A cluster-analytic study of substance problems and mental health among street youths
A cluster-analytic study of substance problems and mental health among street youths
复制标题
DOI：
10.1081/ada-100101884
复制
发表时间：
1999-01-01
影响因子：
2.7
通讯作者：
Zdanowicz, YM
中科院分区：
文献类型：
--
作者：
Adlaf, EM;Zdanowicz, YM
基于1992年在加拿大安大略省多伦多对211名13-24岁街头青年进行的聚类分析，我们描述了心理健康和物质使用结果的结构。建议8个分类：创业者(n=19)经常参与犯罪活动并高度根植于街头生活方式；流浪者(n=35)很少接触社会，表现出低于平均水平的家庭功能障碍，且不是高度根深蒂固的街头生活方式；游击队(n=40)以其酗酒和吸毒的娱乐动机以及低于平均水平的街头生活方式为特征；退化论者(n=32)以其对药物使用的高应对动机而区分；边缘流浪者(n=48)轻微参与街头生活方式，表现出低于平均水平的家庭功能障碍；超越者(IL=21)，尽管身体和性虐待高于平均水平，但报告的精神健康或药物使用问题低于平均水平；易受伤害者(n=12)的特点是高度家庭功能障碍(包括身体和性虐待)，精神健康结果提高，以及因应对和逃避而使用酒精和其他药物；性工作者(n=4)在街头生活方式中根深蒂固，报告频繁商业性工作、高于平均水平的性虐待和大量使用强效可卡因。结果显示：苦恼、自尊、精神病性思维、自杀未遂、酒精问题、毒品问题、双重物质问题。二重障碍在这八个群体中差异很大。总体而言，这些发现表明有必要进行差异化编程。数据显示，风险因素、心理健康和药物使用结果在这一人群中有所不同。此外，对一些人来说，精神健康和药物使用问题密不可分。
Based on a cluster analysis of 211 street youths aged 13-24 years interviewed in 1992 in Toronto, Ontario, Canada, we describe the configuration of mental health and substance use outcomes. Eight clusters were suggested: Entrepreneurs (n = 19) were frequently involved in delinquent activity and were highly entrenched in the street lifestyle; Drifters (n = 35) had infrequent social contact, displayed lower than average family dysfunction, and were not highly entrenched in the street lifestyle; Partiers (n = 40) were distinguished by their recreational motivation for alcohol and drug use and their below average entrenchment in the street lifestyle; Retreatists (n = 32) were distinguished by their high coping motivation for substance use; Fringers (n = 48) were involved marginally in the street lifestyle and showed lower than average family dysfunction; Transcenders (il = 21), despite above average physical and sexual abuse, reported below average mental health or substance use problems; Vulnerables (n = 12) were characterized by high family dysfunction (including physical and sexual abuse), elevated mental health outcomes, and use of alcohol and other drugs motivated by coping and escapism; Sex Workers (n = 4) were highly entrenched in the street lifestyle and reported frequent commercial sexual work, above average sexual abuse, and extensive use of crack cocaine. The results showed that distress, self-esteem, psychotic thoughts, attempted suicide, alcohol problems, drug problems, dual substance problems. and dual disorders varied significantly among the eight clusters. Overall, the findings suggest the need for differential programming. The data showed that risk factors, mental health, and substance use outcomes vary among this population. Also, for some the web of mental health and substance use problems is inseparable.