218080 Gender differences in substance abuse among juvenile inmates in Taiwan

Tuesday, November 9, 2010

Eugene Yu-Chang Peng, MD, MS , Department of Community Medicine, Taipei City Hospital, Renai Branch, Taipei, Taiwan
Shu-Yu Lyu, MPH, PhD , School of Public Health, Taipei Medical University, Taipei, Taiwan
Donald E. Morisky, ScD, MSPH, ScM , Department of Community Health Sciences, School of Public Health, University of California at Los Angeles, Los Angeles, CA
Liang-Ting Tsai, MS, PhD , Graduate School of Educational Measurement & Statistics, National Taichung University, Taichung, Taiwan
Po-Tswen Yu, MS , Department of Health, Health Education Center, Bureau of Health Promotion, Taipei, Taiwan
Objective: This study examined the gender difference in substance abuse among juvenile inmates. Method: Data were collected through a census survey for juvenile inmates in the correctional institutions anonymously using a self-administered questionnaire in group settings, and directed by our interviewers in 2007. A total of 1,363 juvenile inmates aged 10 to 22 were recruited in the survey and the response rate was 90.6%. Results: Roughly 70.6% female and 78.8% male participants reported ever smoking over 100 cigarettes in their lifetime. Significant gender differences (p < .05) before current imprisonment in prevalence of substance use between female and male participants were found in cigarette smoking (81.4% vs. 88.7%), drinking alcohol (66.2% vs. 56.0%) and illicit drug using (55.2% vs. 40.9%). About 45.8% female and 39.6% male participants agreed with the statement that "smoking is the gateway drug of illicit drug use." Multiple logistic regression analysis revealed that female (OR=1.96, 95%CI=1.25-3.07), those having a smoking habit (OR=4.18, 95%CI=2.38-7.33), those having a drinking habit (OR=1.52, 95%CI=1.14-2.03), those without exercise habit (OR=1.34, 95%CI=1.01-1.76), those with all or most significant others were illicit drug users (OR=4.94, 95%CI=3.66-6.66), and those with some significant others were illicit drug users (OR=6.46, 95%CI=3.63-11.50) were more likely to use illicit drug compared to their counterparts, after controlling for subjects'age, and level of education. Conclusions: Smoking/drinking habits and social influence are associated with illicit drug use behaviors among juvenile inmates.

Learning Areas:
Public health or related public policy
Social and behavioral sciences

Learning Objectives:
1. Recognize the prevalence rate of substance use among juvenile incarcerated population. 2. Identify the correlates of illicit drug using among juvenile incarcerated population. 3. Discuss gender sensitive substance abuse prevention strategies for juvenile incarcerated population. 4. Explore risky behaviors and health education needs among juvenile incarcerated population.

Keywords: Adolescents, International, Drug Abuse

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the co-PI of this research.
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.

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