ALCOHOL AND DRUG DISORDERS AMONG PHYSICALLY ABUSIVE AND NEGLECTFUL PARENTS IN A COMMUNITY-BASED SAMPLE
ALCOHOL AND DRUG DISORDERS AMONG PHYSICALLY ABUSIVE AND NEGLECTFUL PARENTS IN A COMMUNITY-BASED SAMPLE
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DOI：
10.2105/ajph.84.10.1586
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发表时间：
1994-10-01
影响因子：
12.7
通讯作者：
FISCHER, E
中科院分区：
文献类型：
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作者：
KELLEHER, K;CHAFFIN, M;FISCHER, E
目标.本研究的目的是比较社区样本中报告儿童身体虐待或忽视的成年人和单独匹配的对照组之间的物质使用障碍和症状的频率。在巢式病例对照研究中，169名成年人报告身体虐待的儿童和209名成年人报告忽视的儿童从11 662人成功地采访了在四个社区的概率调查分别与控制对象从参与者。将病例组与对照组的酒精或药物相关症状和障碍诊断的数量进行比较，这些症状是由诊断性访谈计划中的症状确定的。报告身体虐待或忽视儿童的受访者比其匹配的控制对象更有可能报告药物滥用或依赖。在控制了潜在的混杂变量后，这些差异仍然存在。父母的药物滥用和依赖，独立的混杂因素，是高度相关的虐待儿童。以往研究中的不一致结果可能是由于依赖参考样本和不标准的评估方法。参与照料受虐待或被忽视儿童及其家庭的机构应考虑将常规药物滥用评估与治疗结合起来，或在必要时转诊治疗。
Objectives. The purpose of this study was to compare the frequency of substance use disorders and symptoms between adults reporting child physical abuse or neglect and individually matched control subjects in a community sample.Methods. In a nested case-control study, 169 adults reporting physical abuse of a child and 209 adults reporting neglect of a child from 11 662 individuals successfully interviewed in a probabilistic survey in four communities were individually matched with control subjects drawn from the participants. Case subjects were compared with control subjects on the number of alcohol- or drug-related symptoms and disorder diagnoses as determined by symptoms from the Diagnostic Interview Schedule.Results. Respondents reporting either physical abuse or neglect of children were much more likely than their matched control subjects to report substance abuse or dependence. These differences persisted after potential confounding variables were controlled for.Conclusions. Parental substance abuse and dependence, independent of confounding factors, are highly associated with child maltreatment. Inconsistent results in previous studies may have arisen from reliance on referred samples and unstandardized assessment methods. Agencies involved in the care of abused or neglected children and their families should consider incorporating routine substance abuse evaluations with treatment, or referral for treatment, where indicated.