Health Conditions and Racial Differences Among Justice-Involved Adolescents, 2009 to 2014
Abstract Objective Providers can optimize care for high-risk adolescents by understanding the health risks among the 1 million US adolescents who interact with the justice system each year. We compared the prevalence of physical health, substance use, and mood disorders among adolescents with and wi...
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| Veröffentlicht in: | Academic pediatrics 2017-09, Vol.17 (7), p.723-731 |
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| creator | Winkelman, Tyler N.A., MD, MSc Frank, Joseph W., MD, MPH Binswanger, Ingrid A., MD, MPH, MS Pinals, Debra A., MD |
| description | Abstract Objective Providers can optimize care for high-risk adolescents by understanding the health risks among the 1 million US adolescents who interact with the justice system each year. We compared the prevalence of physical health, substance use, and mood disorders among adolescents with and without recent justice involvement and analyzed differences according to race/ethnicity. Methods Cross-sectional analysis using the 2009 to 2014 National Survey on Drug Use and Health. Prevalence data were adjusted for sociodemographic differences between adolescents with and without justice involvement. Justice-involved adolescents had a history of past year arrest, parole/probation, or juvenile detention. Results Our sample consisted of adolescents aged 12 to 17 years with (n = 5149) and without (n = 97,976) past year justice involvement. In adjusted analyses, adolescents involved at any level of the justice system had a significantly higher prevalence of substance use disorders ( P |
| doi_str_mv | 10.1016/j.acap.2017.03.003 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1878183408</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1876285917301031</els_id><sourcerecordid>1878183408</sourcerecordid><originalsourceid>FETCH-LOGICAL-c411t-11ebbf3850b8c2f98b15ecca27ff4f7101a9d4ddb2c7aa83b3ba73df9a30047c3</originalsourceid><addsrcrecordid>eNp9kUuLFDEUhYMozjj6B1xIli6sMo-qSgpEaNrHjAwIPhauQiq50bTppCepaph_b4oeZ-HC1b2Bcw4530XoOSUtJXR4vWu10YeWESpawltC-AN0TqUYGiYH8fB-78cz9KSUHSEDl3J4jM6Y5PXR9-foxyXoMP_C2xStn32KBeto8RdtvA74nXcOMkQDBW_2Kf7En5YyewPNVTymcASLNzYFKAbiXF5hRsiI51Qn7Z6iR06HAs_u5gX6_uH9t-1lc_3549V2c92YjtK5oRSmyXHZk0ka5kY50R6M0Uw41zlRi-rRdtZOzAitJZ_4pAW3btS1QicMv0AvT7mHnG4WKLPa-_qfEHSEtBRVIUgqeUdklbKT1ORUSganDtnvdb5VlKgVqdqpFalakSrCVUVaTS_u8pdpD_be8pdhFbw5CaC2PHrIqhi_MrM-g5mVTf7_-W__sZvgozc6_IZbKLu05Fj5KaoKU0R9XY-63pQKTijhlP8B_wubLQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1878183408</pqid></control><display><type>article</type><title>Health Conditions and Racial Differences Among Justice-Involved Adolescents, 2009 to 2014</title><source>Elsevier ScienceDirect Journals Complete - AutoHoldings</source><source>MEDLINE</source><creator>Winkelman, Tyler N.A., MD, MSc ; Frank, Joseph W., MD, MPH ; Binswanger, Ingrid A., MD, MPH, MS ; Pinals, Debra A., MD</creator><creatorcontrib>Winkelman, Tyler N.A., MD, MSc ; Frank, Joseph W., MD, MPH ; Binswanger, Ingrid A., MD, MPH, MS ; Pinals, Debra A., MD</creatorcontrib><description><![CDATA[Abstract Objective Providers can optimize care for high-risk adolescents by understanding the health risks among the 1 million US adolescents who interact with the justice system each year. We compared the prevalence of physical health, substance use, and mood disorders among adolescents with and without recent justice involvement and analyzed differences according to race/ethnicity. Methods Cross-sectional analysis using the 2009 to 2014 National Survey on Drug Use and Health. Prevalence data were adjusted for sociodemographic differences between adolescents with and without justice involvement. Justice-involved adolescents had a history of past year arrest, parole/probation, or juvenile detention. Results Our sample consisted of adolescents aged 12 to 17 years with (n = 5149) and without (n = 97,976) past year justice involvement. In adjusted analyses, adolescents involved at