Gender differences in adolescents attending a drug and alcohol withdrawal service
Gender differences in adolescents attending a drug and alcohol withdrawal service
复制标题
DOI：
10.1111/j.1465-3362.2009.00152.x
复制
发表时间：
2010-05-01
影响因子：
3.8
通讯作者：
McDermott, Brett M.
中科院分区：
文献类型：
--
作者：
Dean, Angela J.;McBride, Michelle;McDermott, Brett M.
介绍和目标。据报道，在成年物质使用者中存在性别差异，但很少有研究审查青少年接受治疗服务的性别差异。摘要本研究旨在探讨青少年接受戒断服务的性别差异。设计和方法。查明了2000年3月至2004年9月期间向取款服务机构提出的所有申请。对于每一种介绍，从临床数据库中提取了以下信息：社会人口统计学、药物使用、冒险行为、精神健康症状、药物使用的原因和背景。在双变量分析中发现的显著性别差异随后被纳入多变量模型，探索海洛因使用、大麻使用和共用注射器具的预测因素。结果在研究期间，共有262名年轻人入院（53%为男性，平均年龄16.8岁; SD 1.13）。双变量分析表明，女孩更有可能报告：无家可归，使用更多的药物，使用海洛因和安非他明，注射率较高，共用注射器具和与伴侣一起使用。多变量分析表明，女性是海洛因使用的独立预测因素，男性是大麻使用的独立预测因素。共用注射器具的显着预测使用与合作伙伴和目前使用海洛因，性别的影响不显着控制其他因素后。讨论和结论：我们的研究结果表明，男性和女性青少年提出的戒断治疗服务表现出不同的物质使用的特点。未来的研究应审查性别在确定最佳治疗方法在物质使用的青少年的作用。[Dean AJ，McBride M，Macdonald EM，Connolly Y，McDermott BM.参加戒毒和戒酒服务的青少年的性别差异。Drug Alcohol Rev 2010]。
Introduction and Aims. Gender differences have been reported in adult substance users, but little research has examined gender differences in adolescents presenting to treatment services. This study aimed to explore gender differences in adolescents presenting to a withdrawal service. Design and Methods. All presentations to a withdrawal service between March 2000 and September 2004 were identified. For each presentation, the following information was extracted from clinical databases: sociodemographics, drug use, risk-taking behaviour, mental health symptoms, reasons and context of drug use. Significant gender differences identified at bivariate analysis were then incorporated into multivariate models exploring predictors of heroin use, cannabis use and sharing injecting equipment. Results. A total of 262 young people were admitted during the study period (53% male, mean age 16.8 years; SD 1.13). Bivariate analysis indicated that girls were more likely to report: being homeless, using a greater number of substances, using heroin and amphetamines, higher rates of injecting, sharing injecting equipment and using with a partner. Multivariate analysis identified that being female was an independent predictor of heroin use and that being male was an independent predictor of cannabis use. Significant predictors of sharing injecting equipment were using with a partner and current use of heroin; the effect of gender was not significant after controlling for other factors. Discussion and Conclusions.Our findings indicate that male and female adolescents presenting to a withdrawal treatment service exhibit differences in substance use characteristics. Future research should examine the role of gender in determining optimal treatment approaches in substance-using adolescents. [Dean AJ, McBride M, Macdonald EM, Connolly Y, McDermott BM. Gender differences in adolescents attending a drug and alcohol withdrawal service. Drug Alcohol Rev 2010].