Child maltreatment and age of alcohol and marijuana initiation in high-risk youth.
Child maltreatment and age of alcohol and marijuana initiation in high-risk youth.
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DOI：
10.1016/j.addbeh.2017.06.021
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发表时间：
2017-12
影响因子：
4.4
通讯作者：
Dubowitz H
中科院分区：
文献类型：
--
作者：
Proctor LJ;Lewis T;Roesch S;Thompson R;Litrownik AJ;English D;Arria AM;Isbell P;Dubowitz H
有虐待儿童历史的青少年使用药物并出现药物使用障碍的比例高于全国平均水平。到目前为止，还没有任何研究探讨了受虐待青年从受虐待到开始使用药物年龄的途径。我们研究了儿童早期虐待对酒精和大麻使用起始年龄的纵向影响，以及8岁时的内化和外化行为是否介导了虐待和物质使用起始年龄之间的联系。数据来自4岁、8岁、12岁和18岁儿童虐待和虐待的纵向研究（LONGSCAN）。通过审查行政记录和青年自我报告对虐待行为进行评估。行为问题采用儿童行为量表进行评估。开始使用药物的年龄进行了评估与青少年版本的儿童诊断访谈时间表。路径分析表明，通过外化行为，从虐待史到第一次使用酒精和大麻的年龄的中介作用。考虑到虐待的类型，直接影响，发现从身体虐待的年龄开始饮酒，和中介影响，发现从性虐待和忽视的初始年龄的酒精和大麻的使用，通过外化行为。大麻使用启动和间接影响，通过内化行为问题的直接影响是不显着的两种物质。外化行为是从童年期虐待到开始使用物质的年龄的一条途径。为受虐待的青年提供的服务应包括预防药物使用，特别是在那些有早期外化问题的青年中。
Youth with a history of child maltreatment use substances and develop substance use disorders at rates above national averages. Thus far, no research has examined pathways from maltreatment to age of substance use initiation for maltreated youth. We examined the longitudinal impact of maltreatment in early childhood on age of alcohol and marijuana use initiation, and whether internalizing and externalizing behaviors at age 8 mediates the link between maltreatment and age of substance use initiation. Data were drawn from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN) at ages 4, 8, 12, and 18. Maltreatment was assessed through reviews of administrative records and youth self-reports. Behavior problems were assessed with the Child Behavior Checklist. Age of substance use initiation was assessed with the Young Adult version of the Diagnostic Interview Schedule for Children. Path analyses indicated mediated effects from a history of maltreatment to age at first alcohol and marijuana use through externalizing behaviors. Considering type of maltreatment, direct effects were found from physical abuse to age of alcohol initiation, and mediated effects were found from sexual abuse and neglect to initial age of alcohol and marijuana use through externalizing behaviors. Direct effects for marijuana use initiation and indirect effects through internalizing behavior problems were not significant for either substance. Externalizing behavior is one pathway from childhood maltreatment to age of substance use initiation. Services for maltreated youth should incorporate substance use prevention, particularly among those with early externalizing problems.
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影响因子：
5.1
作者：
Lansford JE;Dodge KA;Pettit GS;Bates JE
通讯作者：
Bates JE
影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
3.4
作者：
Gruber, Staci A.;Sagar, Kelly A.;Dahlgren, Mary Kathryn;Racine, Megan;Lukas, Scott E.
通讯作者：
Lukas, Scott E.
DOI：
10.1023/a:1026595011371
发表时间：
2000-12-01
期刊：
Prevention science : the official journal of the Society for Prevention Research
影响因子：
--
作者：
MacKinnon, D P;Krull, J L;Lockwood, C M
通讯作者：
Lockwood, C M
影响因子：
2.5
作者：
Knight, ED;Runyan, DK;Hunter, W
通讯作者：
Hunter, W