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Traumatic Stress and Gender Differences in Relationship to Substance Abuse, Mental Health, Physical Health, and HIV Risk Behavior in a Sample of Adolescents Enrolled in Drug Treatment

NCJ Number
199135
Journal
Child Maltreatment Volume: 8 Issue: 1 Dated: February 2003 Pages: 46-57
Author(s)
Sally J. Stevens; Bridget S. Murphy; Katherine McKnight
Editor(s)
Mark Chaffin
Date Published
February 2003
Length
12 pages
Annotation
This study explored differences between males and females and those reporting acute and low traumatic stress symptoms with respect to substance use issues and problems, mental health problems, physical health concerns, and HIV risk behavior in a sample of in-treatment adolescents.
Abstract
Limited research exists regarding gender differences among adolescent-substance users who report traumatic stress (TS) symptoms. This study included 274 male and 104 female adolescents enrolled in 4 drug treatment programs in Arizona. Comparisons were examined between males and females and those with low versus acute levels of TS symptoms with regard to substance use, mental health, physical health, and HIV risk behaviors. Results indicate that significant differences existed between males and females as well as those with low TS symptoms versus those with acute TS symptoms for substance use issues and problems, mental and physical health problems, and sexual activities associated with HIV risk. Females and those with acute TS symptoms consistently presented with more problems than did males and those with low TS symptoms. In addition, females and those with acute TS symptoms were more likely to report mental health problems, reported greater health problems, and reported riskier behaviors. In summary, a substantial proportion of adolescents entering substance abuse treatment present with TS symptoms. Treatment providers should consider addressing related issues of mental health, physical health, and HIV risk behavior either through integration of services within the program or through coordination with other types of treatment providers. Tables and references