Health Disparities in Drug- and Alcohol-Use Disorders
A 12-Year Longitudinal Study of Youths After Detention
Bibliographic Data
Objectives. To examine sex and racial/ethnic differences in the prevalence of 9 substance-use disorders (SUDs)—alcohol, marijuana, cocaine, hallucinogen or PCP, opiate, amphetamine, inhalant, sedative, and unspecified drug— in youths during the 12 years after detention. Methods. We used data from the Northwestern Juvenile Project, a prospective longitudinal study of 1829 youths randomly sampled from detention in Chicago, Illinois, starting in 1995 and reinterviewed up to 9 times in the community or correctional facilities through 2011. Independent interviewers assessed SUDs with Diagnostic Interview Schedule for Children 2.3 (baseline) and Diagnostic Interview Schedule version IV (follow-ups). Results. By median age 28 years, 91.3% of males and 78.5% of females had ever had an SUD. At most follow-ups, males had greater odds of alcohol- and marijuana-use disorders. Drug-use disorders were most prevalent among non-Hispanic Whites, followed by Hispanics, then African Americans (e.g., compared with African Americans, non-Hispanic Whites had 32.1 times the odds of cocaine-use disorder [95% confidence interval = 13.8, 74.7]). Conclusions. After detention, SUDs differed markedly by sex, race/ethnicity, and substance abused, and, contrary to stereotypes, did not disproportionately affect African Americans. Services to treat substance abuse—during incarceration and after release—would reach many people in need, and address health disparities in a highly vulnerable population
Drug · Environmental health · Ethnic group · Heroin · Logistic regression · Odds · Odds ratio · Poison control · Polysubstance dependence · Population · Psychiatry · Public health · Substance abuse · Criminal Justice and Corrections Analysis · Demography · HIV, Drug Use, Sexual Risk · Medicine · Substance Abuse Treatment and Outcomes
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Racial differences in developmental patterns of social consequences of drug use
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The association between work and substance use among justice-involved young people
Police behaviors and procedural justice
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Falling Through the Cracks
Producing race disparities
Assessing the emotional and behavioral impact of community and extra curricular activities, police contact, and collective efficacy among youth
Pathways to delinquency and substance use among African American youth
Effects of online training on social work students' efficacy and confidence related to screening, brief intervention, referral and treatment
Analysis of Health Surveys
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Multiple imputation of discrete and continuous data by fully conditional specification
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Multiple imputation by chained equations
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The 12-month prevalence and trends in DSM-IV alcohol abuse and dependence
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Black Criminal Stereotypes and Racial Profiling
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Criminal justice involvement and high school completion
Adolescent Substance Use and Other Illegal Behaviors and Racial Disparities in Criminal Justice System Involvement
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| Citations per year | 1.8 |
|---|---|
| Citation span | 2016 - 2025 (10) |
| Highly cited | No |