Links Between Childhood Exposure to Violent Contexts and Risky Adolescent Health Behaviors
Links Between Childhood Exposure to Violent Contexts and Risky Adolescent Health Behaviors
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DOI：
10.1016/j.jadohealth.2018.01.013
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发表时间：
2018-07-01
影响因子：
7.6
通讯作者：
McLanahan, Sara
中科院分区：
文献类型：
--
作者：
James, Sarah;Donnelly, Louis;McLanahan, Sara
目的：评估儿童时期暴露在暴力环境中是否与危险的青少年健康行为有关，以及这些联系是否特定于不同的暴力环境和不同类型的危险行为。方法：数据来自2,684名脆弱家庭和儿童福祉研究中的青少年，这是一项基于人口的出生队列研究，研究对象是美国20个大城市1998至2000年间出生的儿童。使用Logistic回归模型，我们评估了5岁和9岁时接触6项社区暴力指标和7项家庭暴力指标是否与15岁时的危险性行为、物质使用和肥胖危险行为相关。结果：控制青少年、父母和邻居的协变量，社区暴力量表每增加一分，危险性行为的几率增加8%，但与物质使用或肥胖危险行为无关。或者，家庭暴力量表上每增加一分，使用药物的几率就会增加20%，但不会出现危险的性行为或肥胖危险行为。结论：儿童时期暴露在暴力环境中与危险的青少年健康行为有关，但这种联系是背景和行为特定的。在包括协变量后，我们发现儿童时期暴露在暴力环境中和肥胖风险行为之间没有关联。(C)2018年青少年健康与医学学会。版权所有。
Purpose: To assess whether childhood exposure to violent contexts is prospectively associated with risky adolescent health behavior and whether these associations are specific to different contexts of violence and different types of risky behavior.Methods: Data come from 2,684 adolescents in the Fragile Families and Child Wellbeing Study, a population-based birth cohort study of children born between 1998 and 2000 in 20 large American cities. Using logistic regression models, we evaluate whether exposure to 6 indicators of community violence and 7 indicators of family violence at ages 5 and 9 is associated with risky sexual behavior, substance use, and obesity risk behavior at age 15.Results: Controlling for a range of adolescent, parent, and neighborhood covariates, each additional point on the community violence scale is associated with 8% higher odds of risky sexual behavior but not substance use or obesity risk behavior. Alternatively, each additional point on the family violence scale is associated with 20% higher odds of substance use but not risky sexual behavior or obesity risk behavior.Conclusions: Childhood exposure to violent contexts is associated with risky adolescent health behaviors, but the associations are context and behavior specific. After including covariates, we find no association between childhood exposure to violent contexts and obesity risk behavior. (c) 2018 Society for Adolescent Health and Medicine. All rights reserved.