Risk/Protective Factors Associated with Substance Use among Runaway/Homeless Youth Utilizing Emergency Shelter Services Nationwide

Abstract

Rates of alcohol, tobacco, and marijuana use among runaway/homeless youth are substantially higher than found among American high school students. To understand the risk and protective factors associated with substance use, this study (1) assessed cigarette, alcohol, and marijuana use among a national sample of runaway/homeless youth, (2) identified risk/protective factors associated with lifetime substance use, and (3) examined risk/protective factors associated with six month frequency of substance use. Unduplicated cases (n = 11,841) from the 1997 Runaway/Homeless Youth Management Information System (RHY MIS) were analyzed. Results showed that substance use levels are greater than previously reported for this population. Predictors of cigarette, alcohol, and marijuana use and frequency were predominately individual youth risk factors and demographics rather than family risk factors. Providers in emergency youth shelters are in a prime position to assess substance use behaviors, as well as the associated risk factors. Provision of appropriate screening and referral to other services is essential to meet the needs of these youth.

Keywords

Runaway youth cigarette use alcohol use marijuana use adolescent substance use

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References

Johnston

L D

, O'Malley

P M

and Bachman

J G

. 2002. Demographic subgroup trends for various licit and illicit drugs, 1975–2001, Ann Arbor, MI: Institute for Social Research. Available: http://monitoringthefuture.org; (Monitoring the Future Occasional Paper No. 57)

Dembo

and Williams

. 1994. Development and assessment of a classification of high risk youths. J Drug Issues, 24(1/2): 25–37.

National Research Council Commission on Behavioral and Social Sciences and Education. 1993. Losing generations: Adolescents in high risk settings, Washington, DC: National Academy Press.

Smyth

N J

and Saulnier

C F

. 1996. Substance abuse prevention among high risk youth. J Prev nterven Comm, 14(1/2): 61–79.

Winters

K C

. 1999. Treatment of adolescents with substance use disorders, (SMA 99–3283), Rockville, MD: Center for Substance Abuse Treatment.

Kipke

M D

, Unger

J B

, Palmer

R F

and Edgington

. 1996. Drug use, needle sharing and HIV risk among injection drug-using street youth. Subst Use Misuse, 3: 1167–1187.

Kipke

M D

, Montgomery

S B

, Simon

T R

and Iverson

E F

. 1997. “Substance abuse” disorders among runaway and homeless youth. Subst Use Misuse, 32(7–8): 969–986.

Whitbeck

L B

and Hoyt

D R

. 2000. Depressive symptoms and co-occurring depressive symptoms, substance abuse, and conduct problems among runaway and homeless adolescents. Child Development, 71(3): 721–732.

Bailey

S L

, Camlin

C S

and Ennett

S T

. 1998. Substance use and risky sexual behavior among homeless and runaway youth. J Adol Health, 23(6): 378–388.

10.

Farrow

J A

, Deisher

R W

, Brown

, Kulig

J W

and Kipke

M D

. 1992. Health and health needs of homeless and runaway youth. A position paper of the Society for Adolescent Medicine. J Adol Health, 13(8): 717–726.

11.

Pires

S D

and Silber

J T

. 1996. “Services for runaway and homeless youth”. In Children's mental health: Creating systems of care in a changing society, Edited by: Stroul

B A

. 513–533. Baltimore, MD: Brookes Publishing.

12.

Ringwalt

C L

, Greene

J M

, Robertson

and McPheeters

. 1998. The prevalence of homelessness among adolescents in the United States. American Journal of Public Health, 88(9): 1325–1329.

13.

Whitbeck

L B

, Hoyt

D R

and Ackley

K A

. 1997. Abusive family backgrounds and later victimization among runaway and homeless adolescents. J Res Adol, 7(4): 375–392.

14.

Kipke

M D

, Palmer

R F

, LaFrance

and O'Connor

. 1997. Homeless youths’ descriptions of their parents’ child-rearing practices. Youth Soc, 28(4): 415–431.

15.