any level of the justice system had a significantly higher prevalence of substance use disorders ( P < .001), mood disorders ( P < .001), and sexually transmitted infections ( P < .01). Adolescents on parole/probation or in juvenile detention in the past year had a higher prevalence of asthma ( P < .05) and hypertension ( P < .05) compared with adolescents without justice involvement. Among justice-involved adolescents, African American adolescents were significantly less likely to have a substance use disorder ( P < .001) or mood disorder ( P < .01) compared with white or Hispanic adolescents, but had significantly higher prevalence of physical health disorders ( P < .01). Conclusions Adolescents involved at all levels of the justice system have high-risk health profiles compared with the general adolescent population, although these risks differ across racial/ethnic groups. Policymakers and health care providers should ensure access to coordinated, high-quality health care for adolescents involved at all levels of the justice system.]]></description><identifier>ISSN: 1876-2859</identifier><identifier>EISSN: 1876-2867</identifier><identifier>DOI: 10.1016/j.acap.2017.03.003</identifier><identifier>PMID: 28300655</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adolescent Behavior - psychology ; behavioral health ; Child ; chronic conditions ; Chronic Disease - epidemiology ; Chronic Disease - psychology ; Criminal Law ; Criminals - psychology ; Criminals - statistics & numerical data ; Cross-Sectional Studies ; Ethnic Groups - psychology ; Ethnic Groups - statistics & numerical data ; Female ; health disparities ; Health Status ; Humans ; Juvenile Delinquency - ethnology ; Juvenile Delinquency - psychology ; Juvenile Delinquency - statistics & numerical data ; juvenile justice ; Logistic Models ; Male ; Mood Disorders - epidemiology ; Neonatal and Perinatal Medicine ; Pediatrics ; Pregnancy ; Psychology, Adolescent ; Substance-Related Disorders - epidemiology ; United States - epidemiology</subject><ispartof>Academic pediatrics, 2017-09, Vol.17 (7), p.723-731</ispartof><rights>2017</rights><rights>Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-11ebbf3850b8c2f98b15ecca27ff4f7101a9d4ddb2c7aa83b3ba73df9a30047c3</citedby><cites>FETCH-LOGICAL-c411t-11ebbf3850b8c2f98b15ecca27ff4f7101a9d4ddb2c7aa83b3ba73df9a30047c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.acap.2017.03.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28300655$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Winkelman, Tyler N.A., MD, MSc</creatorcontrib><creatorcontrib>Frank, Joseph W., MD, MPH</creatorcontrib><creatorcontrib>Binswanger, Ingrid A., MD, MPH, MS</creatorcontrib><creatorcontrib>Pinals, Debra A., MD</creatorcontrib><title>Health Conditions and Racial Differences Among Justice-Involved Adolescents, 2009 to 2014</title><title>Academic pediatrics</title><addtitle>Acad Pediatr</addtitle><description><![CDATA[Abstract Objective Providers can optimize care for high-risk adolescents by understanding the health risks among the 1 million US adolescents who interact with the justice system each year. We compared the prevalence of physical health, substance use, and mood disorders among adolescents with and without recent justice involvement and analyzed differences according to race/ethnicity. Methods Cross-sectional analysis using the 2009 to 2014 National Survey on Drug Use and Health. Prevalence data were adjusted for sociodemographic differences between adolescents with and without justice involvement. Justice-involved adolescents had a history of past year arrest, parole/probation, or juvenile detention. Results Our sample consisted of adolescents aged 12 to 17 years with (n = 5149) and without (n = 97,976) past year justice involvement. In adjusted analyses, adolescents involved at any level of the justice system had a significantly higher prevalence of substance use disorders ( P < .001), mood disorders ( P < .001), and sexually transmitted infections ( P < .01). Adolescents on parole/probation or in juvenile detention