Predictors and consequences of incarceration among a sample of young Thai methamphetamine users.
Predictors and consequences of incarceration among a sample of young Thai methamphetamine users.
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DOI：
10.1111/j.1465-3362.2009.00146.x
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发表时间：
2010-07
影响因子：
3.8
通讯作者：
S. Sherman;C. Sutcliffe;Bangorn Srirojn;D. German;N. Thomson;A. Aramrattana;D. Celentano
中科院分区：
文献类型：
--
作者：
S. Sherman;C. Sutcliffe;Bangorn Srirojn;D. German;N. Thomson;A. Aramrattana;D. Celentano
我们的研究考察了逮捕和监禁的发生率，调查了监禁的预测因素，并探讨了来自泰国的年轻甲基苯丙胺使用者在监禁后的抑郁、酒精使用和药物使用的持久性。设计与方法参与者年龄在18-25岁之间，是一项为期12个月的随机社会网络试验的一部分，旨在降低性风险和甲基苯丙胺的使用。对12个月内逮捕和监禁的发生率进行了估计。一项匹配的病例对照研究（n = 73例；n = 223例对照）使用条件逻辑回归检查监禁的危险因素。探讨了监禁后药物风险行为的持久性。研究参与者（n = 950） 72%为男性，中位年龄为19岁，中位受教育年限为9年。在基线时报告频繁使用药物和酒精。总的来说，35%的样本报告曾经被逮捕过，22%的样本报告曾经被监禁过。在12个月的随访中，16%的样本被逮捕。在单变量分析中，监禁的风险因素包括频繁吸毒和酗酒、受教育程度较低、有被捕和监禁史。在被捕后，吸毒和酗酒以及参与毒品经济的现象仍然很普遍。讨论与结论：研究表明，在这些年轻样本中，累犯率很高，入狱后继续参与毒品危险行为。需要采取适当的干预措施，以解决主要与药物使用有关的逮捕的根本原因。
INTRODUCTION AND AIMS Our study examined the incidence of arrest and incarceration, investigated predictors of incarceration and explored the persistence of depression, alcohol use and drug use after incarceration among young methamphetamine users from Thailand. DESIGN AND METHODS Participants were aged 18-25 years old and were a part of a 12 month randomised social network trial that aimed to reduce sexual risk and methamphetamine use. Estimates of the incidence of arrest and incarceration over 12 months were calculated. A matched case-control study (n = 73 cases; n = 223 controls) was performed to examine incarceration risk factors using conditional logistic regression. Persistence of drug-risk behaviours were explored after incarceration. RESULTS Study participants (n = 950) were 72% male, with a median age of 19 years and a median of 9 years of schooling. Frequent drug and alcohol use were reported at baseline. In total, 35% of the sample reported ever having been arrested and 22% reported ever having been incarcerated at baseline. During the 12 month follow up, 16% of the sample was arrested. In univariate analyses, risk factors for incarceration included frequent drug and alcohol use, being less educated, and a history of arrest and incarceration. A high prevalence of drug and alcohol use and involvement in the drug economy persisted after arrest. DISCUSSION AND CONCLUSIONS The study indicates a high prevalence of recidivism among this young sample, with continued involvement in drug-risk behaviours after incarceration. Appropriate interventions are needed to address root causes of arrest, largely related to substance use.