Syndemic Risk Classes and Substance Use Problems among Adults in High-Risk Urban Areas: A Latent Class Analysis.
Syndemic Risk Classes and Substance Use Problems among Adults in High-Risk Urban Areas: A Latent Class Analysis.
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DOI：
10.3389/fpubh.2017.00237
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发表时间：
2017
影响因子：
5.2
通讯作者：
Gwadz M
中科院分区：
文献类型：
--
作者：
Cleland CM;Lanza ST;Vasilenko SA;Gwadz M
药物使用问题往往与风险因素同时发生，而这些风险因素在贫困率高的城市社区尤为普遍。本研究利用Syndemics理论来了解风险和弹性的概况及其与不良后果风险人群中物质使用问题的关联。非裔美国人/黑人和西班牙裔异性恋成年人（N = 2，853）通过应答者驱动的抽样从贫困率较高的城市地区招募，并完成了一个结构化的评估电池，包括社会人口统计学，综合因素（即，多个共同发生的风险因素）和物质使用。超过三分之一的参与者（36%）在过去一年中符合酒精或毒品问题的标准。潜在类别分析分别确定了妇女和男子的风险和复原力概况，这与药物使用问题的可能性有关。几乎三分之一的女性（27%）和38%的男性风险较低，这种弹性模式在其他类型的分析中并不明显。具有更多风险和更少弹性因素的概况与物质使用问题的概率增加有关，但具有更少风险和更多弹性因素的概况的物质使用问题率与一般成年人非常相似。相对于最低风险特征，风险最高、弹性因素最少的特征与女性[校正比值比（aOR）= 8.50; 95%CI：3.85-18.74]和男性（aOR = 11.68; 95%CI：6.91-19.74）物质使用问题的几率增加相关。处理吸毒治疗和预防中的综合因素可能会产生更好的结果。
Substance use problems tend to co-occur with risk factors that are especially prevalent in urban communities with high rates of poverty. The present study draws on Syndemics Theory to understand profiles of risk and resilience and their associations with substance use problems in a population at risk for adverse outcomes. African-American/Black and Hispanic heterosexual adults (N = 2,853) were recruited by respondent-driven sampling from an urban area with elevated poverty rates, and completed a structured assessment battery covering sociodemographics, syndemic factors (that is, multiple, co-occurring risk factors), and substance use. More than one-third of participants (36%) met criteria for either an alcohol or a drug problem in the past year. Latent class analysis identified profiles of risk and resilience, separately for women and men, which were associated with the probability of a substance use problem. Almost a third of women (27%) and 38% of men had lower risk profiles—patterns of resilience not apparent in other types of analyses. Profiles with more risk and fewer resilience factors were associated with an increased probability of substance use problems, but profiles with fewer risk and more resilience factors had rates of substance use problems that were very similar to the general adult population. Relative to the lowest risk profile, profiles with the most risk and fewest resilience factors were associated with increased odds of a substance use problem for both women [adjusted odds ratio (aOR) = 8.50; 95% CI: 3.85–18.74] and men (aOR = 11.68; 95% CI: 6.91–19.74). Addressing syndemic factors in substance use treatment and prevention may yield improved outcomes.
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影响因子：
4.4
作者：
German D;Latkin CA
通讯作者：
Latkin CA
影响因子：
3.2
作者：
BARR, KEM;FARRELL, MP;BARNES, GM
通讯作者：
BARNES, GM
影响因子：
5.4
作者：
Cohen, DA;Farley, TA;Mason, K
通讯作者：
Mason, K
影响因子：
4.5
作者：
Gwadz M;Cleland CM;Leonard NR;Kutnick A;Ritchie AS;Banfield A;Hagan H;Perlman DC;McCright-Gill T;Sherpa D;Martinez BY;BCAP Collaborative Research Team
通讯作者：
BCAP Collaborative Research Team
影响因子：
4.4
作者：
Brantley, Meredith L.;Kerrigan, Deanna;Sherman, Susan G.
通讯作者：
Sherman, Susan G.