Perceived Devaluation among a Cohort of Street-Involved Youth in Vancouver, Canada

Mohammad Karamouzian, Tessa Cheng, Ekaterina Nosova, Kali Sedgemore, Jean Shoveller, Thomas Kerr, Kora Debeck

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

6 Citas (Scopus)

Resumen

Background: Perceived devaluation is a barrier to seeking mental and physical health services among people who use illicit drugs. Objective: Assessing the prevalence and correlates of perceived devaluation within a cohort of street-involved youth. Methods: Data were drawn from an open prospective cohort of street-involved youth who use illicit drugs (aged 14–26 at study enrollment) between December 2013 and May 2015 in Vancouver, Canada. Perceived devaluation was measured using an adapted version of Perceived Devaluation and Discrimination scale. Multivariable generalized estimating equations were constructed to examine factors independently associated with high perceived devaluation. Results: Among 411 street-involved youth, 95.1% reported high perceived devaluation at some point during the study period. In a multivariable analysis, youth who reported high perceived devaluation were significantly more likely to engage in: unprotected sex (Adjusted Odds Ratio [AOR] = 1.56, 95% Confidence Interval 1.03–2.37); heavy alcohol use (AOR = 2.31, 95% CI 1.22–4.36); and daily heroin use (AOR = 2.07, 95% CI 1.16–3.70). Youth who resided in the Downtown Eastside neighborhood were significantly less likely to report high perceived devaluation (AOR = 0.41, 95% CI 0.26–0.65). Conclusions: Perceived devaluation was extremely prevalent among street-involved youth in our sample. We also observed that youth most in need of health and social services were significantly more likely to report high levels of perceived devaluation which may result in a reluctance to seek out key services and supports. These findings highlight the need to implement stigma reduction interventions for vulnerable youth in this setting.

Idioma originalEnglish
Páginas (desde-hasta)324-330
Número de páginas7
PublicaciónSubstance Use and Misuse
Volumen54
N.º2
DOI
EstadoPublished - ene. 28 2019
Publicado de forma externa

Nota bibliográfica

Funding Information:
The study was supported by the US National Institutes of Health (U01DA038886) and the Canadian Institutes of Health Research (MOP–286532). Dr. Mohammad Karamouzian is supported by a Vanier Canada Graduate Scholarship and Pierre Elliott Trudeau Foundation Doctoral Scholarship. Dr. Kora DeBeck is supported by a MSFHR/St. Paul’s Hospital Foundation–Providence Health Care Career Scholar Award and a Canadian Institutes of Health Research New Investigator Award.

Publisher Copyright:
© 2018, © 2018 Taylor & Francis Group, LLC.

ASJC Scopus Subject Areas

  • Medicine (miscellaneous)
  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

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