Gang Involvement and the Health of African American Female Adolescents

Author:

Wingood Gina M.12,DiClemente Ralph J.123,Crosby Rick12,Harrington Kathy4,Davies Susan L.5,Hook Edward W.6

Affiliation:

1. Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Atlanta, Georgia

2. Emory Center for AIDS Research, Atlanta, Georgia

3. Emory University School of Medicine, Department of Pediatrics (Division of Infectious Diseases, Epidemiology and Immunology), Atlanta, Georgia

4. School of Medicine, Department of Pediatrics, University of Alabama, Birmingham, Birmingham, Alabama

5. School of Public Health, Department of Health Behavior, University of Alabama, Birmingham, Alabama

6. School of Medicine, Department of Medicine, Division of Infectious Diseases, University of Alabama, Birmingham, Alabama

Abstract

Objective. To examine the association between gang involvement and female adolescents’ health. Methods. African American adolescent females (N = 522) completed a survey that assessed their history of gang involvement and health behaviors and provided specimens that were analyzed for marijuana use and sexually transmitted diseases. Results. In logistic regression analyses, adolescents with a history of gang involvement were more likely to have been expelled from school (odds ratio [OR]: 3.6), be a binge drinker (OR: 3.3), have a positive toxicologic test for marijuana (OR: 2.6), have been in 3 or more fights in the past 6 months (OR: 3.8), have a nonmonogamous partner (OR: 2.4), and test positive for Trichomonas vaginalis (OR: 2.2) and Neisseria gonorrhoeae (OR: 3.6). Conclusion. This study extends the current research on risk behaviors associated with gang involvement to include biological markers for substance use and sexual health outcomes, namely, marijuana use and sexually transmitted diseases.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference52 articles.

1. Chesney-Lind M, Shelden R, Joe K. Girls delinquency, and gang membership. In: Huff CR, ed. Gangs in America. 2nd ed. Newbury Park, CA: Sage Publications; 1996

2. Esbensen F, Huizinga D. Gangs, drugs and delinquency in a survey of urban youth. Criminology.1993;31:565–589

3. Bjerregard B, Smith C. Gender differences in gang participation, delinquency, and substance abuse. J Quant Criminol.1993;9:329–355

4. Fagan J. Social processes of delinquency and drug use among urban gangs. In: Huff CR, ed. Gangs in America. Newbury Park, CA: Sage Publications; 1990

5. National Youth Gang Center. 1998 National Youth Gang Survey. Washington, DC: US Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention; 2000

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