in the past year had a higher prevalence of asthma ( P < .05) and hypertension ( P < .05) compared with adolescents without justice involvement. Among justice-involved adolescents, African American adolescents were significantly less likely to have a substance use disorder ( P < .001) or mood disorder ( P < .01) compared with white or Hispanic adolescents, but had significantly higher prevalence of physical health disorders ( P < .01). Conclusions Adolescents involved at all levels of the justice system have high-risk health profiles compared with the general adolescent population, although these risks differ across racial/ethnic groups. Policymakers and health care providers should ensure access to coordinated, high-quality health care for adolescents involved at all levels of the justice system.]]></description><subject>Adolescent</subject><subject>Adolescent Behavior - psychology</subject><subject>behavioral health</subject><subject>Child</subject><subject>chronic conditions</subject><subject>Chronic Disease - epidemiology</subject><subject>Chronic Disease - psychology</subject><subject>Criminal Law</subject><subject>Criminals - psychology</subject><subject>Criminals - statistics & numerical data</subject><subject>Cross-Sectional Studies</subject><subject>Ethnic Groups - psychology</subject><subject>Ethnic Groups - statistics & numerical data</subject><subject>Female</subject><subject>health disparities</subject><subject>Health Status</subject><subject>Humans</subject><subject>Juvenile Delinquency - ethnology</subject><subject>Juvenile Delinquency - psychology</subject><subject>Juvenile Delinquency - statistics & numerical data</subject><subject>juvenile justice</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Mood Disorders - epidemiology</subject><subject>Neonatal and Perinatal Medicine</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Psychology, Adolescent</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>United States - epidemiology</subject><issn>1876-2859</issn><issn>1876-2867</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUuLFDEUhYMozjj6B1xIli6sMo-qSgpEaNrHjAwIPhauQiq50bTppCepaph_b4oeZ-HC1b2Bcw4530XoOSUtJXR4vWu10YeWESpawltC-AN0TqUYGiYH8fB-78cz9KSUHSEDl3J4jM6Y5PXR9-foxyXoMP_C2xStn32KBeto8RdtvA74nXcOMkQDBW_2Kf7En5YyewPNVTymcASLNzYFKAbiXF5hRsiI51Qn7Z6iR06HAs_u5gX6_uH9t-1lc_3549V2c92YjtK5oRSmyXHZk0ka5kY50R6M0Uw41zlRi-rRdtZOzAitJZ_4pAW3btS1QicMv0AvT7mHnG4WKLPa-_qfEHSEtBRVIUgqeUdklbKT1ORUSganDtnvdb5VlKgVqdqpFalakSrCVUVaTS_u8pdpD_be8pdhFbw5CaC2PHrIqhi_MrM-g5mVTf7_-W__sZvgozc6_IZbKLu05Fj5KaoKU0R9XY-63pQKTijhlP8B_wubLQ</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Winkelman, Tyler N.A., MD, MSc</creator><creator>Frank, Joseph W., MD, MPH</creator><creator>Binswanger, Ingrid A., MD, MPH, MS</creator><creator>Pinals, Debra A., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170901</creationdate><title>Health Conditions and Racial Differences Among Justice-Involved Adolescents, 2009 to 2014</title><author>Winkelman, Tyler N.A., MD, MSc ; Frank, Joseph W., MD, MPH ; Binswanger, Ingrid A., MD, MPH, MS ; Pinals, Debra A., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-11ebbf3850b8c2f98b15ecca27ff4f7101a9d4ddb2c7aa83b3ba73df9a30047c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adolescent Behavior - psychology</topic><topic>behavioral health</topic><topic>Child</topic><topic>chronic conditions</topic><topic>Chronic Disease - epidemiology</topic><topic>Chronic Disease - psychology</topic><topic>Criminal Law</topic><topic>Criminals - psychology</topic><topic>Criminals - statistics & numerical data</topic><topic>Cross-Sectional Studies</topic><topic>Ethnic Groups - psychology</topic><topic>Ethnic Groups - statistics & numerical data</topic><topic>Female</topic><topic>health disparities</topic><topic>Health Status</topic><topic>Humans</topic><topic>Juvenile Delinquency - ethnology</topic><topic>Juvenile Delinquency - psychology</topic><topic>Juvenile Delinquency - statistics & numerical data</topic><topic>juvenile justice</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Mood