Youth Substance Use in a Context of Family Homelessness |
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Authors: | Bannon William M Beharie Nisha Olshtain-Mann Orly McKay Mary M Goldstein Leah Cavaleri Mary A Loiacono Marni L Elwyn Laura J Kalogerogiannis Kosta Torres Ervin Paulino Angela Lawrence Rita |
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Affiliation: | a Department of Psychiatry and Department of Community & Preventive Medicine, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1230, New York, NY 10029, United Statesb Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1230, New York, NY 10029, United Statesc Paul Baerwald School of Social Work and Social Welfare, Hebrew University, Mount Scopus, Jerusalem, 91905, Israeld New York State Psychiatric Institute, 1051 Riverside Drive Box 100, New York NY 10032, United Statese Hunter College School of Social Work, 129 E. 79th Street, Room 540, New York, NY 10075, United Statesf Hunter College School of Social Work, City University of New York, 129 East 79th Street, New York, NY 10075, United Statesg Advocates for Human Potential, Inc. 324 Broadway, 2 E-Comm Square, Albany, NY 12207, United Statesh Mount Sinai School of Medicine, Dept. of Psychiatry, One Gustave L. Levy Place, Box 1230, New York, NY 10029, United States |
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Abstract: | ObjectiveThis study examines the relationship between family processes and youth substance use debuts among a sample of youth residing in urban family homeless shelters.MethodData regarding shelter experiences, youth and family characteristics, and the use of three substances (i.e., cigarettes, alcohol, and marijuana) were gathered from a sample of youth (11-14 years) and their respective parents residing in an urban family homeless shelter system. Multinomial logistic regression analysis was used to examine the influences on youth substance use.ResultsOf the 198 youth included in the statistical analysis, 72% (n = 143) reported no substance use debuts, while 18% (n = 35) indicated one and 10% (n = 20) indicated two to three substance use debuts. Within the final model, greater substance use debut was associated with being older (13-14 vs. 11-12; OR = 7.5; 95% CI = 1.8-30.9) and stressors exposure (OR = 4.8; 95% CI = 1.5-14.7). Furthermore, youth of adult caretakers that reported low levels of the three family processes considered were almost four and a half more likely (OR = 4.4; 95% CI = 1.2-16.5) to have made two to three substance use debuts.ConclusionsFamily processes may be a particularly important intervention target toward reducing the rate of substance use among youth residing in urban family homeless shelters. |
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Keywords: | Homelessness Adolescents Youth and family Drug use Homeless shelters Interventions |
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