Substance abuse by youth and young adults in rural America
Substance abuse by youth and young adults in rural America
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DOI：
10.1111/j.1748-0361.2008.00162.x
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发表时间：
2008-06-01
影响因子：
4.9
通讯作者：
Hartley, David
中科院分区：
文献类型：
--
作者：
Lambert, David;Gale, John A.;Hartley, David
目的：解决美国农村地区的药物滥用问题需要我们超越城乡比较，了解不同规模的农村社区药物滥用的差异。我们通过检查4个地理级别的药物滥用流行率来解决这一差距，重点是青年（12-17岁）和年轻人（18-25岁）。方法：分析是基于3年（2002-2004年）的汇总数据，从全国药物使用和健康调查。我们使用2003年农村-城市连续体代码的四层合并来衡量农村性：城市，农村-邻近，农村-大，农村-中小。结果：农村青年有较高的酒精使用和甲基苯丙胺的使用比城市青年和更多的农村地区，更高的使用。生活在广大农村地区的农村青年滥用药物的比率高于城市青年;生活在大部分农村地区的农村青年使用甲基苯丙胺的比率几乎是城市青年的两倍。农村青年比城市青年更有可能在酒精或其他非法药物的影响下从事驾驶的高风险行为。结论：较高的流行率，加上高风险行为，使农村青年和年轻成年人面临继续使用药物的风险和与这种使用有关的问题。应加强农村社区基础设施，以支持对这些人口的药物滥用预防和干预。
Purpose: Addressing substance abuse in rural America requires extending our understanding beyond urban-rural comparisons to how substance abuse varies across rural communities of different sizes. We address this gap by examining substance abuse prevalence across 4 geographic levels, focusing on youth (age 12-17 years) and young adults (age 18-25 years). Methods: The analysis is based on 3 years (2002-2004) of pooled data from the National Survey on Drug Use and Health. We measure rurality using a four-tier consolidation of the 2003 Rural-Urban Continuum Codes: urban, rural-adjacent, rural-large, and rural-small and medium. Findings: Rural youth have higher alcohol use and methamphetamine use than urban youth and the more rural the area, the higher the use. Rural young adults living in rural-large areas have higher rates of substance abuse than their urban peers; those living in the most rural areas have nearly twice the rate of methamphetamine use as urban young adults. Rural youth are more likely than urban youth to have engaged in the high-risk behavior of driving under the influence of alcohol or other illicit drugs. Conclusions: Higher prevalence rates, coupled with high-risk behavior, place rural youth and young adults at risk of continued substance use and problems associated with this use. Rural community infrastructure should be enhanced to support substance abuse prevention and intervention for these populations.