Predictors of Illicit Drug Use Among Prisoners.

Predictors of Illicit Drug Use Among Prisoners.
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DOI:
10.3109/10826084.2015.1082594
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发表时间:
2016-01-28
影响因子:
2
通讯作者:
Larson EL
Larson EL
中科院分区:
医学4区
文献类型:
--
作者:
Rowell-Cunsolo TL;Sampong SA;Befus M;Mukherjee DV;Larson EL

文献摘要

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美利坚合众国目前的监禁率是世界上最高的,大约80%的被监禁者有非法吸毒史。尽管有制度上的禁止,但吸毒仍在监狱中继续存在,并与一系列负面后果有关。评估监狱吸毒、监禁时间和一系列协变量之间的关系。大多数参与者自我报告了非法药物使用史(77.5%)。据报道,7%的人在前六个月的监禁期间吸毒(n=100)。服刑一年以上的受试者报告吸毒的可能性低于服刑一年以上的受试者(OR=0.50;95%CI=0.26-0.98)。年龄在37岁-的服刑人员吸毒的可能性低于年龄较小的服刑人员(OR=0.39;95%CI=0.19-0.80)。海洛因吸毒者吸毒的可能性是非海洛因吸毒者的两倍(OR=2.28;95%CI=1.04~5.03);强效可卡因吸毒者报告吸毒的可能性也是无强效可卡因吸毒史的参与者的两倍(OR=2.53;95%CI=1.13~5.69)。惩教机构应作为一种资源,提供循证服务,以遏制毒品使用。应该考虑为年轻囚犯、海洛因和强效可卡因吸毒者以及囚犯服刑之初提供药物治疗方案。
The United States of America currently has the highest incarceration rate in the world, and approximately 80% of incarcerated individuals have a history of illicit drug use. Despite institutional prohibitions, drug use continues in prison, and is associated with a range of negative outcomes. To assess the relationship between prison drug use, duration of incarceration, and a range of covariates. Most participants self-reported a history of illicit drug use (77.5%). Seven percent reportedly used drugs during the previous six months of incarceration (n = 100). Participants who had been incarcerated for more than a year were less likely than those incarcerated for longer than a year to report using drugs (OR = 0.50; 95% CI = 0.26–0.98). Participants aged 37–89 were less likely than younger prisoners to use drugs (OR = 0.39; 95% CI = 0.19–0.80). Heroin users were twice as likely as nonheroin users to use drugs (OR = 2.28; 95% CI = 1.04–5.03); crack cocaine users were also twice as likely as participants with no history of crack cocaine usage to report drug use (OR = 2.53; 95% CI = 1.13–5.69). Correctional institutions should be used as a resource to offer evidence-based services to curb drug usage. Drug treatment programs for younger prisoners, heroin and crack cocaine users, and at the beginning of a prisoner's sentence should be considered for this population.