Crystal methamphetamine use among young people entering custody: Prevalence, correlates and comorbidity.

Kaye, S; Lewandowski, A; Bowman, J; Doyle, MF

Crystal methamphetamine use among young people entering custody: Prevalence, correlates and comorbidity.

Kaye, S Lewandowski, A Bowman, J Doyle, MF

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Drug and Alcohol Review, 2021, 40, (7), pp. 1266-1274
Issue Date:: 2021-01-01

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Field	Value	Language
dc.contributor.author	Kaye, S
dc.contributor.author	Lewandowski, A
dc.contributor.author	Bowman, J
dc.contributor.author	Doyle, MF
dc.date.accessioned	2022-06-03T02:57:49Z
dc.date.available	2020-10-07
dc.date.available	2022-06-03T02:57:49Z
dc.date.issued	2021-01-01
dc.identifier.citation	Drug and Alcohol Review, 2021, 40, (7), pp. 1266-1274
dc.identifier.issn	0959-5236
dc.identifier.issn	1465-3362
dc.identifier.uri	http://hdl.handle.net/10453/157893
dc.description.abstract	Introduction and Aims Crystal methamphetamine (CM) is associated with a range of physical and mental health harms and may be of particular concern among young people at risk of early, problematic substance use, such as those in contact with the criminal justice system. This study aimed to investigate the prevalence and correlates of regular (i.e. at least weekly) CM use among young people preceding entry into custody. Design and Methods Data were collected from 207 participants aged 14–18 years as part of the 2015 Young People in Custody Health Survey, a cross-sectional survey of youth in custody in New South Wales, Australia. Participants were administered face-to-face structured interviews assessing sociodemographic, childhood and family characteristics, offending history, substance use and psychopathology. Multivariable logistic regression analyses were conducted to identify factors independently associated with regular CM use. Results Regular CM use was reported by 31% of participants and was independently associated with higher levels of antisocial traits/behaviour [adjusted odds ratio (AOR) 1.13, 95% confidence interval (CI) 1.02, 1.25], increased polydrug use (AOR 1.34, 95% CI 1.14, 1.58), injecting drug use (AOR 4.06, 95% CI 1.02, 16.16) and meeting symptom thresholds for two or more current psychological disorders (AOR 3.20, 95% CI 1.15, 8.94). Discussion and Conclusions Regular CM users present with more complex comorbidity than other young people in custody, increasing the health-care burden in custodial and community settings. Early identification and appropriate treatment of this comorbidity is crucial to improving the health, psychosocial and behavioural outcomes of this vulnerable group.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Drug and Alcohol Review
dc.relation.isbasedon	10.1111/dar.13210
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 16 Studies in Human Society, 17 Psychology and Cognitive Sciences
dc.subject.classification	Substance Abuse
dc.subject.mesh	Adolescent
dc.subject.mesh	Child
dc.subject.mesh	Comorbidity
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Humans
dc.subject.mesh	Methamphetamine
dc.subject.mesh	Prevalence
dc.subject.mesh	Substance-Related Disorders
dc.subject.mesh	Humans
dc.subject.mesh	Substance-Related Disorders
dc.subject.mesh	Methamphetamine
dc.subject.mesh	Prevalence
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Comorbidity
dc.subject.mesh	Adolescent
dc.subject.mesh	Child
dc.title	Crystal methamphetamine use among young people entering custody: Prevalence, correlates and comorbidity.
dc.type	Journal Article
utslib.citation.volume	40
utslib.location.activity	Australia
utslib.for	11 Medical and Health Sciences
utslib.for	16 Studies in Human Society
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/DVC (Research)
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-06-03T02:57:48Z
pubs.issue	7
pubs.publication-status	Published
pubs.volume	40
utslib.citation.issue	7

Abstract:

Introduction and Aims Crystal methamphetamine (CM) is associated with a range of physical and mental health harms and may be of particular concern among young people at risk of early, problematic substance use, such as those in contact with the criminal justice system. This study aimed to investigate the prevalence and correlates of regular (i.e. at least weekly) CM use among young people preceding entry into custody. Design and Methods Data were collected from 207 participants aged 14–18 years as part of the 2015 Young People in Custody Health Survey, a cross-sectional survey of youth in custody in New South Wales, Australia. Participants were administered face-to-face structured interviews assessing sociodemographic, childhood and family characteristics, offending history, substance use and psychopathology. Multivariable logistic regression analyses were conducted to identify factors independently associated with regular CM use. Results Regular CM use was reported by 31% of participants and was independently associated with higher levels of antisocial traits/behaviour [adjusted odds ratio (AOR) 1.13, 95% confidence interval (CI) 1.02, 1.25], increased polydrug use (AOR 1.34, 95% CI 1.14, 1.58), injecting drug use (AOR 4.06, 95% CI 1.02, 16.16) and meeting symptom thresholds for two or more current psychological disorders (AOR 3.20, 95% CI 1.15, 8.94). Discussion and Conclusions Regular CM users present with more complex comorbidity than other young people in custody, increasing the health-care burden in custodial and community settings. Early identification and appropriate treatment of this comorbidity is crucial to improving the health, psychosocial and behavioural outcomes of this vulnerable group.

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http://hdl.handle.net/10453/157893