Sex differences in poly-victimization among youth experiencing homelessness prior to substance use treatment.

Sex differences in poly-victimization among youth experiencing homelessness prior to substance use treatment.
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在使用药物治疗之前,在无家可归的年轻人中,多性恶性化的性别差异。

DOI:
10.1016/j.chiabu.2022.105670
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发表时间:
2022-07
影响因子:
4.8
通讯作者:
Davis, Jordan P.
Davis, Jordan P.
中科院分区:
心理学2区
文献类型:
--
作者:
DiGuiseppi, Graham T.;Ring, Colin R.;Rice, Eric R.;Davis, Jordan P.

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多重受害在无家可归青年和接受药物使用治疗的青年中很常见。迄今为止,研究尚未审查这两个相互交叉的群体中的多重受害情况。研究青少年在物质使用治疗进入报告无家可归者的一生中的受害经历的异质性;确定受害类成员的人口预测因素;和治疗摄入量的受害和临床特征之间的关联。1,270名青少年和年轻人在全国范围内的物质使用治疗数据集中报告了过去90天的无家可归情况。潜在类别分析(LCA)和逻辑回归被用来研究异质性的多受害的经验,与人口统计学和临床特征的男性和女性。男性出现了四个受害类别,女性出现了五个受害类别。受害和创伤特征的患病率较高的女性,除了身体的受害,这是男性较高。年龄,种族/民族,和性少数群体的地位与多受害类成员,但不一致的跨类。低或单一的受害类相比,青年在多受害类有较高的几率创伤后应激障碍,严重抑郁症,和交换性(女性);多受害类成员资格与最近无家可归或物质使用障碍诊断的持续时间,低/不太复杂的受害相比。在药物使用治疗方面,发现YEH的终生受害率很高,女性的比率普遍较高。创伤知情的干预措施,需要解决复杂的受害者的经验和精神健康状况不佳的不稳定居住的青年治疗。
Poly-victimization is common among youth experiencing homelessness (YEH) and youth in substance use treatment. To date, studies have not examined poly-victimization among these two intersecting populations. To examine heterogeneity in lifetime victimization experiences among youth reporting homelessness at substance use treatment entry; identify demographic predictors of victimization class membership; and associations between victimization and clinical characteristics at treatment intake. 1,270 adolescents and young adults reporting past 90-day homelessness in a nationwide substance use treatment data set. Latent Class Analysis (LCA) and logistic regression were used to examine heterogeneity in poly-victimization experiences, and associations with demographics and clinical characteristics for males and females. Four victimization classes were emerged for males, and five victimization classes emerged for females. The prevalence of victimization and trauma characteristics were higher for females, except physical victimization, which was higher for males. Age, race/ethnicity, and sexual minority status were related to poly-victimization class membership, but not consistently across classes. Compared to low or single victimization classes, youth in the poly-victimization class had higher odds of post-traumatic stress disorder, major depressive disorder, and exchange sex (among females); Poly-victimization class membership was not associated with duration of recent homelessness or substance use disorder diagnoses, when compared to low/less complex victimization. High rates of lifetime victimization were found for YEH in substance use treatment, with rates generally higher among females. Trauma-informed interventions are needed to address complex victimization experiences and poor mental health among unstably housed youth in treatment.
西方国家青年无家可归者的风险和韧性因素:系统评价。
DOI: 10.1176/appi.ps.202000133
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