参与司法的青少年暴露于童年创伤和健康风险的潜在阶级分析:一种性别差异的方法

R. Dembo, Julie M. Krupa, Jennifer Wareham, Jessica Wolff, R. DiClemente, J. Schmeidler
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摘要

研究表明,参与少年司法的青少年遭受童年创伤和健康风险的风险增加。人们对不良青少年的创伤和健康风险经历的异质性知之甚少,尤其是跨性别的。目前的研究使用潜在类别分析来检查435名女性和1198名男性少年犯的自我报告暴露于创伤和健康风险的类型。本研究的目的是找出不同性别有不同创伤和健康风险行为模式的涉事青少年亚组,检查这些创伤健康风险亚组的规模,并检查创伤健康风险潜在类别的社会人口统计学差异。研究结果表明,在性别群体中存在三组创伤和健康风险行为。对于女性,这三个亚组在创伤患病率和健康风险增加方面表现出线性趋势。对于男性来说,这三个亚组反映了一个总体上低风险的群体,一个大麻使用率和危险性行为高的群体,以及一个抑郁、家庭问题、性侵犯受害者和欺凌发生率高的群体。对协变量的分析揭示了创伤和健康风险的种族差异。研究结果表明,应考虑对涉事青少年采取性别干预策略。
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Latent Class Analysis of Exposure to Childhood Trauma and Health Risks among Justice-Involved Youth: An Approach towards Gender Differences
Research indicates juvenile justice-involved youth experience increased risk of exposure to childhood trauma and health risks. Little is known about the heterogeneity in trauma and health risk experiences among delinquent youth, especially across gender. The current study uses latent class analysis to examine typologies of self-reported exposure to trauma and health risks among a sample of 435 female and 1,198 male juvenile offenders. The study objectives were to identify any subgroups of justice-involved youths with varying patterns of trauma and health risk behaviors across gender, examine the size of these trauma-health risk subgroups, and examine socio-demographic differences in the trauma-health risk latent classes. Findings suggest the presence of three groups of trauma and health risk behaviors within the gender groups. For females, the three subgroups demonstrated linear trends in increasing prevalence of trauma and health risks. For males, the three subgroups reflected a generally low-risk group, a group with high rates of marijuana use and risky sexual behaviors, and a group with high rates of depression, family problems, sexual assault victimization, and bullying. The analyses for the covariates revealed racial differences in trauma and health risks. The findings suggest gendered intervention strategies should be considered for justice-involved youth.
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