关键词: Addiction Adolescent Border Drug Family Hispanic

来  源:   DOI:10.1016/j.jmh.2023.100164   PDF(Pubmed)

Abstract:
UNASSIGNED: Adolescent substance use is a significant issue which occurs during a critical period of life of youth. Perceived stress is a risk factor for adolescent substance use, and life events such as low family support, and community and familial turmoil often lead to ongoing feelings of stress and uncertainty. Similarly, structural factors such as poverty, local neighborhood disinvestment and disrepair, and exposure to racism and discrimination are linked to feelings of stress. The US-Mexico border region is favorable for drug smuggling. Such a context exacerbates stressful life events during adolescence and increases the risk of adolescent substance use. This study aims to investigate the impact family support has on substance use in adolescents living on either side of the U.S./Mexico border who self-reported high perceptions of disordered neighborhood stress, border community and immigration stress, or normalization of drug trafficking.
UNASSIGNED: This study used data from the cross-sectional BASUS survey. Logistic regression was used to study the association between family support and past 30-day use of alcohol, tobacco, marijuana, and any substance in a sample restricted to students who self-reported high perceptions of disordered neighborhood stress, border community and immigration stress, or normalization of drug trafficking.
UNASSIGNED: Participants with low family support were at higher risk of using any substance compared to participants with high family support (aOR= 1.58, 95% CI: 1.02; 2.45). Similar results were found for alcohol (aOR= 1.79, 95% CI: 1.13, 2.83). While the odds of using tobacco were higher for those with low social support as compared to participants with higher social support, this association was not statistically significant (aOR = 1.74, 95% CI: 0.93, 3.27).
UNASSIGNED: Prevention programs tailored to the U.S.-Mexico border region should emphasize strengthening family support as a preventive factor against adolescent substance use. Family support should be considered in school counseling assessments, healthcare screenings and other social services.
摘要:
青少年物质使用是一个重大问题,发生在青少年生命的关键时期。感知压力是青少年物质使用的危险因素,和生活事件,如家庭支持低,社区和家庭动荡往往导致持续的压力和不确定性。同样,贫困等结构性因素,当地社区投资不足和失修,遭受种族主义和歧视与压力有关。美墨边境地区有利于毒品走私。这种情况加剧了青春期的生活压力事件,并增加了青少年使用药物的风险。这项研究旨在调查家庭支持对生活在美国/墨西哥边境两侧的青少年的物质使用的影响,这些青少年自我报告对混乱的邻里压力有很高的看法,边境社区和移民压力,或毒品贩运正常化。
这项研究使用了来自BASUS横断面调查的数据。使用Logistic回归研究家庭支持与过去30天饮酒之间的关系,烟草,大麻,样本中的任何物质仅限于自我报告对混乱的邻里压力有很高看法的学生,边境社区和移民压力,或毒品贩运正常化。
与家庭支持高的参与者相比,家庭支持低的参与者使用任何物质的风险更高(aOR=1.58,95%CI:1.02;2.45)。对于酒精也发现了类似的结果(aOR=1.79,95%CI:1.13,2.83)。与社会支持较高的参与者相比,社会支持较低的参与者使用烟草的几率更高,这种相关性无统计学意义(aOR=1.74,95%CI:0.93,3.27).
针对美墨边境地区的预防计划应强调加强家庭支持,以此作为预防青少年吸毒的一个因素。在学校咨询评估中应考虑家庭支持,医疗保健筛查和其他社会服务。
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