Understanding Neighborhoods' Impact on Youth Substance Use and Mental Health Outcomes in Paterson, New Jersey: Protocol for a Community-Based Participatory Research Study.
Understanding Neighborhoods' Impact on Youth Substance Use and Mental Health Outcomes in Paterson, New Jersey: Protocol for a Community-Based Participatory Research Study.
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DOI：
10.2196/29427
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发表时间：
2021-05-28
影响因子：
1.7
通讯作者：
Kershaw T
中科院分区：
文献类型：
--
作者：
Opara I;R Leonard N;Thorpe D;Kershaw T
青年人使用药物是一个主要的公共卫生问题。值得注意的是，青年人中药物使用的流行率正在上升，较早年龄的药物使用率也在上升。鉴于早期使用药物的长期后果，必须查明使青年更容易吸毒的因素，因为这些因素可能是今后干预措施的重要目标。这项研究的目的是使用创新的方法，如场地为基础的抽样，招募青年谁是从学校断开，并使用社区为基础的参与性研究，以获得更好地了解药物使用的流行率和重要的相关性之间的13岁至21岁的年轻人在帕特森，新泽西，低收入，城市社区。该研究将采用一种融合的混合方法设计，涉及多个数据收集组成部分和对行政数据源的分析，设计时考虑到复杂干预框架的优势。这项研究的总体目标是确定青少年谁是从事学校和不从事学校的物质使用的流行率;了解重要的前因和物质使用的相关性;并利用这些信息，告知社会，环境和文化上适当的干预措施，以解决物质使用及其相关青年在一个资源较低的城市社区。这项研究将使用定性和定量方法来解决重要问题。具体而言，将使用焦点小组和访谈方法进行半结构化访谈，以评估青年的生活经历，并说明定量方法可能无法获得的具体细节。此外，定量方法将被用来检查邻里因素和青年物质使用和心理健康结果之间的直接和多层次的关联。之前在新泽西帕特森的一项物质使用倡议的分析发现，使用大麻和酒精等物质的年轻人更有可能患抑郁症和焦虑症。在研究问题的基础上，本研究将通过定量和定性的方法研究帕特森青年的邻里特征，物质使用和心理健康症状之间的关联，并将使用这些研究结果来告知社区的适应和基于证据的物质使用预防干预这些青年。这项研究的结果将提供一个重要的贡献，了解社会生态因素的作用，在预测物质使用和心理健康的结果之间的青年在一个资源较低的城市社区。此外，这些研究结果将作为证据的文化知情，以社区为基础的预防计划，以解决青少年，包括那些谁是逃学帕特森，新泽西的物质使用的差距的发展。PRR1-10.2196/29427
Substance use among youth is a major public health concern. Of note, substance use among youth is increasing in prevalence, and the incidence of substance use at earlier ages is rising. Given the long-term consequences of early substance use, it is important to identify factors that increase youth vulnerability to drug use, as they may be important targets for future interventions. This study aims to use innovative methods, such as venue-based sampling, to recruit youth who are disconnected from school and use community-based participatory research to gain a better understanding of the prevalence of substance use and important correlates among youth aged between 13 and 21 years in Paterson, New Jersey, a low-income, urban community. The study will use a convergent, mixed methods design involving multiple data collection components and the analysis of a ministrative data source, designed with the strengths of complex intervention frameworks in mind. The overall aims of the study are to identify the prevalence of substance use among youth who are engaged in school and not engaged in school; to understand important antecedents and correlates of substance use; and to use this information to inform social, environmental, and culturally appropriate interventions to address substance use and its correlates among youths in a lower-resourced urban community. This study will use both qualitative and quantitative methods to address important questions. Specifically, semistructured interviews using focus group and interview methodologies will be used to assess youths’ lived experiences and will account for specific details that quantitative methods may not be able to attain. In addition, quantitative methods will be used to examine direct and multilevel associations between neighborhood factors and youth substance use and mental health outcomes. A previous analysis from a substance use initiative in Paterson, New Jersey found that youth who use substances such as marijuana and alcohol are more likely to have higher rates of depression and anxiety. On the basis of the research questions, this study will examine the association between neighborhood characteristics, substance use, and mental health symptoms among youth in Paterson by using quantitative and qualitative methods and will use these findings to inform the adaptation of a community- and evidence-based substance use prevention intervention for these youths. The findings of this study will provide an important contribution to understanding the role of socioecological factors in predicting substance use and mental health outcomes among youth in a lower-resourced, urban community. Furthermore, these findings will serve as evidence for the development of a culturally informed, community-based prevention program to address substance use disparities for youth, including those who are truant in Paterson, New Jersey. PRR1-10.2196/29427