Cigarette,alcohol, and marijuana use among adolescents in foster family homes |
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| Affiliation: | 1. Department of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA;2. Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA, USA,;3. Syrian Center for Tobacco Studies, Aleppo, Syria;4. University of Memphis School of Public Health, Memphis, TN, USA;5. American University of Beirut, Lebanon;6. Department of Psychology and Center for the Study of Tobacco Products, Virginia Commonwealth University, Richmond, VA, USA;7. Faculty of Medicine and Health Sciences, Aden University, Yemen;1. Agència de Salut Pública de Barcelona, Barcelona, España;2. CIBER de Epidemiología y Salud Pública (CIBERESP), España;3. Instituto de Investigación Biomédica Sant Pau (IIB Sant Pau), Barcelona, España;1. Department of Global and Community Health, George Mason University, Fairfax, VA, United States;2. Department of Health Behavior and Health Systems, University of North Texas Health Science Center, Fort Worth, TX, United States;3. Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX, United States;4. Department of Health and Kinesiology, Texas A and M University, College Station, TX, United States;1. Institute of Public Health, National Yang-Ming University, Taipei, Taiwan;2. Center for Neuropsychiatric Research, National Health Research Institutes, Miaoli, Taiwan;3. Institute of Hospital and Health Care Management, National Yang-Ming University, Taipei, Taiwan;4. Department of Speech and Language Pathology and Audiology, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan;5. Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan;1. School of Social Work, University of Southern California, 669 W. 34th St., Los Angeles, CA 90089-0411, USA;2. American Institutes for Research, 1000 Thomas Jefferson St., NW, Washington, DC 20007-3835, USA;3. Division of Hospital Medicine, Children''s Hospital Los Angeles, 4650 Sunset Blvd, MS #94, Los Angeles, CA 90027, USA;1. Prevention Research Center for Healthy Neighborhoods, Department of Population and Quantitative Health Sciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH, 44106-7069, United States;2. Maryland Center for Health Equity, Department of Behavioral and Community Health, University of Maryland, 4200 Valley Drive, 1234X SPH Building, College Park, MD, 20742, United States |
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| Abstract: | Data from a cross-sectional study conducted in a random sample of children who were placed in foster family homes were used to examine the prevalence and associated factors of substance use (i.e., cigarette, alcohol, and marijuana), and to explore if adolescents in foster family homes had different rates of substance use than those in the general population matched on age, gender and race/ethnicity. Logistic regression models were used to determine factors associated with substance use and McNemar tests were used to compare prevalence rates of substance use. Substance use was common among adolescents in foster family homes. A higher number of placement settings were significantly associated with current cigarette use (odds ratio [OR], 1.32; 95% confidence interval [CI], 1.09–1.60), and being placed in special study homes (i.e., fictive kin) was significantly associated with current marijuana use (OR, 6.43; 95% CI, 1.40–29.52). Compared to adolescents in the general population, those in foster family homes had lower rates of current alcohol (9.1% vs. 38.3%, p < 0.0001) and marijuana (13.6% vs. 29.7%, p = 0.005) use. No significant difference was observed for current cigarette use (18.2% vs. 11.5%, p = 0.08). More research is needed to confirm the lower rate of current substance use in foster family homes than those matched in the general population, and to explore why adolescents in special study homes were more vulnerable to marijuana use. |
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