Disorders - epidemiology</topic><topic>Neonatal and Perinatal Medicine</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Psychology, Adolescent</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Winkelman, Tyler N.A., MD, MSc</creatorcontrib><creatorcontrib>Frank, Joseph W., MD, MPH</creatorcontrib><creatorcontrib>Binswanger, Ingrid A., MD, MPH, MS</creatorcontrib><creatorcontrib>Pinals, Debra A., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Academic pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Winkelman, Tyler N.A., MD, MSc</au><au>Frank, Joseph W., MD, MPH</au><au>Binswanger, Ingrid A., MD, MPH, MS</au><au>Pinals, Debra A., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health Conditions and Racial Differences Among Justice-Involved Adolescents, 2009 to 2014</atitle><jtitle>Academic pediatrics</jtitle><addtitle>Acad Pediatr</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>17</volume><issue>7</issue><spage>723</spage><epage>731</epage><pages>723-731</pages><issn>1876-2859</issn><eissn>1876-2867</eissn><abstract><![CDATA[Abstract Objective Providers can optimize care for high-risk adolescents by understanding the health risks among the 1 million US adolescents who interact with the justice system each year. We compared the prevalence of physical health, substance use, and mood disorders among adolescents with and without recent justice involvement and analyzed differences according to race/ethnicity. Methods Cross-sectional analysis using the 2009 to 2014 National Survey on Drug Use and Health. Prevalence data were adjusted for sociodemographic differences between adolescents with and without justice involvement. Justice-involved adolescents had a history of past year arrest, parole/probation, or juvenile detention. Results Our sample consisted of adolescents aged 12 to 17 years with (n = 5149) and without (n = 97,976) past year justice involvement. In adjusted analyses, adolescents involved at any level of the justice system had a significantly higher prevalence of substance use disorders ( P < .001), mood disorders ( P < .001), and sexually transmitted infections ( P < .01). Adolescents on parole/probation or in juvenile detention in the past year had a higher prevalence of asthma ( P < .05) and hypertension ( P < .05) compared with adolescents without justice involvement. Among justice-involved adolescents, African American adolescents were significantly less likely to have a substance use disorder ( P < .001) or mood disorder ( P < .01) compared with white or Hispanic adolescents, but had significantly higher prevalence of physical health disorders ( P < .01). Conclusions Adolescents involved at all levels of the justice system have high-risk health profiles compared with the general adolescent population, although these risks differ across racial/ethnic groups. Policymakers and health care providers should ensure access to coordinated, high-quality health care for adolescents involved at all levels of the justice system.]]></abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28300655</pmid><doi>10.1016/j.acap.2017.03.003</doi><tpages>9</tpages></addata></record> |
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| subjects | Adolescent Adolescent Behavior - psychology behavioral health Child chronic conditions Chronic Disease - epidemiology Chronic Disease - psychology Criminal Law Criminals - psychology Criminals - statistics & numerical data Cross-Sectional Studies Ethnic Groups - psychology Ethnic Groups - statistics & numerical data Female health disparities Health Status Humans Juvenile Delinquency - ethnology Juvenile Delinquency - psychology Juvenile Delinquency - statistics & numerical data juvenile justice Logistic Models Male Mood Disorders - epidemiology Neonatal and Perinatal Medicine Pediatrics Pregnancy Psychology, Adolescent Substance-Related Disorders - epidemiology United States - epidemiology |
| title | Health Conditions and Racial Differences Among Justice-Involved Adolescents, 2009 to 2014 |
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