Crack and cocaine use among adolescents in psychiatric treatment

Associations with hiv risk

Marina Tolou-Shams, Sarah Feldstein Ewing, Nicholas Tarantino, Larry K. Brown

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Crack and cocaine use among adults has been associated with co-occurring psychiatric disorders as well as other drug use and unprotected sex. However, this issue is relatively unstudied in adolescents. This study collected data from 282 adolescents (mean age=14.9 years) treated in intensive psychiatric treatment settings to understand the relationship between crack/cocaine use and HIV risk. Thirteen percent of youths reported ever using crack or cocaine. Use was not associated with age, gender, race/ethnicity, or SES. After controlling for known factors that influence unprotected sex, the odds that those with a history of crack/cocaine use engaged in inconsistent condom use was six times greater than that for those youths who did not ever use. Thus, crack/cocaine use is prevalent even among younger adolescents with psychiatric disorders who are not in drug treatment. Its use is associated with high rates of sexual and other risk behaviors. A history of use should alert clinicians to a wide variety of possible behavioral risks. These results can also inform future adolescent HIV prevention intervention development.

Original languageEnglish (US)
Pages (from-to)122-134
Number of pages13
JournalJournal of Child and Adolescent Substance Abuse
Volume19
Issue number2
DOIs
StatePublished - Apr 2010
Externally publishedYes

Fingerprint

Crack Cocaine
Adolescent Psychiatry
psychiatric treatment
adolescent
Unsafe Sex
Psychiatry
HIV
Therapeutics
history
risk behavior
drug use
Condoms
Risk-Taking
ethnicity
Pharmaceutical Preparations
drug
gender

Keywords

  • Adolescent
  • Cocaine
  • Crack
  • Hiv
  • Psychopathology
  • Sexual risk behavior

ASJC Scopus subject areas

  • Education
  • Social Psychology
  • Psychology(all)
  • Public Health, Environmental and Occupational Health

Cite this

Crack and cocaine use among adolescents in psychiatric treatment : Associations with hiv risk. / Tolou-Shams, Marina; Feldstein Ewing, Sarah; Tarantino, Nicholas; Brown, Larry K.

In: Journal of Child and Adolescent Substance Abuse, Vol. 19, No. 2, 04.2010, p. 122-134.

Research output: Contribution to journalArticle

@article{6593457a04d243bb860ff3c24b7d41b3,
title = "Crack and cocaine use among adolescents in psychiatric treatment: Associations with hiv risk",
abstract = "Crack and cocaine use among adults has been associated with co-occurring psychiatric disorders as well as other drug use and unprotected sex. However, this issue is relatively unstudied in adolescents. This study collected data from 282 adolescents (mean age=14.9 years) treated in intensive psychiatric treatment settings to understand the relationship between crack/cocaine use and HIV risk. Thirteen percent of youths reported ever using crack or cocaine. Use was not associated with age, gender, race/ethnicity, or SES. After controlling for known factors that influence unprotected sex, the odds that those with a history of crack/cocaine use engaged in inconsistent condom use was six times greater than that for those youths who did not ever use. Thus, crack/cocaine use is prevalent even among younger adolescents with psychiatric disorders who are not in drug treatment. Its use is associated with high rates of sexual and other risk behaviors. A history of use should alert clinicians to a wide variety of possible behavioral risks. These results can also inform future adolescent HIV prevention intervention development.",
keywords = "Adolescent, Cocaine, Crack, Hiv, Psychopathology, Sexual risk behavior",
author = "Marina Tolou-Shams and {Feldstein Ewing}, Sarah and Nicholas Tarantino and Brown, {Larry K.}",
year = "2010",
month = "4",
doi = "10.1080/10678281003634926",
language = "English (US)",
volume = "19",
pages = "122--134",
journal = "Journal of Child and Adolescent Substance Abuse",
issn = "1067-828X",
publisher = "Routledge",
number = "2",

}

TY - JOUR

T1 - Crack and cocaine use among adolescents in psychiatric treatment

T2 - Associations with hiv risk

AU - Tolou-Shams, Marina

AU - Feldstein Ewing, Sarah

AU - Tarantino, Nicholas

AU - Brown, Larry K.

PY - 2010/4

Y1 - 2010/4

N2 - Crack and cocaine use among adults has been associated with co-occurring psychiatric disorders as well as other drug use and unprotected sex. However, this issue is relatively unstudied in adolescents. This study collected data from 282 adolescents (mean age=14.9 years) treated in intensive psychiatric treatment settings to understand the relationship between crack/cocaine use and HIV risk. Thirteen percent of youths reported ever using crack or cocaine. Use was not associated with age, gender, race/ethnicity, or SES. After controlling for known factors that influence unprotected sex, the odds that those with a history of crack/cocaine use engaged in inconsistent condom use was six times greater than that for those youths who did not ever use. Thus, crack/cocaine use is prevalent even among younger adolescents with psychiatric disorders who are not in drug treatment. Its use is associated with high rates of sexual and other risk behaviors. A history of use should alert clinicians to a wide variety of possible behavioral risks. These results can also inform future adolescent HIV prevention intervention development.

AB - Crack and cocaine use among adults has been associated with co-occurring psychiatric disorders as well as other drug use and unprotected sex. However, this issue is relatively unstudied in adolescents. This study collected data from 282 adolescents (mean age=14.9 years) treated in intensive psychiatric treatment settings to understand the relationship between crack/cocaine use and HIV risk. Thirteen percent of youths reported ever using crack or cocaine. Use was not associated with age, gender, race/ethnicity, or SES. After controlling for known factors that influence unprotected sex, the odds that those with a history of crack/cocaine use engaged in inconsistent condom use was six times greater than that for those youths who did not ever use. Thus, crack/cocaine use is prevalent even among younger adolescents with psychiatric disorders who are not in drug treatment. Its use is associated with high rates of sexual and other risk behaviors. A history of use should alert clinicians to a wide variety of possible behavioral risks. These results can also inform future adolescent HIV prevention intervention development.

KW - Adolescent

KW - Cocaine

KW - Crack

KW - Hiv

KW - Psychopathology

KW - Sexual risk behavior

UR - http://www.scopus.com/inward/record.url?scp=77951282492&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77951282492&partnerID=8YFLogxK

U2 - 10.1080/10678281003634926

DO - 10.1080/10678281003634926

M3 - Article

VL - 19

SP - 122

EP - 134

JO - Journal of Child and Adolescent Substance Abuse

JF - Journal of Child and Adolescent Substance Abuse

SN - 1067-828X

IS - 2

ER -