Developmental pathways from child maltreatment to adolescent pregnancy: A multiple mediational model.
Developmental pathways from child maltreatment to adolescent pregnancy: A multiple mediational model.
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DOI：
10.1017/s0954579421001395
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发表时间：
2023-03
影响因子：
3.3
通讯作者：
Noll, Jennie G.
中科院分区：
文献类型：
--
作者：
Russotti, Justin;Font, Sarah A.;Toth, Sheree L.;Noll, Jennie G.
少女怀孕是一个重大的公共卫生问题。虐待儿童是一个既定的风险因素，但人们对这种现象的解释机制知之甚少。根据发展理论，这项研究前瞻性地测试了七个多层次的间接途径，这些途径可以合理地解释儿童虐待和青少年怀孕之间的关系：1）物质使用（多种物质使用和频率）; 2）性风险行为; 3）抑郁症状; 4）PTSD症状; 5）认知失调; 6）怀孕欲望和困难预期;和7）初潮年龄。数据来自一项前瞻性、纵向队列研究，研究对象为469名不同种族的未生育青少年女性，旨在研究证实的儿童虐待对生殖结局（如妊娠和分娩）的影响（265名受虐待的青少年和204名人口统计学匹配的青少年）。采用多中介结构方程模型，在考虑混杂变量的同时，同时检验多个间接效应。虐待通过物质使用和更高的怀孕欲望/更低的感知困难对怀孕产生间接影响。调查结果代表着朝着阐明虐待儿童与少女怀孕之间联系的途径迈出了一步。提出了建议，通过解决作为虐待后遗症一部分的怀孕特定机制来预防怀孕。
Adolescent pregnancy is a significant public health issue. Child maltreatment represents an established risk factor, yet little is known about the explanatory mechanisms linking the phenomena. Informed by developmental theory, this study prospectively tested seven multi-level, indirect pathways that could plausibly explain the relationship between child maltreatment and adolescent pregnancy: 1) substance use (polysubstance use and frequency); 2) sexual risk behavior; 3) depressive symptoms; 4) PTSD symptoms; 5) cognitive dysregulation; 6) pregnancy desire and difficulty expectancies; and 7) age at menarche. Data came from a prospective, longitudinal cohort study of 469 ethnically diverse, nulliparous adolescent females, designed to examine the impact of substantiated child maltreatment on reproductive outcomes such as pregnancy and childbirth (265 maltreated and 204 demographically-matched comparison adolescents). A multiple-mediator structural equation model was conducted to simultaneously test multiple indirect effects while accounting for confounding variables. Maltreatment had an indirect effect on pregnancy via substance use and higher pregnancy desire/lower perceived difficulty. Findings represent a step towards elucidating pathways linking child maltreatment with adolescent pregnancy. Recommendations are offered to prevent pregnancy by addressing the pregnancy-specific mechanisms that are part of the maltreatment sequelae.
影响因子：
3.8
作者：
Thompson, Richard;Neilson, Elizabeth C.
通讯作者：
Neilson, Elizabeth C.