Substance use among rural adolescents with incarcerated parents: Evidence from a state-wide sample

IF 3.1 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Rural Health Pub Date : 2023-11-15 DOI:10.1111/jrh.12806

Luke Muentner PhD, MSW, Katie K. McLaughlin JD, Rebecca Shlafer PhD, MPH

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引用次数: 0

Abstract

Purpose

Incarceration rates are highest in rural communities, disproportionately exposing rural children to parental incarceration (PI). Substance use is a pressing public health issue—and a key driver of incarceration—in rural areas, yet limited research has examined PI as a social determinant of health for adolescent alcohol and drug use. This study links exposure to PI with rural adolescent substance use and examines the role of coresidence with parents in these associations.

Methods

Data come from the 2019 Minnesota Student Survey, including 18,820 rural adolescents. Respondents self-reported experiences of PI (current, former, never), whether they lived with the parent at the time of incarceration, and past-year alcohol, marijuana, cocaine, heroin, and methamphetamine use.

Findings

Over 22% of rural adolescents experienced PI. In adjusted logistic regression models, current PI was associated with greater past-year alcohol (aOR = 2.20), marijuana (aOR = 4.08), cocaine (aOR = 3.61), heroin (aOR = 4.96), and methamphetamine (aOR = 5.43) use compared to peers who never experienced PI. Current PI was also associated with greater counts of use. Associations between coresidence and substance use were largely nonsignificant.

Conclusions

The elevated risk for substance use in the context of rural PI and its adverse sequelae call for expanded prevention and intervention strategies that support adolescent health alongside targeted decarceration efforts in rural communities that reduce the number of families put in the potentially compromising situation of PI.

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父母被监禁的农村青少年的物质使用:来自全州样本的证据。

目的:农村社区的监禁率最高，使农村儿童不成比例地暴露于父母监禁(PI)。在农村地区，物质使用是一个紧迫的公共卫生问题，也是监禁的关键驱动因素，然而，有限的研究已经将PI作为青少年酒精和药物使用健康的社会决定因素。本研究将暴露于PI与农村青少年物质使用联系起来，并考察了与父母共同居住在这些关联中的作用。方法:数据来自2019年明尼苏达州学生调查，包括18820名农村青少年。受访者自我报告了PI的经历(现在，以前，从未)，他们是否在监禁期间与父母住在一起，以及过去一年的酒精，大麻，可卡因，海洛因和甲基苯丙胺的使用情况。结果:超过22%的农村青少年经历过PI。在调整后的logistic回归模型中，与从未经历过PI的同龄人相比，当前PI与过去一年更多的酒精(aOR = 2.20)、大麻(aOR = 4.08)、可卡因(aOR = 3.61)、海洛因(aOR = 4.96)和甲基苯丙胺(aOR = 5.43)使用相关。当前的PI也与更多的使用次数有关。同居与药物使用之间的关联基本上不显著。结论:农村PI背景下物质使用风险的增加及其不良后遗症要求扩大预防和干预策略，支持青少年健康，同时在农村社区开展有针对性的脱毒工作，减少处于PI潜在危害状况的家庭数量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

6.10%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Rural Health, a quarterly journal published by the NRHA, offers a variety of original research relevant and important to rural health. Some examples include evaluations, case studies, and analyses related to health status and behavior, as well as to health work force, policy and access issues. Quantitative, qualitative and mixed methods studies are welcome. Highest priority is given to manuscripts that reflect scholarly quality, demonstrate methodological rigor, and emphasize practical implications. The journal also publishes articles with an international rural health perspective, commentaries, book reviews and letters.