Correlates of crack abuse among drug-using incarcerated women: Psychological trauma, social support, and coping behavior
Correlates of crack abuse among drug-using incarcerated women: Psychological trauma, social support, and coping behavior
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DOI：
10.3109/00952999609001644
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发表时间：
1996-01-01
影响因子：
2.7
通讯作者：
Safyer, SF
中科院分区：
文献类型：
--
作者：
ElBassel, N;Gilbert, L;Safyer, SF
这项调查研究了158名妇女的心理创伤和快克滥用之间的关系，这些妇女最近有吸毒史，被关押在纽约市监狱设施中。访谈者获得了人口统计学、药物使用、心理创伤史、犯罪史、社会支持和应对行为变量的数据。四分之三的样本在过去一个月内每周使用三次或三次以上的可卡因;四分之一的样本在过去一个月内每周使用三次或三次以上的其他药物，主要是海洛因。多元逻辑回归分析被用来评估成人心理创伤变量（失去监护权的最小的孩子，并住在街头逮捕前）和定期使用裂纹在三个连续的模型之间的关联。在调整社会支持、应对行为、人口统计和犯罪历史变量后，失去最小孩子监护权的女性成为常规破解用户的可能性是其他女性的3.3倍。那些表现出更多消极应对行为并认为自己缺乏情感支持的女性也更有可能经常使用快克。童年创伤（即，儿童期性虐待，儿童期身体虐待，父母酗酒）和定期使用快克也进行了评估，使用多元逻辑回归，但是，没有显着的关联，这些儿童期的心理创伤和定期使用快克在未经调整和调整的模型。研究结果强调了评估环境，人际关系和个人因素在为快克和其他药物使用者制定治疗策略方面的重要性。
This investigation examines the relationship between psychological trauma and crack abuse among 158 women with a recent history of drug use who were incarcerated in a New York City jail facility. Interviewers obtained data on demographics, drug use, psychological trauma history, criminal history, social support, and coping behavior variables. Three-fourths of the total sample had used crack three or more times a week for a month in the past; a quarter had used other drugs, predominantly heroin, three or more times a week for a month in the past. Multiple logistic regression analysis was used to assess the association between adult psychological trauma variables (loss of custody of youngest child and lived in streets prior to arrest) and regular crack use in three sequential models. After adjusting for social support, coping behavior, demographics, and criminal history variables, women who bad lost custody of their youngest child were 3.3 times more likely to be regular crack users. Women who demonstrated more negative coping behavior and perceived themselves as having less emotional support were also more likely to be regular crack users. The association between childhood traumas (i.e., childhood sexual abuse, childhood physical abuse, parental alcohol abuse) and regular crack use was also assessed using multiple logistic regression; however, no significant associations were found between these childhood psychological traumas and regular crack use in both the unadjusted and adjusted models. Study findings underscore the importance of assessing environmental, interpersonal, and intrapersonal factors in tailoring treatment strategies for users of crack and other drugs.