Victimization is regarded as a significant public health issue, especially among adolescents in urban areas. Although victimization is linked to substance use, the research on victimization among adolescents in treatment is underdeveloped. Given the high rate of victimization among African-American adolescents, further research on the prevalence and correlates of victimization for this population is needed. This knowledge can guide the development of effective treatment and prevention strategies. This study contributed to the research by examining the rate and different types of victimization among a sample of African-American adolescents in an urban substance abuse treatment program, testing whether victimization is associated with increased levels of psychopathology and high-risk behaviors; and comparing the rates and associations with existing studies of adolescent victimization. It reports on a sample of 259 African-American adolescents receiving substance abuse treatment in an inner-city program. Fifty-four percent of the subjects reported lifetime victimization. Severity of victimization was associated with depression, generalized anxiety disorder, traumatic stress disorder, and conduct disorder, although the effect sizes were relatively small. Lifetime victimization exhibited a relationship of small to moderate strength with high-risk behaviors (i.e., illegal activity, gang membership, multiple sex partners and unprotected sex). Service implications and recommendations for future research are provided.
Keywords adolescent substance abuse treatment; adolescent victimization; adolescent violenceVictimization is the experience of direct or threatened harm, including physical violence, sexual violence, psychological or emotional abuse, and neglect (CDC 2007). Victimization among adolescents is a recognized public health concern, which motivated an in-depth report by the Office of the US Surgeon General (US DHHS 1999 The rate of victimization among African-American adolescents can be explained, in part, by their broader social and environmental conditions. Approximately one-third of AfricanAmerican adolescents live in economically depressed and socially marginalized neighborhoods, resulting in regular exposure to high rates of violence (Paxton et al. 2004). These are key factors that contribute to violence perpetration and victimization (McCart et al. 2005;Howard et al. 2002). Such conditions also give rise to using violence as a response to the ongoing pressures and threat of violence (Feigelman et al. 2000), which further complicates the problem of responding to and preventing victimization.
ASSOCIATIONS WITH VICTIMIZATIONThe significance of victimization as a public health issue is further supported by its consistent relationships with various psychological and psychosocial problems. It is widely established that victimization can be a traumatic life event, challenging an individual's resources and negatively impacting developmental processes (Kaukinen 2002). A large body of research shows that vict...