186476 Alcohol and drug use among gang members: A closer look at the experiences of boys and girls

Tuesday, October 28, 2008

Monica H. Swahn, PhD , Institute of Public Health, Georgia State University, Atlanta, GA
Bethany West, BS , Institute of Public Health, Georgia State University, Atlanta, GA
Robert M. Bossarte, PhD , Department of Community Medicine, West Virginia University, Morgantown, WV
Volkan Topalli, PhD , Department of Criminal Justice, Atlanta, GA
Objective: To determine patterns of alcohol, drug use, and related exposures among high-school students (both boys and girls) who are current or former gang members.

Methods: Analyses were based on data from the Youth Violence Survey. This survey, conducted in 2004, was administered to over 80% of public school students in grades 7, 9, 11, and 12 (N=4,131) in a high-risk, urban school district. Associations between age of alcohol use initiation, frequency of alcohol use, alcohol-related physical fighting, peer drinking, drug use, drug selling, peer drug selling, seen drug deals in the neighborhood and gang membership were determined through logistic regression analyses.

Results: In this study, 8.8% of students (2.9% of girls and 5.9% of boys) reported current or former gang membership. Students who initiated alcohol use prior to age 13 (OR=4.90;95%CI: 3.65-6.58), who drank alcohol 3 or more times per week (OR=9.57;95%CI: 6.09-15.03) and who used drugs 3 or more times per week (OR=6.51;95%CI: 4.59-9.25) were more likely to report gang membership than students who did not report alcohol or drug use. Similar results were observed for boys and girls, many of the associations were .

Conclusions: Our findings show that gang members, both boys and girls, have frequent experiences and exposures to alcohol and drug use and are also more likely to initiate alcohol prior to age 13. Schools can serve as a critical source for intervention and prevention efforts for gang members, especially those in 7th grade, who still attend school.

Learning Objectives:
1.Describe associations between alcohol, drug use and gang membership. 2.Determine patterns of alcohol and drug use and related exposures for boys and girls who are gang members. 3.List potential prevention and intervention strategies for preventing and delaying alcohol and substance use among gang members who attend school.

Keywords: Special Populations, Youth Access

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As a professor of epidemiology this is my designated area of research and I have great expertise in the topic.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.