Cumulative Exposure to Neighborhood Conditions and Substance Use Initiation among Low-Income Latinx and African American Adolescents.
Cumulative Exposure to Neighborhood Conditions and Substance Use Initiation among Low-Income Latinx and African American Adolescents.
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DOI：
10.3390/ijerph182010831
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发表时间：
2021-10-15
影响因子：
--
通讯作者：
Santiago AM
中科院分区：
文献类型：
--
作者：
Lee E;Santiago AM
目的：虽然之前的研究强调了邻里环境对儿童和青少年健康和福祉所发挥的重要作用，但这些邻里环境如何影响低收入和少数民族家庭青少年开始药物使用的研究还不够。方法：本研究是对丹佛儿童研究数据的二次分析，这是一项回顾性调查，使用自然实验，旨在评估邻里对拉丁裔和非裔美国青少年 (N = 736) 发展结果的影响。 Cox 特定原因危害模型估计要测试：（1）在控制青少年、看护者和家庭因素后，青春期前（8-11 岁）期间累积暴露于邻里社会混乱、邻里暴力和财产犯罪率以及邻里社会资本对青春期（12-18 岁）开始使用酒精、香烟和大麻的可能性的影响； （2）这些累积的邻里因素的影响是否因拉丁裔和非裔美国人的种族而异。结果：本研究中 5.6% 的青少年在青春期期间首次吸烟，5.4% 的青少年开始饮酒，5.2% 的青少年首次吸食大麻。结果表明，青春期前接触邻里社会障碍是一个重要的危险因素，特别是对于开始吸烟而言（HR = 1.36，95% CI = 1.062-1.745，p = 0.015），特别是在拉丁裔青少年中（HR = 1.42，95% CI = 1.031-1.966，p = 0.032）。结论：研究结果表明，需要进一步研究暴露于邻里社会障碍与青少年开始物质使用之间的关系，以便制定和实施基于社区的预防和干预计划，以减少开始物质使用并促进青少年健康发展。
Purpose: While previous research underscores the important role that neighborhood contexts play for child and adolescent health and well-being, how these neighborhood contexts influence substance use initiation among adolescents from low-income and ethnic minority families has been understudied. Methods: This study is a secondary analysis of data from the Denver Child Study a retrospective survey that uses a natural experiment aimed at assessing neighborhood effects on developmental outcomes of Latinx and African American adolescents (N = 736). Cox cause-specific hazards models were estimated to test: (1) the effects of cumulative exposure to neighborhood social disorder, neighborhood violent and property crime rates, and neighborhood social capital during preadolescence (ages 8–11) on the likelihood of initiating alcohol, cigarette, and marijuana use during adolescence (ages 12–18), after controlling for youth, caregiver, and household factors; and (2) whether the effects of these cumulative neighborhood factors vary by Latinx and African American ethnicity. Results: 5.6% of adolescents in this study initiated cigarette use, 5.4% initiated alcohol use and 5.2% used marijuana for the first time during adolescence. The results indicate that exposure to neighborhood social disorder during preadolescence is a significant risk factor, especially for the initiation of cigarette use (HR = 1.36, 95% CI = 1.062–1.745, p = 0.015) particularly among Latinx adolescents (HR = 1.42, 95% CI = 1.031–1.966, p = 0.032). Conclusions: The findings suggest the need for further research on the relationship between exposure to neighborhood social disorder and adolescent substance use initiation in order to develop and implement community-based prevention and intervention programs to reduce substance use initiation and facilitate healthy adolescent development.
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影响因子：
3.3
作者：
Bowen, NK;Flora, DB
通讯作者：
Flora, DB
影响因子：
4.9
作者：
Battin-Pearson, S;Newcomb, MD;Hawkins, JD
通讯作者：
Hawkins, JD
影响因子：
4.8
作者：
Barr, Peter B.
通讯作者：
Barr, Peter B.
影响因子：
2.7
作者：
Oxford, ML;Harachi, TW;Abbott, RD
通讯作者：
Abbott, RD
DOI：
10.1111/j.1530-0277.2008.00806.x
发表时间：
2008-12
期刊：
Alcoholism, clinical and experimental research
影响因子：
--
作者：
Dawson DA;Goldstein RB;Chou SP;Ruan WJ;Grant BF
通讯作者：
Grant BF