in proportion tests.RESULTSFrom 1975 to 2000, reservation Indian youth show elevated levels of drug use for most illicit drugs compared with non-Indian youth. Despite higher levels of use, the trends showing increases and decreases in use over time mirror those shown by non-Indian youth. Indian youth who use drugs can be divided into moderate and high levels of use. The number of youth in the moderate category varies over time whereas the number in the high category remains relatively constant.CONCLUSIONSThere is a clear need for intensive efforts to reduce the levels of drug use among Indian youth. Although interventions must be tailored to the social and cultural milieu of Indian reservations, the rates of use vary over time in the same pattern as seen for non-Indian youth. Further, interventions must address the differing characteristics of high and moderate risk users of drugs.