Risk Factors for Substance Use Among Street Children Entering Treatment in India.
BACKGROUND
Although empirical studies have reported on substance use in children in India, multivariable statistical models examining risk factors in children seeking treatment for substance use are largely lacking. The goal of this study was to test a conceptual model predicting age of first use, duration of use of any psychoactive substance, and primary substance of choice from child and family characteristics in a sample of children entering substance use treatment.


METHODS
This was a single-sample cross-sectional study of 159 children entering a treatment and rehabilitation center in Delhi that provides substance use treatment and teaches children the skills to allow for their re-integration into society. De-identified data were extracted from clinical case records. Summary statistics were used to describe the sample characteristics. Regression analyses were used to examine the proposed conceptual model.


RESULTS
Child's age, schooling, and age at first crime were unrelated to age at first use of a psychoactive substance, duration of use of such substances, or choice of primary substance. However, parental and family factors served as risk factors for predicting one or more of these three outcomes.


CONCLUSIONS
Findings suggest that child psychoactive substance use may have a multidimensional set of possible family and parental origins, and that child factors such as age, education, and age at first crime may play a lesser or insignificant role in a child's psychoactive substance use.
Society for Promotion of Youth and Masses, All India Institute of Medical Sciences, New Delhi, India.
Shibendu
S
Bhattacharjee
Society for Promotion of Youth and Masses, All India Institute of Medical Sciences, New Delhi, India.
Rajesh
R
Kumar
National Drug Dependency Treatment Centre, All India Institute of Medical Sciences, New Delhi, India.
Alok
A
Agrawal
Department of Psychology, University of Maryland, College Park, College Park, MD 20742, USA.
Kevin E
KE
O'Grady
Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USA; Department of Psychiatry and Behavioral Sciences and Obstetrics and Gynecology, School of Medicine, Johns Hopkins University, Baltimore, MD 21224 USA.
Hendrée E
HE
Jones
Cannabis; India; opium; solvents; street children; substance use treatment