背景:青少年中的物质使用是一个主要的公共卫生问题。值得注意的是,年轻人的物质使用患病率正在上升,早期使用药物的发生率正在上升。考虑到早期使用药物的长期后果,重要的是要确定增加青少年吸毒脆弱性的因素,因为它们可能是未来干预的重要目标。
目的:本研究旨在采用创新的方法,例如基于地点的抽样,招募与学校脱节的青年,并使用基于社区的参与性研究,以更好地了解帕特森13至21岁青年中物质使用的普遍性和重要相关性,新泽西,低收入人群,城市社区。这项研究将使用聚合,涉及多个数据收集组件的混合方法设计和管理数据源的分析,设计时考虑到了复杂干预框架的优势。该研究的总体目标是确定在学校和不在学校工作的年轻人中使用药物的普遍程度;了解药物使用的重要前因和相关因素;并利用这些信息为社会提供信息,环境,和文化上适当的干预措施,以解决资源较低的城市社区中年轻人的物质使用及其相关问题。
方法:本研究将使用定性和定量方法来解决重要问题。具体来说,使用焦点小组和访谈方法的半结构化访谈将用于评估年轻人的生活经历,并将说明定量方法可能无法获得的具体细节。此外,定量方法将用于检查邻里因素与青年物质使用和心理健康结果之间的直接和多层次关联。
结果:来自Paterson的物质使用倡议的先前分析,新泽西州发现,使用大麻和酒精等物质的年轻人更容易患抑郁症和焦虑症。在研究问题的基础上,这项研究将检查邻里特征之间的关联,物质使用,通过使用定量和定性方法,以及帕特森青年的心理健康症状,并将利用这些发现为这些青年提供基于社区和证据的物质使用预防干预措施的适应。
结论:这项研究的结果将为理解社会生态因素在预测资源较低的年轻人的物质使用和心理健康结果中的作用提供重要贡献。城市社区。此外,这些发现将作为文化知情发展的证据,以社区为基础的预防计划,以解决青年的物质使用差异,包括那些在帕特森逃学的人,新泽西.
■PRR1-10.2196/29427。
BACKGROUND: 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.
OBJECTIVE: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
UNASSIGNED: PRR1-10.2196/29427.