Patterns of adverse childhood experiences and substance use among young adults: A latent class analysis.
Patterns of adverse childhood experiences and substance use among young adults: A latent class analysis.
复制标题
年轻人不利的童年经历和物质使用的模式：潜在的阶级分析。
DOI：
10.1016/j.addbeh.2017.11.020
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发表时间：
2018-03
影响因子：
4.4
通讯作者：
Conley D
中科院分区：
文献类型：
--
作者：
Shin SH;McDonald SE;Conley D
不良童年经历（ace）与随后的药物使用密切相关。本研究的目的是调查不同的ace模式如何影响青少年的药物使用。使用一个社区样本的年轻人（N=336，年龄在18-25岁），我们进行了潜在类别分析（LCA），以确定具有相似ace模式的同质年轻人群体。接触不良家庭经历包括13种童年逆境，包括童年虐待、家庭功能障碍和社区暴力。使用多元线性和逻辑回归模型来检验ace类别与四种年轻人结局（如酒精相关问题、当前烟草使用、药物依赖症状和心理困扰）之间的关系。LCA确定了四种不同类型的年轻人，以不同的ace暴露模式来区分：低ace(56%)，家庭功能障碍/社区暴力（14%），情感ace（14%）和高/多重ace（16%）。多元回归分析发现，与低ace类别的年轻人相比，高/多重ace类别的年轻人报告了更多与酒精相关的问题、当前的烟草使用和心理症状，控制了社会人口统计学特征和物质使用的常见风险因素，如同伴物质使用。我们的研究结果证实，对于许多年轻人来说，ace是多重的，而不是单一的经历。这项研究的结果表明，儿童时期暴露于多重受害与青年时期的物质使用特别相关。
Adverse childhood experiences (ACEs) have been strongly linked with subsequent substance use. The aim of this study was to investigate how different patterns of ACEs influence substance use in young adulthood. Using a community sample of young individuals (N=336; ages 18–25), we performed latent class analyses (LCA) to identify homogenous groups of young people with similar patterns of ACEs. Exposure to ACEs incorporates 13 childhood adversities including childhood maltreatment, household dysfunction, and community violence. Multiple linear and logistic regression models were used in an effort to examine the associations between ACEs classes and four young adult outcomes such as alcohol-related problems, current tobacco use, drug dependence symptoms, and psychological distress. LCA identified four heterogeneous classes of young people distinguished by different patterns of ACEs exposure: Low ACEs (56%), Household Dysfunction/Community Violence (14%), Emotional ACEs (14%), and High/Multiple ACEs (16%). Multiple regression analyses found that compared to those in the Low ACEs class, young adults in the High/Multiple ACEs class reported more alcohol-related problems, current tobacco use, and psychological symptoms, controlling for sociodemographic characteristics and common risk factors for substance use such as peer substance use. Our findings confirm that for many young people, ACEs occur as multiple rather than single experiences. The results of this research suggest that exposure to poly-victimization during childhood is particularly related to substance use during young adulthood.
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影响因子：
7.6
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通讯作者：
AKAIKE, H
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作者：
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通讯作者：
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