Ringwalt

C L

, Greene

J M

and Robertson

M J

. 1998. Familial backgrounds and risk behaviors of youth with thrown away experiences. J Adolesc, 21(3): 241–252.

16.

Hawkins

, Catalano

R F

and Miller

J Y

. 1992. Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychol Bull, 112(1): 64–105.

17.

Rotheram-Borus

M J

, Mahler

K A

, Koopman

and Langabeer

. 1996. Sexual abuse history and associated multiple risk behavior in adolescent runaways. Am J Orthopsychiatry, 66(3): 390–400.

18.

Greene

J M

and Ringwalt

C L

. 1997. Substance use among runaway and homeless youth in three national samples. American Journal of Public Health, 87(2): 229–236.

19.

Baer

J S

, Ginzler

J A

and Peterson

P L

. 2003. DSM-IV alcohol and substance abuse and dependence in homeless youth. J Stud Alcohol, 64(1): 5–14.

20.

Whitbeck

L B

and Hoyt

D R

. 1999. Nowhere to go: Homeless and runaway adolescents and their families, New York, NY: Aldine De Gruyter.

21.

Greenblatt

and Robertson

M J

. 1993. Life-styles, adaptive strategies, and sexual behaviors of homeless adolescents. Hosp Community Psychiatry, 44: 1177–118.

22.

Ensign

and Santelli

. 1998. Health status and service use. Comparison of adolescents at a school-based health clinic with homeless adolescents. Archives of Pediatrics & Adolescent Medicine, 152(1): 20–24.

23.

Sherman

D J

. 1992. The neglected health care needs of street youth. Public Health Rep, 197: 433–440.

24.

Cohen

, MacKenzie

R G

and Yates

G L

. 1991. HEADSS, a psychosocial risk assessment instrument: Implications for designing effective intervention programs for runaway youth. J Adol Health, 12(7): 539–544.

25.

Forst

M L

. 1994. A substance use profile of delinquent and homeless youths. J Drug Educ, 24(3): 219–231.

26.

Brook

J S

, Whiteman

, Balka

E B

, Win

P T

and Gursen

M D

. 1998. Similar and difference precursors to drug use and delinquency among African American and Puerto Ricans. J Gen Psychol, 159: 13–29.

27.

Jessor

. 1992. Risk of behavior in adolescence: A psychological framework for understanding and action. Dev Rev, 12: 374–390.

28.

Smith

, Lizotte

A J

, Thornberry

T P

and Krohn

M D

. 1995. Resilient youth: Identifying factors that prevent high-risk youth from engaging in delinquency and drug use. Curr Prespect Aging Life Cicle, 4: 217–247.

29.

Zweig

J M

, Phillips

S D

and Duberstein

L L

. 2002. Predicting adolescent profiles of risk: Looking beyond demographics. J Adol Health, 31(4): 343–353.

30.

Oetting

F R

. 1992. “Planning programs for prevention of deviant behavior: A psychological model”. In Ethnic and multi-cultural drug use, Edited by: Trimble

, Bolek

and Niemcryk

. 313–344. Binghamton, NY: Haworth Press.

31.

Oetting

E R

, Donnermeryer

J F

, Trimble

J E

and Beauvais

. 1998. Primary socialization theory: Culture, ethnicity, and cultural identification. The links between culture and substance use: IV. Subst Use Misuse, 33(10): 2075–2107.

32.

Garbarino

. 1991. “The human ecology of early risk”. In Handbook of early childhood intervention, Edited by: Meisels

S J

and Shankoff

. New York: Cambridge University Press.

33.

Werner

E E

. 1990. “Protective factors and individual resilience”. In Handbook of early childhood intervention, Edited by: Meisels

and Shankoff

J P

. Cambridge, MA: Cambridge University Press.

34.

Adlaf

E M

, Zdanowicz

Y M

and Smart

R G

. 1996. Alcohol and other drug use among street-involved youth in Toronto. Addic Res, 4(1): 11–24.

35.

