Mexican-origin parent and child reported neighborhood factors and youth substance use.

Mexican-origin parent and child reported neighborhood factors and youth substance use.
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DOI:
10.3389/fpsyt.2023.1241002
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发表时间:
2023
影响因子:
4.7
通讯作者:
Alegria, Margarita
Alegria, Margarita
中科院分区:
医学3区
文献类型:
--
作者:
Zhen-Duan, Jenny;Banks, Devin E.;Ferreira, Caroline;Zhang, Lulu;Valentino, Kristin;Alegria, Margarita

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结构性压迫通过居住在次优社区和暴露于社区暴力影响健康行为。青年和家长报告的看法邻里因素,可以影响青年物质使用行为。鉴于拉丁裔青年报告的感知社区暴力水平高于其他种族和族裔群体,因此必须研究青年和父母感知的邻里水平因素可能与青年药物使用有关。数据收集使用临床访谈家庭三合会(父亲,母亲和青年)和亲子二人组(父亲或母亲和青年)登记在Seguimos Avanzando研究的344个墨西哥裔家庭在印第安纳州。邻里的措施,包括接触暴力的看法,邻里的特点,邻里集体效能,包括在家长和青年的调查。过去一年酒精和药物使用的自我报告措施仅包括在青年调查中。进行t检验,以估计样本黑社会之间的邻里报告的差异。一系列的线性回归模型被用来估计青年,母亲和父亲报告的邻里因素和青年物质使用的看法之间的关联。初步结果表明,父亲报告的遭受暴力的程度高于母亲[t(163)= 2.33,p = 0.02]和青年[t(173)= 3.61,p < 0.001]。青少年的消极邻里特征低于母亲[t(329)= 6.43,p < 0.001]和父亲[t(169)= 3.73,p < 0.001]。青少年的邻里集体效能感显著高于母亲[t(296)= 3.14,p = 0.002],但与父亲无统计学差异。初步分析结果显示,青少年接触暴力与青少年物质使用呈正相关(B = 0.24,SE = 0.06,p < 0.0001),但青少年的邻里特征和集体效能与青少年物质使用无显著相关。父母报告的邻里变量与青少年物质使用无关。父母和青少年之间的差异发现报告的感知邻里特征和物质使用有重要意义的研究人员和社区利益相关者,并制定有针对性的干预措施和预防策略。我们的研究强调了解决青年社区暴力经历的必要性,并优先考虑创造安全和包容的邻里环境。潜在的战略包括改善社区资源,加强社会支持网络,促进关于邻里风险的公开交流,以及促进合作努力解决药物使用行为。
Structural oppression affects health behaviors through residence in suboptimal neighborhoods and exposure to community violence. Youth and parents report perceptions of neighborhood factors that can affect youth substance use behaviors. Given that Latinx youth report higher levels of perceived community violence than other racial and ethnic groups, it is imperative to examine how youth- and parent-perceived neighborhood-level factors may relate to youth substance use. Data were collected using clinical interviews with family triads (fathers, mothers, and youth) and parent–child dyads (father or mother and youth) enrolled in the Seguimos Avanzando study of 344 Mexican-origin families in Indiana. Neighborhood measures, including perceptions of exposure to violence, neighborhood characteristics, and neighborhood collective efficacy, were included in parent and youth surveys. Self-report measures for past year alcohol and drug use were included in the youth survey only. T-tests were conducted to estimate differences in neighborhood reports among the sample triads. A series of linear regression models were used to estimate the associations between youth-, mother-, and father-reported perceptions of neighborhood factors and youth substance use. Preliminary results indicate that fathers reported higher levels of exposure to violence than mothers [t(163) = 2.33, p = 0.02] and youth [t(173) = 3.61, p < 0.001]. Youth reported lower negative neighborhood characteristics than mothers [t(329) = 6.43, p < 0.001] and fathers [t(169) = 3.73, p < 0.001]. Youth reported significantly better neighborhood collective efficacy than mothers [t(296) = 3.14, p = 0.002], but not statistically different from fathers. Results from the primary analysis showed that youth exposure to violence was positively associated with youth substance use (b = 0.24, SE = 0.06, p < 0.0001), but the youth’s neighborhood characteristics and collective efficacy were not significantly associated with youth substance use. None of the parent-reported neighborhood variables were associated with youth substance use. The discrepant findings between parent and youth reports of perceived neighborhood characteristics and substance use have important implications for researchers and community stakeholders, and for developing targeted interventions and prevention strategies. Our study highlights the need to address youth experience of community violence and to prioritize creating safe and inclusive neighborhood environments. Potential strategies include improving community resources, strengthening social support networks, promoting open communication about neighborhood risks, and fostering collaborative efforts to address substance use behaviors.
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