MacLean

M G

, Paradise

M J

and Cauce

A M

. 1999. Substance use and psychological adjustment in homeless adolescents: A test of three models. Am J Community Psychol, 27(3): 405–427.

36.

McMorris

B J

, Tyler

K A

, Whitbeck

L B

and Hoyt

D R

. 2002. Familial and “on-the-street” risk factors associated with alcohol use among homeless and runaway adolescents. J Stud Alcohol, 63(1): 34–43.

37.

Feiglman

and Lee

J A

. 1995. Patterns of cigarette use among Black and White adolescents. Am J Addict, 4(3): 215–225.

38.

Parker

V C

, Sussman

, Crippens

D L

and Scholl

. 1996. Qualitative development of smoking prevention programming for minority youth. Addictive Behaviors, 21(4): 521–525.

39.

NIDA. 1993. National survey on drug use from monitoring the future survey 1975–1992, Vol. 2, Bethesda, MD: Department of Health and Human Services, Public Health Service. (NIH Publication no. 93–3598)

40.

Epstein

J A

, Botvin

G J

, Diaz

and Schinke

S P

. 1995. The role of social factors and individual characteristics in promoting alcohol use among inner-city minority youths. J Stud Alcohol, 56(1): 39–46.

41.

Dusenbury

, Epstein

J A

, Botvin

G J

and Diaz

. 1994. Social influence predictors of alcohol use among New York Latino youth. Addictive Behaviors, 19(4): 363–372.

42.

Wallace

J MJ

and Muroff

J R

. 2002. Preventing substance abuse among African American children and youth: Race differences in risk factor exposure and vulnerability. J Primary Prev, 22(3): 235–261.

43.

Maguin

and Loeber

. 1996. “Academic performance and delinquency”. In Crime and justice: A review of research, Edited by: Tonry

. 145–264. Chicago: University of Chicago Press.

44.

Sale

, Sambrano

, Springer

J F

and Turner

C W

. 2003. Risk, protection, and substance use in adolescents: A multi-site model. J Drug Educ, 33(1): 91–105.

45.

McCormack

, Janus

M-D

and Burgess

A W

. 1986. Runaway youths and sexual victimization: Gender differences in anadolescent runaway population. Child Abuse Negl, 10(3): 387–395.

46.

Janus

M D

, McCormack

, Burgess

and Hartman

. 1987. Adolescent runaways: Causes and consequences, Lexington, MA: Lexington Books.

47.

Powers

J L

, Eckenrode

and Jaklitsch

. 1990. Maltreatment among runaway and homeless youth. Child Abuse Negl, 14(1): 87–98.

48.

Tyler

K A

, Hoyt

D R

and Whitbeck

L B

. 2000. The effects of early sexual abuse on later sexual victimization among female homeless and runaway adolescents. J Interp Viol, 15(3): 235–250.

49.

Pelton

and Forehand

. 2001. Discrepancy between mother and child perceptions of their relationship: Consequences for adolescents considered within the contextof parental divorce. J Fam Viol, 16(1): 1–15.

50.

Slesnick

. 2002. Family functioning, substance use and related problem behaviors: Hispanic vs. Anglo runaway youths. J Eth in Sub Abuse, 1(4): 83–101.

51.

Bauman

and Phongsavan

. 1999. Epidemiology of substance use in adolescence: Prevalence, rends and policy implications. Drug Alcohol Depend, 55(3): 187–207.

52.

Adams

P R

and Adams

G R

. 1987. “Intervention with runaway youth and their families: Theory and practice”. In Working with troubled adolescents: A handbook Edited by: Coleman

J C

. 281–289.

53.

Williams

J H

, Ayers

C D

, Abbott

R D

, Hawkins

J D

and Catalano

R F

. 1999. Racial differences in risk factors for delinquency and substance use among adolescents. Soc Work Res, 23(4): 241–256.

54.

Gleghorn

A A

, Marx

, Vittinghoff

and Katz

M H

. 1998. Association between drug use patterns and HIV risks among homeless, runaway, and street youth in Northern California. Drug Alcohol Depend, 51(3): 219–227.